青岛市新型毒品滥用男男性行为者HIV自检情况及相关因素分析  

Analysis of HIV self⁃testing and related factors in club drug abusers among men who have sex with men in Qingdao

作　　者：黄贵花 朱丽敏 宋鑫[2] 傅泳 葛琳[1] 李培龙[1] 李东民[1] HUANG Guihua;ZHU Limin;SONG Xin;FU Yong;GE Lin;LI Peilong;LI Dongmin(Department of Epidemiology,National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Department of STD/AIDS Control and Prevention Qingdao Center for Disease Control and Prevention,Qingdao 266033,China)

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流行病学室,北京102206 [2]青岛市疾病预防控制中心性病艾滋病防治科,青岛266033

出　　处：《中华疾病控制杂志》2023年第5期581-586,592,共7页Chinese Journal of Disease Control & Prevention

基　　金：国家科技重大专项(2017ZX10201101-002-005)。

摘　　要：目的分析青岛市新型毒品滥用MSM HIV自检情况及其相关因素,为推动该人群的HIV自检提供参考。方法2022年4―7月,由社会组织招募HIV阴性或感染状态未知的新型毒品滥用MSM,采用纸质问卷面对面调查其人口学特征、性行为特征、新型毒品滥用情况及HIV自检情况等信息。采用χ^(2)检验和多因素logistic回归分析模型分析研究对象HIV自检的相关因素。结果共调查569例,最近6个月HIV自检率为67.84%(386/569),其中自检1次者占65.80%(254/386)、自检2次者占32.90%(127/386)、自检3次者占1.30%(5/386)。HIV自检试剂来源中,MSM社会组织免费申领占80.57%(311/386),网络购买占36.01%(139/386),同伴给予占14.25%(55/386)。多因素logistic回归分析模型分析显示:最近6个月在检测点检测HIV 1次者和≥2次者(OR=30.318,95%CI:8.181~112.360;OR=5.487,95%CI:1.663~18.101)、发生无保护肛交行为者(OR=2.437,95%CI:1.310~4.533)、发生群交性行为者(OR=1.807,95%CI:1.113~2.932)和新型毒品混用者(OR=1.582,95%CI:1.004~2.493)最近6个月进行HIV自检的可能性更高。已婚者(OR=0.595,95%CI:0.367~0.967)和性角色为被插入方(OR=0.529,95%CI:0.311~0.902)最近6个月进行HIV自检的可能性更低。结论青岛市新型毒品滥用MSM人群最近6个月HIV自检率较高,但已婚、性角色为被插入方、未在检测点检测HIV及未混用新型毒品的研究对象HIV自检比例较低,应加强对该部分人群HIV自检的宣传力度。Objective To analyze HIV self⁃testing and related factors in club drug abusers a⁃mong men who have sex with men in Qingdao and provide a reference for promoting HIV self⁃testing a⁃mong this population.Methods From April to July 2022,club drug abusers among MSM who being HIV⁃negative or with unknown HIV status were recruited by a community organization.A face⁃to⁃face questionnaire was conducted to investigate their demographic characteristics,sexual behaviors,club drug abuse and HIV self⁃testing status.Theχ^(2) test and multivariate logistic regression were used to analyze the related factors associated with HIV self⁃testing.Results A total of 569 participants were included in this study,with 67.84%(386/569)received HIV self⁃testing in the past 6 months.Among them,65.80%(254/386)received HIV self⁃testing one time,32.90%(127/386)self⁃tested twice and 1.30%(5/386)self⁃tested three times.HIV self⁃testing reagent sources were 80.57%(311/386)from MSM social organi⁃zations,36.01%(139/386)from internet purchases,and 14.25%(55/386)from peer offerings.Multiva⁃riate logistic regression analysis showed that the frequency of HIV testing at facility⁃based sites once and≥2 times in the past 6 months(OR=30.318,95%CI:8.181-112.360;OR=5.487,95%CI:1.663-18.101),having unprotected anal sex in the past 6 months(OR=2.437,95%CI:1.310-4.533),engag⁃ing in group sex in the past 6 months(OR=1.807,95%CI:1.113-2.932)and having mixed⁃use of club drugs in the past 6 months(OR=1.582,95%CI:1.004-2.493)were positively associated with HIV self⁃testing in the past 6 months.Being married(OR=0.595,95%CI:0.367-0.967)and receptive sexual role(OR=0.529,95%CI:0.311-0.902)were negatively associated with HIV self⁃testing in the past 6 months.Conclusions HIV self⁃testing rates were high in club drug abusers among MSM in Qingdao but low among those who were married,had receptive sexual roles,did not receive facility⁃based HIV testing,and did mixed⁃use club drug.HIV self⁃testing promotion should be strength

关 键 词：男男性行为人群 新型毒品 艾滋病病毒自检 相关因素 

分 类 号：R512.91[医药卫生—内科学]