武汉市MSM人群HIV抗体重复检测的影响因素分析  

Factors affecting repeated HIV antibody tests among men who have sex with men in Wuhan City

作　　者：罗西[1] 覃世龙[1] 明方钊 余庆 范传刚[1] LUO Xi;QIN Shilong;MING Fangzhao;YU Qing;FAN Chuangang(Department of Health Education,Hubei Provincial Center for Disease Control and Prevention,Wuhan,Hubei 430079,China;Wuchang Center for Disease Control and Prevention,Wuhan,Hubei 430060,China;Wuhan Xin Yuan Studio,Wuhan,Hubei 430014,China)

机构地区：[1]湖北省疾病预防控制中心健康教育所,湖北武汉430079 [2]武汉市武昌区疾病预防控制中心,湖北武汉430060 [3]武汉馨缘工作组,湖北武汉430014

出　　处：《预防医学》2022年第8期831-835,共5页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的分析武汉市男男性行为人群(MSM)艾滋病病毒(HIV)抗体重复检测情况及影响因素,为开展MSM人群艾滋病防治干预服务提供参考。方法于2019年1—4月,采用方便抽样方法抽取武汉市某MSM社区组织工作室自我报告发生过同性性行为的MSM进行问卷调查,收集人口学信息、性行为情况、HIV抗体检测情况和HIV抗体检测认知。采用多因素logistic回归模型分析HIV抗体重复检测的影响因素。结果有效调查300人,年龄为(31.06±10.24)岁。首次同性性行为年龄>18岁196人,占65.33%。性角色为插入方107人,占35.67%。近6个月做过性病检测125人,占41.67%。感染HIV危险认知得分为(12.41±3.09)分,HIV抗体检测自我效能得分为(17.07±2.12)分,领悟社会支持得分为(17.42±2.41)分。做过HIV抗体检测287人,占95.67%;HIV抗体重复检测192人,占64.00%。多因素logis⁃tic回归分析结果显示,首次同性性行为年龄>18岁(OR=0.404,95%CI:0.223~0.734)、近6个月做过性病检测(OR=3.896,95%CI:2.145~7.076)、性角色为被插入方或两者兼有(OR=0.502,95%CI:0.275~0.917)、满意HIV抗体检测服务(OR=2.955,95%CI:1.311~6.660)、HIV抗体检测自我效能得分高(OR=1.149,95%CI:1.005~1.314)是MSM人群HIV抗体重复检测的影响因素。结论武汉市MSM人群HIV抗体重复检测率为64.00%,首次同性性行为年龄、是否做过性病检测、性角色、HIV抗体检测服务评价和HIV抗体检测自我效能可能影响MSM人群HIV抗体重复检测。Objective To investigate the prevalence and influencing factors of repeated HIV antibody tests among men who have sex with men(MSM)in Wuhan City,so as to provide insights into the development of interventions against AIDS among MSM.Methods MSM with self-reported homosexual behaviors in a community studio in Wuhan City were recruited using a convenient sampling method from January to April 2019,and participants'demographic features,sexual behaviors,HIV antibody tests and recognition of HIV antibody tests were collected using questionnaires.Factors affecting repeated HIV antibody tests were identified using a multivariable logistic regression model.Results Totally 300 valid questionnaires were recovered,with a mean age of(31.06±10.24)years.Among all the participants,196 partic⁃ipants had the first homosexual behaviors over 18 years of age(65.33%),107 participants were insertive partners(35.67%),and 125 participants received sex-transmitted diseases(STDs)tests in the past six months(41.67%).The mean score for recognizing the risk of HIV infection was 12.41±3.09,for HIV antibody test self-efficiency was 17.07±2.12,and for perceived social supports was 17.42±2.41.A total of 287 respondents received HIV antibody tests(95.67%),including 192 participants receiving repeated HIV antibody tests(64.00%).Multivariable logistic regression analysis showed that age of>18 years for the first homosexual sex behavior(OR=0.404,95%CI:0.223-0.734),receiving STDs tests in the past six months(OR=3.896,95%CI:2.145-7.076),sex role as receptive partners or both receptive and insertive partners(OR=0.502,95%CI:0.275-0.917),satisfying with HIV antibody test services(OR=2.955,95%CI:1.311-6.660),and high score for HIV antibody test self-efficiency(OR=1.149,95%CI:1.005-1.314)were factors affect⁃ing repeated HIV antibody tests among MSM.Conclusions The detection of repeated HIV antibody tests was 64.00%among MSM in Wuhan City in 2019,and age for the first homosexual behavior,STDs tests,sex role,evaluation of HIV antibody test services and

关 键 词：男男性行为人群 HIV抗体检测 重复检测 

分 类 号：R512.91[医药卫生—内科学]