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Attitudes toward, and interest in, the test-and-treat strategy for HIV prevention among Thai men who have sex with men

机译:泰国男男性接触者对艾滋病预防测试治疗策略的态度和兴趣

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摘要

This study assessed the attitudes toward, and interest in, the test-and-treat strategy, comprising regular HIV testing and immediate antiretroviral treatment (ART) among men who have sex with men (MSM) in Bangkok, Thailand. A total of 363 participants completed the questionnaires before and after learning about their HIV status. Previous HIV testing reported by 69.8% and 34.7% tested at least annually. Before pretest counseling, 83.2% expressed interest in regular HIV testing and 78.8% in immediate ART. MSM who tested HIV-positive at enrollment were less likely than those who tested HIV-negative to have been tested for HIV before (45.7% vs. 60.8%, p < 0.0001). Among MSM who tested HIV-positive (n = 69, 15.9%), the median level of willingness to take ART immediately increased significantly after learning about their positive results (90 vs.100%, p < 0.0001). Interest in regular HIV testing remained high among HIV-negative MSM after becoming aware of their status (70.9% before vs. 71.9% after, p = 0.55). MSM participants have a strong desire and willingness to start ART immediately upon receiving an HIV-positive test resu it is important to provide the necessary information on the health benefits of early ART and education to the community to maintain their health and prevent HIV transmission.
机译:这项研究评估了对测试和治疗策略的态度和兴趣,包括在泰国曼谷与男同性恋者(MSM)定期进行HIV检测和即时抗逆转录病毒治疗(ART)。共有363名参与者在了解其HIV状况之前和之后完成了问卷。至少每年进行检测的以前的HIV检测分别为69.8%和34.7%。在进行测试前咨询之前,有83.2%的人表示有兴趣进行常规HIV测试,有78.8%的人表示立即进行抗病毒治疗。入选前检测HIV阳性的MSM较之前检测HIV阴性的MSM的可能性更低(45.7%对60.8%,p <0.0001)。在检测出HIV阳性的MSM中(n = 69,15.9%),在获知其阳性结果后,接受抗逆转录病毒治疗的意愿中位数立即显着增加(90 vs.100%,p <0.0001)。在认识到艾滋病毒阴性M​​SM的状况后,对常规HIV检测的兴趣仍然很高(之前为70.9%,之后为71.9%,p = 0.55)。 MSM参与者强烈希望并且愿意在收到HIV阳性检测结果后立即开始抗病毒治疗。必须向社区提供有关早期抗逆转录病毒疗法和教育对健康有益的必要信息,以维持其健康并预防艾滋病毒的传播。

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