上海市297名男男性行为者对HIV抗体唾液快速检测的使用意愿及影响因素调查  

Factors associated with willingness to accept and use oral fluid HIV rapid test among MSM in Shanghai

作　　者：尹宁[1] 倪莹青[1] 王震宇[1] 王苇沁 蔡恩茂[1] 程华[2] YIN Ning;NI Yingqing;WANG Zhenyu;WANG Weiqin;CAI Enmao;CHENG Hua(Changning District Cen- tre .for Disease Control and Prevention, Shanghai 200051 , China;Shanghai Municipal Centre for Disease Control and Prevention, Shanghai 200336)

机构地区：[1]上海市长宁区疾病预防控制中心,上海200051 [2]上海市疾病预防控制中心,上海200336

出　　处：《中国艾滋病性病》2018年第5期499-501,507,共4页Chinese Journal of Aids & STD

摘　　要：目的了解上海市男男性行为者（MSM）,对艾滋病病毒（HIV）抗体唾液快速检测的使用意愿,并探究其影响因素。方法通过网络平台、男男同志活动小组、自愿检测咨询门诊,对MSM进行宣传和动员,符合筛选条件者招募为调查对象,进行了一对一问卷调查。结果共招募297名MSM,平均年龄为（29.59±7.22）岁,大学及以上学历者占69.7%;45.1%受访者月均收入在4 500~8 999元;69.7%未婚离异。26.9%既往从没有听说过HIV抗体唾液快速检测,在217名听说过此试剂的受访者中,146人知道哪里可以购买此试剂;113人知道如何使用此试剂;97人既往曾经接受过HIV抗体唾液快速检测。271人中,仅99人认为唾液检测结果可信。72.7%的受访者表示以后愿意接受HIV抗体唾液检测。不愿意接受唾液检测的主要原因是＂担心结果不准确＂（70.4%）和＂不知道如何操作＂（12.3%）。通过Logistic回归分析发现,教育水平在大学及以上,既往曾经听说过唾液检测的受访者更愿意接受HIV唾液检测;唾液试剂价格从200元下降到150元、100元、50元、30元时的弹性系数分别为2.33、1.86、1.34和1.13。结论提高HIV唾液快速检测知晓程度,将有助于提高其在这一人群中的推广使用,今后也可尝试通过降低价格来扩大MSM使用HIV唾液快速检测。Objective To know the acceptance of oral fluid HIV rapid test and its effect factors among MSM in Shanghai.Methods MSM were recruited through web platforms,and from MSM activity groups and VCT clinics.Eligible MSM for the study were those MSM over 16 years old and had homosexual behaviours over the past year,with informed consent.297 MSM finished the one-to-one questionnaire survey.Results The average age of the 297 MSM were 29.59±7.22,with 69.7% of college and above educational level and 45.1% of income 4 500-8 999 RMB per month,and 67.3%single.26.9% had never heard of oral fluid HIV rapid test before.Among 73.1%（217）aware of oral fluid HIV rapid test,69.7% knew where to buy it;52.1% knew how to use it;and 44.7% were once tested by oral fluid HIV reagent.Only 99 MSM believed that saliva test results were credible.72.7% MSM expressed that they might accept oral fluid HIV rapid test in the future.The main reasons of the unacceptability of oral fluid HIV rapid test were ＂concerns about the inaccurate test result＂（70.4%）and ＂ unawareness of how to use it＂（12.3%）.Logistic regression analysis showed that MSM with educational levels of college and above,and used to hear of saliva test,were more likely to accept HIV saliva test.Prices of the test reagents dropped down from 200 RMB to 150 RMB,100 RMB,50 RMB and 30 RMB,and the demand price elastic coefficient were 2.33,1.86,1.34 and 1.13,respectively,showing the price was elastic as the demands changed.Conclusion Oral fluid HIV rapid test has good marketing prospects among MSM group in Shanghai.However,there are still some cognitive blind spots towards the product.Promotion activities should be conducted to expand the demands in MSM group and price reduction may be one of the factors to improve the acceptance of oral fluid HIV rapid test among MSM in the future.

关 键 词：男男性行为者 艾滋病病毒 抗体唾液快速检测 影响因素 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]