深圳市男男性行为者HIV自检意愿及影响因素分析  

Analysis of willingness and influencing factors of HIV self-testing among men who have sex with men in Shenzhen

作　　者：汤昀玥 徐仲良 袁建辉 龙鼎新[1] TANG Yunyue;XU Zhongliang;YUAN Jianhui;LONG Dingxin(School of Public Health,Hengyang Medical College,University of South China,Hengyang 421000,Hunan,China;Nanshan District Center for Disease Control and Prevention,Shenzhen 518000,Guangdong)

机构地区：[1]南华大学公共卫生学院,湖南衡阳421000 [2]深圳市南山区疾病预防控制中心,广东深圳518000

出　　处：《中国艾滋病性病》2022年第4期416-419,共4页Chinese Journal of Aids & STD

基　　金：深圳市南山区医学重点学科建设项目(20191203)。

摘　　要：目的了解深圳市MSM对HIV自我检测(HIVST)的意愿及影响因素,为制定针对性方案以提高该人群HIV检测率及自检覆盖率提供依据。方法2021年3-6月,采用非概率抽样法,在志愿者的协助下对深圳市HIV检测阴性或感染状况未知的MSM进行现场匿名问卷调查,收集其人口学特征、性行为情况、毒品使用、既往HIV检测情况、HIVST接受情况及未来使用意向等信息。应用χ^(2)检验和非条件Logistic回归分析方法探索影响自检意愿的相关因素。结果共395名MSM调查问卷合格,曾做过自检的占44.6%(176例),愿意通过HIVST了解感染状况的占80.0%(316例),其中91.1%(288/316)愿意通过线上平台获取HIVST。Logistic回归分析结果表明在婚、学生和曾检测过HIV是HIV自我检测意愿的促进因素(P<0.05)。64.9%(205/316)的MSM认同在公共场所放置HIVST试剂盒自动贩卖机或设置免费自助获取点。结论深圳市MSM对HIVST的接受意愿高,HIVST可作为HIV扩大检测的手段,特别是针对学生MSM和在婚MSM,需进一步制定结合互联网的新型自检方案,大幅度、大范围的发现HIV感染者。Objective The study aims to understand the willingness and influencing factors of men who have sex with men(MSM)in Shenzhen for HIV self-testing(HIVST).It will provide a basis for formulating targeted programs to increase the HIV testing rate and self-testing coverage of the population.Methods From March 2021 to June 2021,the non-probability sampling method was used to conduct an on-site anonymous questionnaire survey among MSM with HIV negative or unknown infection status in Shenzhen with the assistance of volunteers.Demographic characteristics,sexual behavior,illegal drug use,HIV testing history,HIVST acceptance and intention was collected.Theχ^(2)test and unconditional Logistic regression analysis methods were used to explore the related factors influencing the willingness to self-testing.Results A total of 395 MSM participants finished the questionnaire.Among which,44.6%(176/395)had done self-testing,80.0%(316/395)were willing to know their infection status through HIVST,and 91.1%(288/316)were willing to obtain HIVST through online platform.The Logistic regression analysis showed that being married,being a student and having been tested for HIV were promoting factors for HIV self-test willingness(P<0.05).64.9%(205/316)of MSM approved of placing HIVST kit vending machines in public places or setting up free self-service access points.Conclusions MSM in Shenzhen has a high willingness to accept HIVST.HIVST can be used as a means to expand HIV testing,especially for MSM among students and MSM in marriage.A new self-testing program combined with the Internet should be further developed to detect HIV infection on a larger and wider scale.

关 键 词：艾滋病病毒 男男性行为者 自我检测 

分 类 号：R373.9[医药卫生—病原生物学]