我国社会组织对MSM动员检测效果分析  

Effectiveness of social organizations on intervention for detecting MSM in China

作　　者：金军怡 李锦峰[1] 戴淑玉 杨伟华[1] 郑雯琳 桑健 郑大澳 王晓春 沙莎[1] 冯子健 JIN Junyi;LI Jinfeng;DAI Shuyu;YANG Weihua;ZHENG Wenlin;SANG Jian;ZHENG Daao;WANG Xiaochun;SHA Sha;FENG Zijian(Chinese Preventive Medicine Association,Beijing 100062,China;Chinese Center for Disease Control and Prevention,Beijing 102206,China)

机构地区：[1]中华预防医学会,北京100062 [2]中国疾病预防控制中心,北京102206

出　　处：《中国艾滋病性病》2024年第5期503-507,共5页Chinese Journal of Aids & STD

摘　　要：目的分析2016-2022年我国参与艾滋病防治的社会组织MSM干预检测的成效与不足,为提升社会组织工作质量和能力提供参考。方法整理分析2016-2022年社会组织参与艾滋病防治基金(CAFNGO)项目管理信息系统中MSM干预项目数据,针对历年不同类型社会组织、不同地区MSM干预检测转化,HIV初筛阳性,HIV确证检测,HIV确证阳性和HIV确证阳性转介指标等产出进行分析。结果2016-2022年,全国共有567个社会组织参与CAFNGO MSM干预项目,其中民政部门登记的社会组织(NGO)159个,未在民政登记的社会组织(CBO)408个,覆盖了全国30个省(自治区、直辖市)。MSM干预项目的HIV初筛阳性率从2016年的5.49%到下降至2022年3.18%,而阳性转介治疗率从2017年的83.87%上升至2022年的94.93%。CBO项目的干预检测转化率、初筛阳性率和确证阳性率高于NGO的项目(P<0.05),NGO项目的确证检测率和阳性转介率均高于CBO项目(P<0.05)。华东、华北和东北检测人数较多,占项目检测总人数的64.80%(1089966/1681977),西北地区检测人数最少,占5.63%(94736/1681977)。西北地区项目的初筛阳性率为3.19%(3025/94736)、确证检测率76.96%(2328/3025)、确证阳性率2.36%(2236/94736),均低于平均水平(P<0.05)。结论社会组织通过动员干预检测工作,更多的阳性病例被发现,减少进一步的传播,发挥了其优势和作用,应继续加强对社会组织开展MSM干预工作的支持力度,在初筛阳性到确证检测的环节中,应减少脱失人数。NGO和CBO在防艾工作中发挥了各自的优势,需要加强对CBO的能力建设。在艾滋病疫情重点地区,有针对性地对不同类型社会组织提供技术支持和加强能力建设,推动社会组织均衡发展。Objective To analyze the effectiveness and shortcomings of social organizations involved in AIDS prevention and control on intervention for detecting men who have sex with men(MSM)population in China from 2016 to 2022,and to provide references for improving the quality and capacity of social organizations.Methods This study collected and analyzed data from the MSM Intervention Project Data in the Project Management Information System of China AIDS Fund for Non-governmental Organizations(CAFNGO)in 2016-2022,covering various types of social organizations and geographical regions from 2016 to 2022.The analysis focused on the output indicators such as MSM intervention detecting transformation,HIV preliminary screening positive,HIV confirmatory testing,HIV confirmatory positive,and HIV confirmatory positive referral.Results From 2016 to 2022,a total of 567 social organizations participated in CAFNGO MSM intervention projects.Among these,159 non-governmental organizations(NGOs)were registered with the Ministry of Civil Affairs,and 408 community based organizations were unregistered,covering 30 provinces(municipalities and autonomous regions).The HIV initial screening positive rate of MSM intervention projects decreased from 5.49%in 2016 to 3.18%in 2022,while the positive referral treatment rate increased from 83.87%in 2017 to 94.93%in 2022.The conversion rate,initial screening positive rate,and confirmed positive rate for CBO's projects were higher than those for NGO projects(P<0.05).While the confirmed detection rate and positive referral rate were higher for NGO projects than those for CBO projects(P<0.05).The regions of East China,North China,and Northeast China had the highest number of detections,accounting for 64.8%of the total(1089966/1681977),while the Northwest China had the lowest,making up 5.63%(94736/1681977).The Northwest's initial screening positive rate was 3.19%(3025/94736),confirmed detection rate was 76.96%(2328/3025),and confirmed positive rate was 2.36%(2236/94736),all below the national average(P<0

关 键 词：艾滋病 男男性行为者 社会组织 检测 

分 类 号：R512.91[医药卫生—内科学]