温州市两种互联网+HIV自我检测模式服务对象特征及影响因素分析  

Characteristics of service recepients and the influencing factors of service choice for two internet + HIV self-test modes in Wenzhou

作　　者：张鹤美[1] 高四海[1] 李君[1] 陈向阳[1] 徐晓旭 胡龙标 苏德华[1] 赵丽娜[1] 陈婉君 ZHANG Hemei;GAO Sihai;LI Jun;CHEN Xiangyang;XU Xiaoxu;HU Longbiao;SU Dehua;ZHAO Lina;CHEN Wanjun(Center for Disease Control and Prevention of Wenzhou,Wenzhou,Zhejiang 325000,China;不详)

机构地区：[1]温州市疾病预防控制中心艾滋病性病防制所,浙江温州325000 [2]温州市鹿城区疾病预防控制中心 [3]温州市永嘉县疾病预防控制中心 [4]浙江省疾病预防控制中心

出　　处：《中国预防医学杂志》2023年第5期420-424,共5页Chinese Preventive Medicine

基　　金：社会组织参与艾滋病防治基金项目(2021-2022330302PYDMSM628956C);浙江省卫生健康科技计划(2021KY623)。

摘　　要：目的 分析温州市两种互联网+人类免疫缺陷病毒(human immunodeficiency virus,HIV)自我检测型男男同性性行为人群(men who have sex with men, MSM)特征,为完善和推广互联网+HIV自我检测服务提供依据。方法 本研究通过微信公众号“阳光测”为MSM提供家中自检和同伴检测两种自检模式,两种自检模式任选其一。对首次申请服务的MSM进行调查,比较两种模式MSM的人口学、行为学特征及选择不同模式的影响因素。结果本研究纳入MSM共1 025人,年龄20~<30岁626人(61.07%),未婚者817人(79.71%),学生246人(24.00%),大专及以上学历700人(68.29%)。选择家中HIV自检607人,同伴检测418人,HIV初筛阳性率分别为0.82%(5/607)和4.82%(18/418)。与家中自检相比,同伴检测MSM中的学生或公司职员(χ^(2)=9.35, P<0.01)、大专及以上学历(χ^(2)=10.68, P<0.01)、因定期习惯检测和暴露前/后预防申请检测(χ^(2)=12.72, P=0.01)的比例低。最近3个月,发生过商业性行为(OR=2.29, 95%CI:1.20~4.35)、职业为其他(OR=1.52, 95%CI:1.03~2.23)的MSM选择同伴检测的可能性更高。最近3个月发生无保护性性行为(OR=0.64,95%CI:0.47~0.85)、因定期检测习惯(OR=0.57, 95%CI:0.38~0.85)、暴露前/后预防原因检测(OR=0.54, 95%CI:0.33~0.91)的MSM选择同伴检测的可能性更低。结论温州市家中自检服务对象多为学生或公司职员、高学历、因定期检测习惯或暴露前/后预防进行HIV检测及发生过无保护性行为的MSM。同伴检测服务对象多为学历低、发生过商业性行为的MSM。两种模式服务不同特征MSM,可共同作为扩大HIV检测的补充手段。Objective To analyze the characteristics of men who have sex with men(MSM) receiving two different modes of internet-based human immunodeficiency virus(HIV) self-testing in Wenzhou, so as to provide evidence for improving and promoting internet-based HIV self-test service.Methods This study provided home HIV self-testing and peer-assisted HIV self-testing for MSM through the WeChat public account "Sunshine Test", of which the users could choose either one voluntarily. MSM applying for self-testing for the first time were surveyed. The demographic and behavioral characteristics were compared between MSM choosing different modes of self-testing, and the influencing factors of the choice were analyzed. Results A total of 1 025 MSM were included, including 626(61. 07%) aged 20-30 years, 817(79. 71%) unmarried, 246(24. 00%) students, and 700(68. 29%)student of college level and above. 607 people chose home self-testing, and the other 418 chose peerassisted self-testing, among whom the HIV-positive rates were 0. 82%(5/607) and 4. 82%(18/418),respectively. Compared with the MSM choosing home self-testing, those choosing peer-assisted selftesting showed lower proportions of students or company employees(χ^(2)=9. 35, P<0. 01), college students and above(χ^(2)=10. 68, P<0. 01), and requesting regular testing due to habit and requesting testing for pre/post-exposure prophylaxis(χ^(2)=12. 72, P=0. 01). The MSM having had commercial sex in the past 3 months(OR=2. 29, 95%CI: 1. 20-4. 35) and reporting occupation as “others”(OR=1. 52,95%CI: 1. 03-2. 23) were more likely to choose peer-assisted self-testing. Those who had had unprotected sex in the past 3 months(OR=0. 64, 95%CI: 0. 47-0. 85), habitually requested regular testing(OR=0. 57, 95%CI: 0. 38-0. 85), and took testing for pre-/post-exposure prophylaxis(OR=0. 54, 95%CI: 0. 33-0. 91). Conclusions MSM who chose home self-testing may be mostly students or company employees, those with high educational level, regularly and habitually testing HIV or testing for pre/post

关 键 词：人类免疫缺陷病毒 艾滋病 男男同性性行为人群 自我检测 同伴协助自检 互联网+ 社会组织 

分 类 号：R512.91[医药卫生—内科学]