HIV检测模式在男男性行为者中的选择偏好及影响因素  

Preference and related factors of HIV testing modes among men who have sex with men

作　　者：黄珊子 代文灿[1] 周毅[1] 李晓凤[1] 林铠浩 江洪波[2] HUANG Shanzi;DAI Wencan;ZHOU Yi;LI Xiaofeng;LIN Kaihao;JIANG Hongbo(Zhuhai Center for Disease Control and Prevention,Zhuhai 519060,Guangdong,China;Guangdong Pharmaceutical University,Guangzhou 510310)

机构地区：[1]珠海市疾病预防控制中心,广东珠海519060 [2]广东药科大学,广州510310

出　　处：《中国艾滋病性病》2020年第4期373-376,380,共5页Chinese Journal of Aids & STD

基　　金：珠海市医疗卫生科技计划项目(20181117A010064);广东省医学科学技术研究基金项目(A2020509)。

摘　　要：目的分析男男性行为者(MSM)对艾滋病病毒(HIV)检测模式的选择偏好及影响因素,为扩大HIV检测提供参考依据。方法 2018年6月至2019年5月,珠海社会组织以互联网+社交媒体为平台,招募参与HIV自我检测(自检)和基于医疗点HIV快速检测(快检)的MSM,收集其人口学和性行为特征等信息,并检测HIV抗体和梅毒抗体。采用χ~2检验和非条件多因素Logistic回归分析参与两种HIV检测模式MSM的选择偏好及影响因素。结果共1 046名MSM纳入此次分析,年龄中位数为28(24~34)岁,其中参与HIV自检440人,医疗点HIV快检606人。多因素Logistic回归分析结果显示,大专及以上[比值比(OR)=2.889,95%可信区间(CI):2.151~3.880]、学生(OR=2.153,95%CI:1.346~3.444)、近6个月与男性发生肛交者(OR=1.766,95%CI:1.291~2.415)更倾向于HIV自检;已婚者(OR=0.461,95%CI:0.213~0.994),自报性取向为异性恋者(OR=0.459,95%CI:0.280~0.751)更倾向于医疗点HIV快检。结论参与珠海市社会组织两种HIV检测模式的MSM是相对独立的群体。对于大专及以上、学生及性活跃的同性恋MSM,应大力推广HIV自检模式,同时还应继续巩固基于医疗点的HIV快检模式,以满足不同特征人群的检测需求。Objective To analyze the characteristics and related factors among men who have sex with men(MSM) using two HIV testing modes so as to provide evidence for promotion of HIV testing. Methods MSM using two HIV testing modes through internet and social media platform including HIV self-testing(HIVST) based on internet and HIV rapid testing(HIV-RDT) based on clinics, were recruited in Zhuhai city from June 2018 to May 2019. Data were collected regarding the socio-demographic and sexual behavioral characteristics as well as the results of testing for HIV and syphilis. The Chi-squared test and non-conditional logistic regression analysis were conducted to explore the characteristics and related factors among the MSM using the two HIV testing modes. Results A total of 1 046 MSM were included in this study, with the median age of 28(inter-quartile range: 24, 34) years old. There were 440 MSM using HIVST and 606 MSM using HIV-RDT. Multivariate logistic regression analysis showed that those with education of college and above(OR=2.889, 95%CI:2.151-3.880), students(OR=2.153,95%CI:1.346-3.444), and those having anal intercourse with men in the past 6 months(OR =1.766,95%CI :1.291-2.415), were more likely to use HIVST. The married(OR =0.461,95%CI : 0.213-0.994) and self-reported heterosexual people(OR =0.365, 95%CI : 0.158-0.843) were more likely to use HIV-RDT. Conclusion The characteristics among MSM using two community-based HIV testing modes are various. HIVST should be promoted among MSM with higher educational level, students, and those with homosexual behaviors in the past 6 months, and HIV-RDT should be consolidated in order to address the testing needs for MSM with different characteristics.

关 键 词：男男性行为者 艾滋病病毒 自我检测 快速检测 

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