使用互联网交友的MSM最近1年HIV检测情况和抗病毒治疗意愿初步调查  

Analysis of the result of a preliminary survey about HIV testing and intention to accept antiviral treatment among MSM knowing each other through internet

作　　者：邓敏莉[1,2] 徐杰[2] 斗智[2] 耿乐 小奇 沈文杰 吴尊友[2] 

机构地区：[1]北京协和医学院公共卫生学院,北京100730 [2]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206 [3]淡蓝网 [4]广同网 [5]BF99同志交友网

出　　处：《中国艾滋病性病》2013年第2期131-133,共3页Chinese Journal of Aids & STD

摘　　要：目的初步了解使用互联网交友的男男性行为人群(MSM)最近1年HIV检测现况和抗病毒治疗意愿。方法于2011年11月,通过MSM交友网站招募MSM进行在线问卷调查,并采用SAS 9.2进行卡方检验和Lo-gistic回归分析。结果共有393名MSM完成问卷调查,319人年龄在30岁以下;322人学历在大专及以上;342人未婚;310人性取向为同性恋。381名MSM被问及若检测出HIV抗体阳性会怎样做时,有55.6%(212/381)表示会尽快开始抗病毒治疗。最近1年HIV检测率为32.8%(129/393)。在做过检测的129名MSM中,53.5%(69人)因担心自己有感染HIV的风险而去做检测,62.0%(80人)的检测地点在疾病预防控制中心。60.0%(77人)表明结果阳性时愿意接受抗病毒治疗。最近1年未做过检测的264名MSM中,53.4%(141人)认为自己没有感染HIV的风险而未去做检测,其中51.1%(135人)表明若检测结果阳性愿意接受抗病毒治疗。Logistic多因素回归分析显示,"是否认为自己有感染风险"可能是检测的影响因素[比值比(OR)=0.14,95%可信区间(CI):0.08～0.25)]。结论本次调查的互联网交友的MSM,最近1年HIV检测率不高,"是否意识到自己有感染HIV的风险"可能是其影响因素,超过一半的MSM对抗病毒治疗态度较为积极。Objective To find out the situation of HIV test and intention to accept antiretroviral therapy （ART）among men who have sex with men （MSM） knowing each other through internet in the past year. Methods An online questionnaire survey was carried out among MSM recruited in gay websites in November of 2011. Data were analyzed by using chi-square test and logistic regression model with SAS 9.2 software. Results A total of 393 MSM completed the questionnaire survey. 319 MSM （81.2%） were aged below 30 years; 322 （81.9%） had high educational background; 354 （90.1%） were singles;and 310 （78.9%） identified themselves as homosexual. Of the 381 MSM 212 （55.6%） expressed the wishes of accepting ART if the HIV test result was positive. The rate of HIV testing in the past year was 32.8% （129/393）, 53.5%（69/129） of the MSM took the test because of worrying about HIV infection, and 62.0% （80/129） were tested in CDC institutions. Of the 120 MSM 77 （60.0%） expressed the wishes of accepting ART if the HIV test result was positive. Of them 53.4% （141/264） did not take HIV test because of not worrying about the infection, and 51.1% （135/264） expressed the wishes of accepting ART if the HIV test result was positive. In the multivariable regression analysis, the realization of the HIV infection risk was an important factor [odds ratio （OR）=0.14,95%confidential interval （CI）： O. 08-0.25）]. ConcLusion HIV test rate in the past year was low among internet MSM. The awareness of HIV infection risk may be an important impact factor in taking HIV test. More than half of the surveyed MSM adopt a positive attitude towards ART.

关 键 词：男男性行为人群 网络调查 艾滋病病毒 检测 抗病毒治疗 

分 类 号：R512.91[医药卫生—内科学]