4省市男男性行为者HIV自检状况及影响因素  

HIV self-testing status and influencing factors among men who have sex with men in 4 provinces and cities

作　　者：梁译文 米国栋 任仙龙 于飞 薛珲 徐杰[1] LIANG Yiwen;MI Guodong;REN Xianlong;YU Fei;XUE Hui;XU Jie(National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Danlan Public Welfare,Beijing 100020;Beijing Center for Disease Prevention and Control,Beijing 100013)

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]淡蓝公益,北京100020 [3]北京市疾病预防控制中心,北京100013

出　　处：《中国艾滋病性病》2022年第7期806-809,共4页Chinese Journal of Aids & STD

基　　金：中美艾滋病防治合作项目(GAP)后续研究计划(2021-2022)。

摘　　要：目的 了解部分省份MSM的HIV自我检测(简称自检)的现况,分析HIV自检的影响因素,为推广HIV自检工作提供依据。方法 2021年11月26日至12月21日,通过社交软件Blued向登录地为北京、山东、湖南、贵州4个省(直辖市)的活跃用户推送调查问卷链接开展调查。采用自行设计的调查问卷,收集研究对象的一般人口学、性行为、HIV自检情况等信息。采用单因素和多因素Logistic回归分析HIV自检的影响因素。结果 共1 888名MSM纳入本研究,HIV自检率为66.9%(1 263人)。多因素Logistic回归分析显示:本科及以上学历者(OR=1.437,95%CI:1.089~1.895),月收入>3 000元者(OR=1.564,95%CI:1.209~2.024),近一年内与同性发生肛交时坚持每次使用安全套者(OR=1.603,95%CI:1.068~2.407),近一年使用过成瘾性物质者(OR=1.283,95%CI:1.033~1.594),曾在医院、疾病预防控制等机构检测过HIV者(OR=1.913,95%CI:1.554~2.356)进行HIV自检可能性更高。年龄在40~49岁、≥50岁者(OR=0.522,95%CI:0.358~0.762;OR=0.492,95%CI:0.281~0.861),近一年内不清楚性伴HIV感染状况者(OR=0.549,95%CI:0.444~0.680)进行HIV自检的可能性更低。结论 研究地区MSM的HIV自检行为已经比较普遍,但还有较大提升空间,应该重点关注40岁及以上、文化程度较低、收入较低的MSM,应继续在物质滥用等高风险人群中推动HIV自检。Objective To understand the current status of HIV self-testing among MSM in selected provinces,analyze the influencing factors of HIV self-testing,and provide a basis for promoting HIV self-testing.Methods From November 26 to December 21,2021,a survey was carried out by pushing the questionnaire link to active users who logged in Beijing and municipalities of Shandong,Hunan and Guizhou province through the social software Blued.A selfdesigned questionnaire was used to collect the general demographic,sexual behavior,HIV self-testing status,and other information of the research subjects.Univariate and multivariate Logistic regression was used to analyze the influencing factors of HIV self-testing.Results A total of 1888 MSM were included in this study,with an HIV self-testing rate of66.9%(1263/1888).Multivariate Logistic regression analysis showed that:among those with a bachelor’s degree or above(OR=1.437,95%CI:1.089-1.895),with a monthly income >3000 yuan(OR=1.564,95%CI:1.209-2.024),who insisted on using condoms every time during anal sex with the same sex in the past year(OR=1.603,95%CI:1.068-2.407),who had used addictive substances in the past year(OR=1.283,95%CI:1.033-1.594),and who had been tested for HIV in hospitals,CDC or other institutions(OR=1.913,95%CI:1.554-2.356) were more likely to perform HIV self-testing.Those aged 40-49 years old and ≥50 years old(OR=0.522,95%CI:0.358-0.762;OR=0.492,95%CI:0.281-0.861) or with unknown HIV infection status of the sexual partner(OR=0.549,95%CI:0.444-0.680) were less likely to perform HIV self-testing.Conclusions The HIV self-testing behavior among MSM has been relatively accepted,but there is still much room for improvement.Therefore,we should focus on MSM who are 40 years old and above,with lower education levels and lower-income,and should continue to promote HIV self-testing in high-risk groups such as substance abuse.

关 键 词：男男性行为者 艾滋病病毒自检 

分 类 号：R373.9[医药卫生—病原生物学]