“互联网+”HIV检测模式在男男性行为人群中可行性和有效性研究  

Feasibility and effectiveness of application of internet-based HIV testing in men who have sex with men

作　　者：胡雪姣 闵运春 谢年华[1] 刘聪[1] 胡荣[1] 张敏[1] 董全林[1] 王夏[1] Hu Xuejiao;Min Yunchun;Xie Nianhua;Liu Cong;Hu Rong;Zhang Min;Dong Quanlin;Wang Xia(Department of HIV/AIDS Prevention and Control,Wuhan Center for Disease Control and Prevention,Wuhan 430024,China;Division of HIV/AIDS Prevention and Control,Jiangxia District Center for Disease Control and Prevention,Wuhan 430299,China)

机构地区：[1]武汉市疾病预防控制中心艾滋病防制所,武汉430024 [2]武汉市江夏区疾病预防控制中心艾滋病防制科,武汉430299

出　　处：《中华流行病学杂志》2022年第11期1773-1777,共5页Chinese Journal of Epidemiology

基　　金：湖北省卫生健康委员会计划生育科研基金(WJ2018H262)。

摘　　要：目的:对“互联网+”HIV检测模式在实际应用情况进行研究,为“互联网+”HIV检测工作提供参考。方法:选取2020年6-12月访问过“互联网+”HIV检测平台≥1次的MSM为研究对象,收集平台访问情况、自检试剂申领数量、申领对象一般情况和满意度评价,并分析影响自检结果回传的相关因素。结果:截至2020年12月31日,累计共有132 267人次访问了该平台,申领HIV自检试剂3 511人次,HIV检测结果回传率为92.2%(3 237/3 511),初筛HIV阳性率为2.4%(69/2 855),初筛HIV阳性者接受确证检测比例为86.7%(52/60)。申请对象以年龄≤30岁、大专及以上文化程度和寻找性伴主要方式为互联网/交友软件为主。多因素logistic回归结果显示,研究对象HIV检测结果回传率较高的因素包括重复申领试剂( OR=3.50,95% CI:2.10~5.83)、申请时押金为50元( OR=2.55,95% CI:1.33~4.89)、月均收入1~3 000元( OR=1.54,95% CI:1.05~2.28)或无收入( OR=1.71,95% CI:1.20~2.42)和寻找性伴的主要场所为互联网/交友软件( OR=1.49,95% CI:1.13~1.95)。研究对象对该互联网平台的满意度为99.5%(217/218)。 结论:“互联网+”HIV检测模式在MSM干预工作中具备可行性和有效性,通过社交媒体平台和多渠道推广,可扩大HIV检测覆盖面,促进HIV感染者的发现。Objective To evaluate the feasibility and effectiveness of the application of internet-based HIV testing in men who have sex with men(MSM)in practical application and provide evidence for its application in the future.Methods MSM who visited the internet-based intervention platform for at least one time from June to December 2020 were selected for the study.The information about platform visit,the number of self-test kits provided,the basic characteristics of the MSM and their satisfactory level were collected.And multivariable logistic regression analyses were conducted to identify the potential factors associated with the reporting of self-test results.Results By the end of December 31th,2020,a total of 132267 platform visits had been recorded,and 3511 HIV self-test kits had been provided upon the MSM's requests,and 3237 MSM(92.2%)reported self-test results.The HIV positive rate was 2.4%(69/2855)and the confirmation rate of positive HIV test results was 86.7%(52/60).The MSM who asked for self-test kits online were mainly aged≤30 years,had education level of college or above,and found their sexual partners through internet or dating software.Multivariable logistic regression analyses showed that repeat of online HIV self-test kits application(OR=3.50,95%CI:2.10-5.83),guarantee deposit of 50 yuan at application(OR=2.55,95%CI:1.33-4.89),monthly economic income 1-3000 yuan(OR=1.54,95%CI:1.05-2.28)or no income(OR=1.71,95%CI:1.20-2.42)and online sexual partners finding(OR=1.49,95%CI:1.13-1.95)were associated with higher reporting rate of self-test results.The satisfactory rate the MSM to the service of platform was 99.5%(217/218).Conclusions The study confirmed the feasibility and effectiveness of internet-based intervention for HIV tests in MSM,which could promote the self-test of HIV in MSM and facilitate the early detection of HIV infection through social media platforms and multi-channel promotion.

关 键 词：艾滋病病毒 男男性行为人群 互联网+ 自我检测 

分 类 号：R512.91[医药卫生—内科学] R181.3[医药卫生—临床医学]