山东省使用合成毒品的男男性行为者HIV 自我检测现状及影响因素分析  

Status and influencing factors of HIV self-testing in MSM who use synthetic drugs in Shandong province

作　　者：王俪璇 黄鹏翔[2] 廖玫珍[2] 朱晓艳[2] 张娜[2] 黄涛[2] 李玲 王国永[2] 康殿民[2,3,4] WANG Li-xuan;HUANG Peng-xiang;LIAO Mei-zhen;ZHU Xiao-yan;ZHAGN Na;HUANG Tao;LI Ling;WANG Guo-yong;KANG Dian-min(Shandong First Medical University&Shandong Academy of Medical Sciences,Ji'nan,Shandong 271016,China;不详)

机构地区：[1]山东第一医科大学(山东省医学科学院),山东济南271016 [2]山东省疾病预防控制中心 [3]山东大学公共卫生学院 [4]山东省传染病预防控制重点实验室

出　　处：《中国预防医学杂志》2022年第7期486-490,共5页Chinese Preventive Medicine

基　　金：山东省医药卫生科技发展计划(2019WS427);山东省自然科学基金青年基金(ZR2014HQ038)

摘　　要：目的分析山东省使用合成毒品的男男性行为者(men who have sex with men,MSM)人类免疫缺陷病毒(human immunodeficiency virus,HIV)自我检测(自检)情况及其影响因素。方法2020年4—7月,招募使用合成毒品的MSM,进行匿名问卷调查并采集血样进行HIV检测。采用多因素非条件logistic回归模型分析影响自检的相关因素。结果共调查使用合成毒品MSM 965例,年龄(30.5±8.3)岁,≤35岁占75.03%;HIV抗体阳性率3.21%;67.69%(639/944)在近6个月发生过无保护肛交性行为;网络搜索艾滋病检测信息的比例为84.35%;64.35%曾进行过自检。多因素logistic回归分析显示,影响使用合成毒品MSM自检的因素为初中及以下文化程度(aOR=2.87,95%CI:1.69~4.88)、网络搜索检测信息(aOR=1.48,95%CI:1.01~2.18)、线上交友(aOR=2.01,95%CI:1.30~3.13)、非固定性伴(aOR=1.35,95%CI:1.01~1.81)、最近1周性次数>1次(aOR=1.57,95%CI:1.18~2.10)、有群交(aOR=2.00,95%CI:1.35~2.96)及商业性行为(aOR=2.30,95%CI:1.40~3.77)。结论山东省使用合成毒品的MSM自检比例较高,使用自检的MSM普遍存在高危性行为,应针对该人群加强检测宣传和随访干预。Objective To understand the status and influencing factors of HIV self-testing among men who have sex with men(MSM)who used synthetic drugs in Shandong province.Methods From April to July 2020,MSM who used synthetic drugs were recruited at AIDS sentinel surveillance sites in Shandong province for an anonymous on-site questionnaire survey and blood samples were also collected for HIV serologic testing.The multivariate unconditional logistic regression model was used to analyze the influencing factors of HIV self-testing.Results A total of 965 MSM synthetic drug users were recruited with the median age of(30.5±8.3)years,75.03%were aged 35 years and under.The overall positive rate of HIV antibody was 3.21%.67.69%(639/944)had unprotected anal sex in the last 6 months.84.35%did online search about HIV testing and 64.35%had HIV self-testing.Multivariate logistic regression analysis showed that the factors related to HIV self-testing of MSM were middle school education level or below(a OR=2.87,95%CI:1.69-4.88),online search for HIV testing(aOR=1.48,95%CI:1.01-2.18),online dating(aOR=2.01,95%CI:1.30-3.13),multiple sex partners(aOR=1.35,95%CI:1.01-1.81),having more than one time of sex in the last week(a OR=1.57,95%CI:1.18-2.10),group sex(a OR=2.00,95%CI:1.35-2.96),and commercial sex(a OR=2.30,95%CI:1.40-3.77).Conclusions The HIV self-testing rate in MSM who use synthetic drugs is relatively high in Shandong province,and MSM who perform self-testing generally have high-risk sexual behaviors.Therefore,it is necessary to strengthen testing publicity and follow-up intervention for this group of MSM.

关 键 词：合成毒品 男男性行为者 HIV自我检测 

分 类 号：R512.91[医药卫生—内科学]