北京市朝阳区MSM的HIV检测意愿及影响因素分析  

Analysis of the MSM's Willingness to Detect HIV in Chaoyang District,Beijing

作　　者：王丽娟[1] 肖冬[1] 丁海峰[1] 姜树林[1] 张政[1] 

机构地区：[1]北京市朝阳区疾病预防控制中心,北京100021

出　　处：《中国艾滋病性病》2015年第11期950-953,共4页Chinese Journal of Aids & STD

摘　　要：目的了解男男性行为人群(MSM)艾滋病病毒(HIV)检测意愿情况,分析其影响因素,为更好地开展该人群的检测干预工作提供依据。方法 2013年4-8月,由社区组织(CBO)通过网络招募MSM,对其在线开展一次横断面调查。调查其社会人口学和性行为特征及检测意愿,分析对检测意愿有影响的相关因素。同时免费发放检测试剂盒,由其自行检测并报告检测结果,评估自我检测的可行性。结果共招募了220名MSM,全部自行完成了HIV血清学检测,33人(15.0%)为阳性,确证试验证实感染HIV。65.0%的参与者(143名)愿意接受CBO的检测,28.2%的人(62名)更愿意到疾病预防控制中心(CDC)接受免费检测。年龄偏大和低收入的单纯MSM、无性病史者、过去6个月性伴数较少者,更愿意接受CBO的检测。结论家庭内自我检测对受过高等教育的年轻MSM可能是一种可行的检测方式,由CBO对MSM开展HIV检测,可能是提高MSM检测覆盖率的一种潜在方法,具体实施方法需进一步探讨。Objective To understand the willingness of men who have sex with men（MSM）for HIV testing,and to analyze the influencing factors,so as to provide evidence for effective implementation of HIV prevention and control programs.Methods A cross-sectional study was conducted from April to August,2013 via on-line questionnaire survey among MSM to get the information on their demographic characteristics,sexual behaviors,and willingness to take HIV rapid testing after their informed consent.The factors influencing their willingness to get HIV testing were analyzed.Eligible MSM received HIV rapid testing kits by mail and performed the test by themselves.Results 220 MSM were recruited and took a home-based HIV-self screening test.Among them,33 MSM（15.0%）were seropositive,and confirmed as infected with HIV/AIDS.Nearly 65.0%（143 MSM）of them were willing to take HIV testing at CBO HIV test stations,and 28.2%（62MSM）preferred to seek free HIV testing at local CDC.The MSM,older and with lower-income,no history of sexually transmitted diseases（STDs）,and a fewer number of sexual partners in the past six months were more likely to have HIV testing at CBO HIV test stations.Conclusions Home-based HIV self-testing is an alternative approach to increase the coverage of HIV testing among MSM.CBO-based HIV testing is a potential alternative,but further studies are necessary to evaluate its feasibility.

关 键 词：男男性行为人群 艾滋病病毒 检测意愿 

分 类 号：R373.9[医药卫生—病原生物学]