深圳市男男性行为者沙眼衣原体自采样接受度及影响因素分析  

Self-sampling acceptance and related factors of Chlamydia trachomatis among men who have sex with men in Shenzhen

作　　者：宁宁 蔡于茂[2] 翁榕星 王洪琳 文立章[2] 张春来[2] 黎静 叶健滨 陈祥生 NING Ning;CAI Yumao;WENG Rongxing;WANG Honglin;WEN Lizhang;ZHANG Chunlai;LI Jing;YE Jianbin;CHEN Xiangsheng(School of Public Health,Shantou University,Shantou 515000,China;Shenzhen Center for Chronic Disease Control,Shenzhen 518020;Institute of Dermatology and Hospital for Skin Diseases,Chinese Academy of Medical Sciences,Nanjing 210042;National Center for Sexually Transmitted Disease Control,Chinese Center for Disease Control and Prevention,Nanjing 210042)

机构地区：[1]汕头大学公共卫生学院,广东汕头515000 [2]深圳市慢性病防治中心,广东深圳518020 [3]中国医学科学院皮肤病医院/研究所,南京210042 [4]中国疾病预防控制中心性病控制中心,南京210042

出　　处：《中国艾滋病性病》2023年第1期78-82,共5页Chinese Journal of Aids & STD

基　　金：深圳市医疗卫生“三名工程”项目(SZSM201611077)。

摘　　要：目的了解深圳市MSM生殖道沙眼衣原体(CT)感染现状及自采样接受情况,为制定干预措施提供参考依据。方法2021年8月3日至2022年4月28日在深圳市慢性病防治中心彩虹门诊招募符合纳入标准的MSM,知情同意原则下,收集其社会人口学相关信息并采集尿液、肛拭子标本进行CT核酸检测,运用Logistic回归分析CT感染的影响因素。结果共招募230名MSM,接受尿液和肛拭子自采样的分别占总数的66.09%(152/230)和57.39%(132/230),采样失败比例分别为0.66%(1/152)和5.30%(7/132),CT的阳性率分别为7.95%(12/151)和23.20%(29/125)。多因素Logistic分析结果显示,MSM居深时间<2年(OR=2.81,95%CI=1.07~7.37)、最近半年有肛交行为(OR=2.42,95%CI=1.25~4.66)、过去1年没有检测过CT(OR=1.98,95%CI=1.03~3.83)、性角色为主动被动兼有者(OR=2.28,95%CI=1.10~4.69)更愿意接受CT自采样检测。73.91%和79.57%的MSM不知道CT的传播方式和不良结局。结论深圳市MSM的CT感染率较高,自采样检测接受度高,CT基本知识知晓率低,应针对MSM相关特征加强CT健康知识的宣传教育,鼓励MSM参与和推广CT自采样检测,改善生殖健康,减少CT的感染和传播。Objective To understand the prevalence and self-sampling acceptance of Chlamydia trachomatis(CT)and related factors among men who have sex with men(MSM)in Shenzhen and provide evidence for developing interventions.Methods From August 3,2021 to April 28,2022,MSM attending rainbow clinics were recruited from the Shenzhen Center for Chronic Disease Control.After the informed consent from each participant,demographic information was collected.Urine and anal swab samples were collected for CT nucleic acid detection.Logistic regression model was used to explore the associated factors of self-sampling acceptance.Results A total of 230 MSM were recruited.Selfsampling of urine and anal swabs accounted for 66.09%(152/230)and 57.39%(132/230),respectively.The failure rates were 0.66%(1/152)and 5.30%(7/132),respectively.The prevalence of the CT infection rate was 7.95%(12/151)and 23.20%(29/125),respectively.Multivariate logistic analysis showed that residence time less than two years(OR=2.81,95%CI=1.07-7.37),having anal sex in the last six months(OR=2.42,95%CI=1.25-4.66),without previous CT testing in the past year(OR=1.98,95%CI=1.03-3.83),and both inserted and receptive group(OR=2.28,95%CI=1.10-4.69)were more willing to accept CT self-sampling tests.Conclusions The prevalence of CT infection among MSM in Shenzhen was much higher.Their acceptance of self-sampling testing was high and awareness of CT was low.CT health education should be strengthened in areas with MSM to raise their awareness of CT-related knowledge,encourage them to participate in CT self-sampling testing and improve their reproductive health.

关 键 词：生殖道沙眼衣原体 男男性行为者 接受意愿 

分 类 号：R374.1[医药卫生—病原生物学]