广西男男性行为者HIV检测方式选择及影响因素分析  

Selection of HIV testing methods and the influencing factors among MSM in Guangxi Zhuang Autonomous Region

作　　者：田韦毅 莫金莉 王敏 张云 黄海妹 朱加文 谭素敏 岑平[3,4] 宁传艺 TIAN Weiyi;MO Jinli;WANG Min;ZHANG Yun;HUANG Haimei;ZHU Jiawen;TAN Sumin;CEN Ping;NING Chuanyi(Guangxi Medical University Nursing College,Nanning 530021,Guangxi,China;The Second Affiliated Hospital of Guangxi Medical University,Nanning 530007,Guangxi,China;School of Public Health,Guangxi Medical University,Nanning 530021,Guangxi,China;Nanning Center for Disease Prevention and Control,Nanning 530023,Guangxi,China;Guangxi Key Lab of AIDS Prevention and Treatment,Nanning 530021,Guangxi,China)

机构地区：[1]广西医科大学护理学院,南宁530021 [2]广西医科大学第二附属医院,南宁530007 [3]广西医科大学公共卫生学院,南宁530021 [4]南宁市疾病预防控制中心,南宁530023 [5]广西艾滋病防治研究重点实验室,南宁530021

出　　处：《中国艾滋病性病》2023年第7期778-782,共5页Chinese Journal of Aids & STD

基　　金：广西重大传染病防控与生物安全应急响应重点实验室开放课题(GKLKP-KF-202202);广西研究生教育创新计划项目(YCSW2023249)。

摘　　要：目的了解广西MSM对于不同HIV检测方式的选择情况并分析其影响因素。方法于2021年9月至2022年2月,在广西五个城市通过方便抽样法招募MSM开展调查研究,收集其社会人口学、性行为和HIV检测情况等信息。采用χ^(2)检验比较不同HIV检测方式MSM的人群特征,运用无序多分类Logistic回归模型,分析不同HIV检测方式选择的影响因素。结果共纳入340名MSM进行研究分析。最近一次HIV检测方式为自我检测者(简称HIV自检)106人(31.2%)、卫生机构检测者45人(13.2%)、同志社会组织(CBO)检测者189人(55.6%)。181人(53.2%)最近一次检测原因为定期检测,60人(17.6%)为高危性行为后检测。Logistic回归分析显示,与HIV自检相比,检测原因为性伴侣要求检测者选择在卫生机构(OR=0.081,95%CI:0.009~0.743)和CBO(OR=0.255,95%CI:0.080~0.808)做检测的可能性较低,在南宁本地居住时间≤6个月(OR=0.121,95%CI:0.060~0.245)的MSM去CBO进行检测的可能性也较低,而有定期检测习惯(OR=1.962,95%CI:1.008~3.817)或发生过临时性行为者(OR=2.475,95%CI:1.434~4.272)更可能选择在CBO做检测。结论HIV检测方式的选择与MSM人口学特征和社会行为有关,应结合不同特征MSM对HIV检测服务的需求,保证检测方式的多样性,以扩大MSM HIV检测覆盖面。Objective To analyze the selection of different HIV testing methods among men who have sex with men(MSM)and its influencing factors in Guangxi Zhuang Autonomous Region.Methods From September 2021 to February 2022,convenient samples of MSM were recruited from five cities in Guangxi Zhuang Autonomous Region.Demographic data,sexual behaviors and HIV testing information were collected.Chi-square test was used to analyze the characteristics of MSM related to different HIV testing methods,while an unordered multi-class Logistic regression model was adopted to analyze the influencing factors.Results A total of 340 MSM were included.The last HIV test was performed via HIV self-testing in 106 cases(31.2%),health facilities in 45 cases(13.2%),and community-based organizations(CBO)in 189 cases(55.6%).According to the reasons for the last HIV test,181 cases(53.2%)were regular testing,and 60 cases(17.6%)were tested after high-risk sexual behavior.Logistic regression analysis showed that in terms of MSM testing reasons from sexual partners requiring,the likelihood of testing in health facilities(OR=0.081,95%CI:0.009-0.743)and CBO(OR=0.255,95%CI:0.080-0.808)were lower compared to HIV self-testing.MSM lived locally in Nanning for≤6 months were less likely to be tested in CBO(OR=0.121,95%CI:0.060-0.245);and MSM had regular testing(OR=1.962,95%CI:1.008-3.817)or casual sexual behaviors(OR=2.475,95%CI:1.434-4.272)were more likely to be tested in CBO.Conclusions The selection of HIV testing methods in MSM is related to demographics characteristics and social behaviors.The needs of MSM with different characteristics should be concerned to ensure the diversity of HIV testing methods,so as to expand the coverage of HIV testing among MSM.

关 键 词：男男性行为者 艾滋病病毒检测 影响因素 

分 类 号：R373.9[医药卫生—病原生物学]