镇江市男男同性性行为人群HIV重复检测及影响因素  

HIV repeat testing and its influencing factors among men who have sex with men in Zhenjiang

作　　者：徐承平 张明辉[1] 叶鲁 胡成锋 王华 刘超[1] 刘晓霞[1] XU Chengping;ZHANG Minghui;YE Lu;HU Chengfeng;WANG Hua;LIU Chao;LIU Xiaoxia(Zhenjiang Center for Disease Control and Prevention,Zhenjiang,Jiangsu 212004,China)

机构地区：[1]镇江市疾病预防控制中心,江苏镇江212004

出　　处：《中国预防医学杂志》2023年第8期833-837,共5页Chinese Preventive Medicine

基　　金：镇江市科技计划项目(SH2020029)。

摘　　要：目的分析江苏省镇江市男男同性性行为人群(men who have sex with men,MSM)中人类免疫缺陷病毒(human immunodeficiency virus,HIV)重复检测比例及影响因素,为进一步促进MSM HIV定期检测提供政策依据。方法2019—2021年,本研究通过社交软件Blued平台“快乐检”招募MSM,采用横断面调查问卷收集一般人口学信息、HIV检测史、性行为特征等相关信息,采用logistic回归分析影响HIV重复检测的因素。结果本研究纳入MSM 1307例,HIV重复检测857例(65.57%)。多因素logistic回归分析显示,低年龄(0~<25岁,OR=1.72,95%CI:1.04~2.85),月收入低于5000元(0~<3000元:OR=2.00,95%CI:1.36~2.95;3000~<5000元:OR=1.47,95%CI:1.09~1.98),知晓性伴HIV感染状况(OR=1.58,95%CI:1.19~2.09),罹患性病(OR=5.42,95%CI:1.62~18.11),饮酒后发生肛交或口交性行为(OR=1.58,95%CI:1.14~2.20),最近1次检测方式为自我检测(OR=1.85,95%CI:1.23~2.79)和HIV抗体检测阴性(OR=2.25,95%CI:1.29~3.91)人群更容易进行HIV重复检测。结论镇江市MSM HIV重复检测率仍需进一步提高,应加大HIV自我检测的推广,同时加强MSM高危性行为干预,切实降低MSM HIV感染风险。Objective To analysis the status and influencing factors of HIV repeat testing among men who have sex with men(MSM)in Zhenjiang City,Jiangsu Province,so as to provide evidence for promoting regular HIV testing in MSM.Methods MSM participants were recruited through the website“Happy HIV testing”on the social media Blued from 2019 to 2021 and interviewed using a questionnaire to collect information on their sociodemographics,history of HIV testing,and sexual activities.Logistics regression was used to analysis the influencing factors of HIV repeat testing.Results We enrolled 1307 participants,65.57%of whom took HIV repeat testing.Multivariable logistic regression showed that lower age(0-<25 years,OR=1.72,95%CI:1.04-2.85),monthly income less than 5000 yuan(0-<3000 yuan:OR=2.00,95%CI:1.36-2.95;3000-<5000 yuan:OR=1.47,95%CI:1.09-1.98),knowing HIV status of partners(OR=1.58,95%CI:1.19-2.09),having sexual transmission infections(OR=5.42,95%CI:1.62-18.11),having anal or oral sex following alcohol drinking(OR=1.58,95%CI:1.14-2.20),applying self-testing in the last HIV testing(OR=1.85,95%CI:1.23-2.79),and having negative result in HIV antibody testing(OR=2.25,95%CI:1.29-3.91)were associated with increased odds of HIV repeat testing.Conclusions The coverage of HIV repeat testing still need to be further elevated in Zhenjiang.We should encourage HIV self-testing and strengthen intervention against high-risk sexual activities among MSM,in order to reduce the risk of HIV infection in this population.

关 键 词：男男同性性行为人群 人类免疫缺陷病毒 重复检测 社交软件 

分 类 号：R512.91[医药卫生—内科学]