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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Black Men Who Have Sex with Men and Lifetime HIV Testing: Characterizing the Reasons and Consequences of Having Never Tested for HIV
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Black Men Who Have Sex with Men and Lifetime HIV Testing: Characterizing the Reasons and Consequences of Having Never Tested for HIV

机译：与男性和终身艾滋病毒检测发生性关系的黑人男性：表征从未测试过艾滋病毒的原因和后果

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HIV testing remains a critical point of entry to HIV treatment services and now biomedical prevention as well. Yet despite the high HIV prevalence among Black men who have sex with men (MSM), insufficient attention has been given to factors associated with those Black MSM in the United States who have never received an HIV test in their lifetime. Promoting Our Worth, Equality, & Resilience (POWER) is a cross-sectional observational study that recruited Black MSM at Black Pride events across six cities in the United States from 2014 to 2017. Participants completed an anonymous questionnaire and were offered free, confidential HIV testing. Of the 4174 Black MSM without a prior HIV diagnosis, 404 (9.68%) had never tested for HIV (mean age = 31.03 years). Lower education and greater internalized homophobia were associated with never having tested for HIV. Higher age (AOR = 1.05, 95%, 1.02-1.07) and assumption of HIV-positivity (AOR = 3.24, 95% CI 1.53-6.84) were both associated with increased odds of an HIV-positive test result (n = 119; 36%). To compare, HIV prevalence among Black MSM who had received at least one HIV test before study participation was 23%. While a minority of Black MSM had never received an HIV test, this group had a significantly higher likelihood of HIV infection. Alternative HIV testing strategies are needed to facilitate HIV testing initiation among Black MSM for whom conventional HIV testing modalities are insufficient.
机译：艾滋病毒检测仍然是进入艾滋病毒治疗服务和现在的生物医学预防的关键点。然而，尽管与男性发生性关系的黑人男性（MSM）中艾滋病毒感染率很高，但人们对与美国那些一生中从未接受过艾滋病毒检测的黑人MSM相关的因素关注不够。促进我们的价值、平等和韧性（力量）是一项横断面观察研究，从2014年到2017年，在美国六个城市的黑人自豪活动中招募了黑人男男性接触者。参与者完成了一份匿名问卷，并获得了免费、保密的HIV检测。在4174名黑人男男性接触者中，有404人（9.68%）从未接受过HIV检测（平均年龄为31.03岁）。较低的教育水平和更强烈的内部恐同心理与从未接受过HIV检测有关。较高的年龄（AOR=1.05,95%，1.02-1.07）和HIV阳性假设（AOR=3.24,95%CI 1.53-6.84）均与HIV阳性检测结果的几率增加相关（n=119；36%）。相比之下，在参与研究之前至少接受过一次HIV检测的黑人男男性接触者中，HIV感染率为23%。虽然少数黑人男男性接触者从未接受过艾滋病毒检测，但这一群体感染艾滋病毒的可能性要高得多。需要其他艾滋病毒检测策略，以促进黑人男男性接触者开始进行艾滋病毒检测，而传统的艾滋病毒检测模式对他们来说是不够的。

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