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Trends in web-based HIV behavioural surveillance among gay and bisexual men in New Zealand: complementing location-based surveillance

机译:新西兰同性恋者和双性恋者基于网络的艾滋病毒行为监测趋势:补充基于位置的监测

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摘要

Most HIV behavioural surveillance programmes for gay, bisexual and other men who have sex with men (MSM) sample from location-based (offline) or web-based (online) populations, but few combine these two streams. MSM sampled online have been found to differ demographically and behaviourally from those sampled offline, meaning trends identified in one system may not hold for the other. The aim was to examine trends among MSM responding to supplementary repeat online behavioural surveillance surveys who had not participated in offline surveillance earlier that year in the same city, to see whether trends were parallel, converged or diverged. We recruited a total of 1613 MSM from an Internet dating site in Auckland, New Zealand in 2006, 2008 and 2011 using identical questionnaires and eligibility criteria to offline surveillance. Condom use was stable over time, HIV testing rates rose, the proportion reporting over 20 recent male partners declined, and anal intercourse rates increased, consistent with trends in offline surveillance conducted concomitantly and reported elsewhere. Variant trends included greater stability in condom use with casual partners among online-recruited MSM, and a rise in regular fuckbuddy partnering not identified among offline-recruited MSM. Among MSM recruited online, the frequency of checking Internet dating profiles increased between 2008 and 2011. In conclusion, supplementary web-based behavioural surveillance among MSM generally corroborates trends identified in offline surveillance. There are however some divergent trends, that would have been overlooked if only one form of surveillance had been conducted. As MSM populations increasingly shift their socialising patterns online and diversify, multiple forms of HIV behavioural monitoring may be required.
机译:大多数针对男同性恋,双性恋和其他与男性发生性关系(MSM)的男性的HIV行为监视程序都是从基于位置的(离线)或基于网络的(在线)人群中抽样的,但很少有将这两种方式结合在一起的。已发现在线采样的MSM在人口统计学和行为上与离线采样的有所不同,这意味着在一个系统中识别的趋势可能不适用于另一个系统。目的是研究对同一年未参加过离线监视的补充性重复在线行为监视调查进行响应的MSM中的趋势,以查看趋势是平行,趋同还是趋同。 2006、2008和2011年,我们使用相同的问卷调查和脱机监视的资格标准,从新西兰奥克兰的一个互联网约会站点招募了总共1613名MSM。随着时间的推移,避孕套的使用情况稳定,艾滋病毒检测率上升,最近20位男性伴侣中报告的比例下降,肛门性交率上升,这与随之而来的离线监测趋势一致,并在其他地方进行了报道。变化趋势包括在线招募的MSM中与休闲伴侣的安全套使用稳定性更高,以及离线招募的MSM中未发现的定期性交伙伴增加。在网上招聘的MSM中,检查互联网约会档案的频率在2008年至2011年之间有所增加。总而言之,MSM中基于Web的补充行为监控总体上证实了离线监控中发现的趋势。但是,存在一些不同的趋势,如果仅进行一种监视形式,则将被忽略。随着MSM人群越来越多地在线转变其社交方式并使其多样化,可能需要多种形式的HIV行为监测。

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