天津市MSM人群网络HIV抗体自我检测情况分析  

HIV self-testing application through online platform among men who have sex with men in Tianjin City

作　　者：候金余 柏建芸[1,2] 郭燕 李佳[3] 李龙 龚卉[1,2] 于茂河[1,2] HOU Jinyu;BAI Jianyun;GUO Yan;LI Jia;LI Long;GONG Hui;YU Maohe(Department of HIV/AIDS and STDs Control and Prevention,Tianjin Center for Disease Control and Prevention,Tianjin 300011,China;Tianjin Key Laboratory of Pathogenic Microbiology of Infectious Diseases,Tianjin 300011,China;Hebei District Center for Disease Control and Prevention,Tianjin 300150,China)

机构地区：[1]天津市疾病预防控制中心性病艾滋病预防控制所,天津300011 [2]天津市传染病病原微生物重点实验室,天津300011 [3]天津市河北区疾病预防控制中心,天津300150

出　　处：《预防医学》2024年第6期470-473,共4页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：国家自然科学基金项目(72374153);天津市医学重点学科项目(TJYXZDXK-050A);天津市卫生健康科研项目(TJWJ2023QN092)。

摘　　要：目的分析天津市男男性行为人群(MSM)通过微信公众号“深蓝公卫中心”“艾自检”模块申请艾滋病病毒(HIV)抗体自我检测(自检)试剂情况,为探索MSM人群网络HIV抗体自检模式提供依据。方法收集2018年5月—2022年12月通过“艾自检”申请HIV抗体自检试剂、现居住在天津市、近6个月有男男性行为的≥18岁MSM资料,对人口学特征、检测结果回传和HIV抗体检测阳性情况进行描述性分析。结果共2064名MSM纳入分析,其中20~<30岁1052人,占50.97%;未婚1522人,占73.74%;职业主要为工人,545人占26.41%;大学及以上学历1385人,占67.10%。既往未检测过HIV抗体315人,占15.26%。申请自检试剂6470份,回传结果5942份,结果回传率为91.84%;687人多次申请自检试剂,占33.28%,合计申请试剂4291份,占66.32%。73人初筛阳性,占1.23%。结论通过“艾自检”申请自检试剂的MSM以年轻人和高学历人群为主,且该模式能覆盖部分从未检测过HIV抗体的人群,但应关注重复申请情况并提高结果回传率。Objective To understand characteristics of men who have sex with men(MSM)who applied for HIV antibody self-testing reagents through"AIDS self-testing"column of a WeChat official account named"Dark Blue Public Health Center"in Tianjin City,so as to provide insights into exploring online modes of HIV antibody self-testing for MSM.Methods Data of MSM who were 18 years old or above,currently lived in Tianjin City,had sex with men in the past six months and applied for HIV antibody self-testing reagents through"AIDS self-testing"column from May 2018 to December 2022 were collected.Demographic characteristics,results return and positive findings were descriptively analyzed.Results Data of 2064 MSM were collected,including 1052 MSM aged 20 to 29 years(50.97%),1522 unmarried MSM(73.74%),545 workers(26.41%),1385 MSM with college education or above(67.10%),and 315 MSM without testing for HIV antibody in the past(15.26%).A total of 6470 self-testing reagents were applied,and 5942 testing results were returned,with a return rate of 91.84%.There were 33.28%(687/2064)of the applicants applying for 66.32%(4291/6470)reagents multiple times.There were 73 MSM with positive results,accounting for 1.23%.Conclusions The MSM applying for HIV antibody self-testing reagents through"AIDS self-testing"are mainly young and highly educated,including some who have never tested for HIV.However,attention should be paid to duplicate applications and the return rate should be increased.

关 键 词：艾滋病病毒 男男性行为人群 自我检测 

分 类 号：R512.91[医药卫生—内科学]