福州市男男性行为者HIV尿液自检与哨点监测比较分析  

Comparative analysis of HIV urine self-test and sentinel surveillance for MSM in Fuzhou

作　　者：张宏[1,2] 陈剑惠[1,2] 许绍溢[1,2] 林春仲 薛洪洪[3] 何鼎盛 陈传刚 刘梅艳 ZHANG Hong;CHEN Jianhui;XU Shaoyi;LIN Chunzhong;XUE Honghong;HE Dingsheng;CHEN Chuangang;LIU Meiyan(Fuzhou city Center for Disease Control and Prevention,Fuzhou 350004,Fujian,China;Fuzhou city Center for Disease Control and Prevention of Fujian Medical University,Fuzhou 350004,Fujian;Fujian Volunteers Association of STD&AIDS Prevention and Control,Fuzhou 350004,Fujia)

机构地区：[1]福州市疾病预防控制中心,福州350004 [2]福建医科大学附属福州市疾病预防控制中心,福州350004 [3]福建省性病艾滋病防治志愿者协会,福州350004

出　　处：《中国艾滋病性病》2022年第8期947-951,共5页Chinese Journal of Aids & STD

基　　金：福建省卫生健康委员会科技计划项目-医学创新课题(2021CXA044);福建省卫生健康委员会科技计划项目-医学创新课题(2019-cx-9);福州科技局社会发展项目-医疗项目(AFZ2020WS01010126);2020年度福建省医药卫生体制改革研究会“卫生健康政策创新研究”课题(2020B03)。

摘　　要：目的了解HIV尿液自检在福州市MSM中的使用情况,比较尿液自检和哨点监测结果,评价尿液自检和哨点监测结果的数据真实性、合理性和客观性。方法设计MSM自我评估和自我检测平台小程序,对福州现住址年满18周岁、最近12个月与同性有过插入性肛交、口交行为的男性开展调查,并发放尿液自检试剂;同时根据《全国艾滋病哨点监测方案》开展哨点监测。采用SPSS 25.0对尿液自检和哨点监测结果进行统计分析。结果共发放尿液自检包364份,收到回传有效检测结果346份,HIV筛查阳性率为0.87%(3/346);哨点监测299名MSM,HIV筛查阳性率为10.37%(31/299),两组人群的阳性率差异有统计学意义(χ^(2)=28.994,P<0.001)。尿液自检和哨点监测对象中,最近6个月发生过肛交性行为的分别为87.09%和78.60%;坚持每次肛交性行为使用安全套分别为50.79%和51.06%;艾滋病知识知晓率分别为92.86%和96.99%。哨点监测与尿液自检比较,在年龄、婚姻状况、本地居住时间、寻找男性伴方式、自认为的性向、艾滋病知晓率、最近6个月肛交性行为、最近一次肛交性行为使用安全套、最近6个月肛交性行为安全套使用频率、既往艾滋病抗体检测方面差异均有统计学意义。结论尿液自检能推动MSM扩大检测,对评价MSM的艾滋病预防控制效果具有参考意义。Objective To understand the detection of HIV urine self-test among MSM in Fuzhou and evaluate the data accuracy,rationality and objectivity of urine self-test and sentinel surveillance results.Methods An online software for MSM to conduct the self-assessment and self-testing was designed to conduct a survey among MSM aged 18 years and over who had anal sex and oral sex in the recent 12 months.Urine self-test reagents were distributed through the platform.Sentinel surveillance under the National AIDS Sentinel Monitoring Program was also conducted.The results of urine selftest and sentinel surveillance were statistically analyzed by SPSS 25.0.Results A total of 364 self-test packages were distributed and 346 effective test results were received.The screening positive rate of HIV was 0.87%(3/346).Among 299MSM under the sentinel surveillance,HIV screening positive rate was 10.37%(31/299).The difference in the positive rate between the two groups was statistically significant(χ^(2)=28.994,P<0.001).The proportion of people who had anal intercourse in the past six months among the urine selftest and sentinel surveillance subjects was 87.09%and 78.60%,respectively.The rate of condom use per anal sex in the two groups was 50.79%and 51.06%,respectively.The awareness rate of AIDS knowledge in these two groups was 92.86%and 96.99%,respectively.Compared with those who was screened by the sentinel surveillance,MSM who conducted the urine self-test had significant differences in age,marital status,local residence time,ways to find male partners,self-perceived sexual orientation,AIDS awareness rate,anal sex behavior in the recent 6 months,condom used in last anal sex,frequency of condom use in anal sex in recent 6 months,and HIV antibody test.Conclusions Urine self-test can promote the expansion of HIV testing among MSM,which can provide reference for evaluating the AIDS prevention and control effect of MSM.

关 键 词：男男性行为者 尿液自我检测 艾滋病病毒 

分 类 号：R512.91[医药卫生—内科学]