北京市石景山区996例男男性行为者尿液HIV-1抗体匿名检测结果分析  

Detection results of HIV-1 antibody in urine from 996 anonymous MSM in Shijingshan district,Beijing

作　　者：张国磊[1] 张夏燕[1] 梁欣[1] 聂学强 严文华 刘雪静 乐晓蕾 李敏[1] 

机构地区：[1]北京市石景山区疾病预防控制中心艾滋病科,北京100043 [2]北京京京同心志愿者发展中心,北京100043 [3]北京诚安堂医药有限公司,北京100043

出　　处：《现代预防医学》2017年第11期2080-2083,共4页Modern Preventive Medicine

摘　　要：目的分析在MSM中开展HIV-1抗体尿液匿名传递检测结果,为更大范围促进HIV-1抗体尿液匿名传递检测提供可推广的经验和模式。方法利用网络、微信等平台以及志愿者动员等线上线下多种方式在MSM中进行宣传,动员MSM到指定药店或社区小组匿名免费领取尿液健康筛查服务包。受检者自行采集尿液并邮寄到专业检测实验室,实验室人员将检测结果录入指定网站,受检者通过互联网平台查询检测结果并获取后续服务指导。结果 2016年5月-2017年1月共计发放尿液健康筛查服务包996个,实验室回收797个,回收率为80.0%。797份有效尿液样本HIV-1抗体阳性率为18.3%(146/797),其中药店回收的样本HIV-1抗体阳性率为16.1%(69/429),社区小组回收的尿液样本HIV-1抗体阳性率为20.9%(77/368),二者HIV-1抗体阳性率差异无统计学意义(=3.101,P=0.078)。共有584人通过指定网站查询检测结果,结果查询率为73.3%(584/797)。结论通过药店或社区小组在MSM中开展HIV-1抗体尿液匿名传递检测的工作模式可行,效果好,可以扩大MSM HIV-1抗体检测覆盖面,值得进一步完善和推广。Objective To analyze the results of conducting the anonymous HIV - 1 antibody urine delivery detection among MSM （Men who have sex with men）, and to provide experience and model for promoting anonymous HIV - 1 antibody urine detection. Methods Various ways like online network, WeChat platforms and offline volunteer mobilization were used to promote the program. MSM was encouraged to go to the designated pharmacy and CBO to get free HIV urine screening package anonymously. Subjects took a urine sample by themselves and expressed the sample to a professional testing laboratory. The testing results were typed on a website, from which subjects could check their own results and obtain subsequent service guidance. Results From May 2016 to January 2017 ,a total of 996 free HIV urine screening packages were delivered to MSM and the laboratory received 797 samples ,with a recovery rate of 80.0%. 146 of the all 797 received samples were tested positive for HIV -1 antibody, and the positive rate was 18.3 %. Among all 429 samples recovered from pharmacy delivery,69 samples were positive,with the HIV - 1 positive rate 16. 1%. And among 368 samples recovered from CBO delivery, there were 77 positive samples, with an HIV - 1 positive rate 20.9%. The difference of HIV - 1 positive rates between pharmacy delivery and CBO delivery was not statistically significant （ x2 = 3. 101, P = 0. 078 ）. 584 subjects logged to the website and checked their own results and the rate of results checking was 73.3 % （584/797）. Conclusion Carrying out anonymous HIV - 1 antibody urine detection among MSM based on the pharmacy and CBO is acceptable. We can effectively find potential HIV - positive MSM and help to expand HIV - 1 antibody detection coverage. Anonymous HIV - 1 antibody urine detection is worth of further improvement and promotion.

关 键 词：男男性行为者 艾滋病 尿液 匿名 传递检测 

分 类 号：R183[医药卫生—流行病学]