上海市男男性行为人群艾滋病病毒检测点服务的利用分析  

Utilization of facility-based HIV testing and associated factors among men who have sex with men in Shanghai

作　　者：鲍燕[1] 宁镇[2] 顾凯侃[1] 杨芸[1] 王海涛[1] 韩磊 沈冰[1] BAO Yan;NING Zhen;GU Kai-kan;YANG Yun;WANG Hai-tao;HAN Lei;SHEN Bing(Jing'an District Center for Disease Control and Prevention,Shanghai 200072,China;Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China)

机构地区：[1]上海市静安区疾病预防控制中心,上海200072 [2]上海市疾病预防控制中心,上海200336

出　　处：《上海预防医学》2021年第8期687-691,共5页Shanghai Journal of Preventive Medicine

基　　金：上海市静安区卫生和计划生育委员会医学科研项目(2017GW02)。

摘　　要：【目的】分析上海市部分男男性行为人群(MSM)在检测点检测艾滋病病毒(HIV)的情况及其影响因素。【方法】2018年6月—2020年12月,由社区组织“上海心生”通过微信公众号、微信群、QQ群和外展活动等途径招募MSM为研究对象。纳入年龄≥18周岁、已知HIV阴性或感染状况未知、居住在上海、过去1年内发生过同性性行为以及知情同意者共3251例。采用自行设计的调查问卷,在研究对象知情同意前提下,采用问卷星电子问卷系统开展调查,收集其人口学特征、性行为特征、HIV检测点利用情况等信息,最终收集有效问卷3240份。分别采用单因素、多因素logistic回归分析研究对象利用HIV检测点服务的影响因素。【结果】3240例MSM的年龄为(29.7±6.2)岁。在检测点检测HIV的比例为63.2%(2049/3240),多因素logistic回归分析显示,与文化程度为中专或高中及以下者相比,大专及以上者检测点检测HIV的可能性较低(OR=0.73,P=0.008)。通过网络寻找性伴侣者检测点检测HIV的比例较高(68.7%)。与性角色为0(性行为时只做被插入方)相比,性角色为0.5(性行为时既做插入方又做被插入方)和1(性行为时只做插入方)者检测点检测HIV的可能性均较高,OR值分别为1.31和1.41(均P<0.05);近6个月内最近一次发生同性性行为时使用安全套者比未使用者检测点检测HIV的可能性较高(OR=1.39,P=0.001);既往被诊断过性病者比未患性病者检测点检测HIV的可能性较高(OR=2.05,P<0.001);既往使用过HIV自检试剂者比未使用者检测点检测HIV的可能性较高(OR=2.31,P<0.001)。【结论】上海市MSM人群在检测点检测HIV比例较低,应以网络、同伴教育的方式加强检测点服务的宣传力度,同时创新服务模式,提高检测点服务的利用率。[Objective]To determine the prevalence of facility-based HIV testing and its associated factors among men who have sex with men(MSM)in Shanghai.[Methods]From June 2018 to December 2020,MSM were recruited by a community organization“Shanghai CSW&MSM Center(SCMC)”.A total of 3251 MSM were included as follows:being 18 years old and above,being HIV-negative or with unknown HIV status,living in Shanghai,had homosexual behavior in the past year,and completed informed consent.Using a self-designed questionnaire,we performed an online survey powered by www.wjx.cn to collect information on demographics,sexual behavior,and facilitybased HIV testing.A total of 3240 valid questionnaires were collected.Univariate and multivariate logistic regression were used to determine the factors associated with facility-based HIV testing.[Results]A total of 3240 MSM participated in the study with mean age of(29.7±6.2)years.The prevalence of facility-based HIV testing was 63.2%(2049/3240),Multivariate logistic regression showed that the participants with a college degree or above were less likely to have facility-based HIV testing(OR=0.73,P=0.008),compared to those with lower educational background.The proportion of the MSM who sought sexual partners through the internet received facility-based testing was 68.7%.Compared to the participants with the sexual role being 0(only be penetrated),those being 0.5(both penetrated and be penetrated)and 1(only penetrated)were both more likely to have the HIV testing(both P<0.05).Those who used condoms during the last homosexual behavior were more likely to be tested than those who did not(OR=1.39,P=0.001).Those who had been diagnosed with sexually transmitted diseases were more likely to be tested than those who did not(OR=2.05,P<0.001).The participants who had used HIV self-testing kits in the past were more likely to be tested than those who did not(OR=2.31,P<0.001).[Conclusion]MSM in Shanghai have lower utilization of facility-based HIV testing,which may be improved by strengthening the advoc

关 键 词：男男性行为人群 HIV检测 社区组织 影响因素 

分 类 号：R183[医药卫生—流行病学]