伊犁州男男性行为者基于互联网的“1+1”HIV自助检测分析  

Acceptability and effectiveness of Internet-based “1+1”HIV self-test among MSM in Ili prefecture,China

作　　者：吕毅[1] 秦静 王莉[2] 赛力克[2] 杨敏 关晓霞[2] 刘伟[2] 蒋岩[1] 陈涛 LYU Yi;QIN Jing;WANG Li;SAI Like;YANG Min;GUAN Xiaoxia;LIU Wei;JIANG Yan;CHEN Tao(National Center for AIDS/STD Control and Prevention,China CDC,National HIV/AIDS Reference Laboratory,Beijing 102206,China;Division of STD/AIDS Prevention and Treatment,Ili Kazakh Autonomous Prefecture Center for Disease Control and Prevention,Ili 835000)

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206 [2]新疆伊犁哈萨克自治州疾病预防控制中心,新疆维吾尔自治区伊宁835000

出　　处：《中国艾滋病性病》2020年第4期364-367,共4页Chinese Journal of Aids & STD

基　　金：国家“十三五”科技重大专项(2018ZX10101002-004-003);伊犁哈萨克自治州科技计划项目。

摘　　要：目的了解基于互联网的"1+1"艾滋病病毒(HIV)自助检测(含指尖血快速检测及尿液传递检测)在伊犁州男男性行为者(MSM)中的可接受性和有效性。方法为满足伊犁州MSM在匿名状态下既快速获得检测结果,又得到专业准确检测及服务的要求,开发了基于互联网的"1+1"HIV自助检测,与伊犁州当地社区组织合作,免费发放160份"1+1"HIV自助检测服务包。MSM拿到服务包后,阅读知情同意书,按照操作说明书进行血液自检,并自行采集尿液,填写调查问卷。将尿液样本和调查问卷邮寄至伊犁州疾病预防控制中心艾滋病检测实验室。结果共收到133份尿液样本及调查问卷,回收率83.1%;91.7%(122例)的年龄≤40岁,汉族占54.1%(72人),维吾尔族占35.3%(47人),本科以上学历者占29.3%(39人)。男男同性恋者占79.7%(106人),双性恋者占20.3%(27人)。17.0%(18/106)的男男同性恋者及33.3%(9/27)的双性恋者在最近6个月内发生过无保护性行为。133人指尖血快检阳性率为10.5%(14人),尿液抗体检测阳性率为14.3%(19人)。19位HIV尿液抗体检测阳性者中,有15随访成功并进行了复检和确证,其中12人为新诊断HIV感染者;此外,17位HIV尿液抗体检测阳性者,86位HIV抗体检测阴性者匿名查询了检测结果。结论通过消除传统医务人员主动提供咨询检测和自愿咨询检测的实名制障碍,"1+1"HIV自助检测服务可帮助专业医疗机构人员与MSM建立起相应的衔接,有效发现潜在的HIV感染者,并对初筛阳性者进行及时的随访和确证。Objective To understand the acceptability and effectiveness of internet-based 1+1 HIV self-test(including finger-prick rapid test and urine self-collection test) among MSM in Ili prefecture. Methods From July to October 2016, in cooperation with the local community-based organization, 160 HIV self-testing packages were distributed to MSM free of charge. After receiving the package, MSM, according to the instructions, performed finger-prick rapid testing, collected their own urine, completed the questionnaire and mailed the urine specimen and questionnaire back to the designated laboratory. Results A total of 133(83.1%) urine specimens and questionnaires were mailed back, of which 91.7%(122/133) were younger than 40 years old, with 54.1%(72/133) of Han people and 35.3%(47/133) of Uyghur. 29.3%(39/133) received the education of college degree or above. 79.7%(106/133) were homosexual and 20.3%(27/133) bisexual.17%(18/106) of homosexual MSM and 33.3%(9/27) of bisexual MSM had unprotected sexual behaviors in the last 6 months. The HIV positive rates of 10.5%(14/133) and 14.3%(19/133) based on finger-prick rapid testing and urine specimens respectively. Of the 19(78.9%) HIV antibody positive screened based on urine specimens, 15 were successfully followed up and retested for confirmation, of which 12 were newly diagnosed with HIV positive. 89.5%(17/19) HIV antibody positive and 75.4%(86/114) HIV antibody negative inquired their test results by logging in the website with the unique identification code. Conclusion This study shows that MSM in Ili prefecture is willing to use "1+1"HIV self-test services to know their HIV infection status. More importantly, the internet-based "1+1"HIV self-test services are efficiently supplemental to the existing HIV testing and counseling system. It can help medical professionals accessible to MSM, to effectively detect the potential HIV infection, and timely confirm and follow up those screened as HIV-positive.

关 键 词：互联网 “1+1”艾滋病病毒自助检测 男男性行为者 

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