广西男男性行为者HIV传递检测现状及其影响因素  

Related factors of HIV delivery test among men who have sex with men,Guangxi

作　　者：王敏[1,2] 张云 田韦毅[2] 莫金莉 黄海妹 谭素敏 岑平 蓝光华 宁传艺[2,6] WANG Min;ZHANG Yun;TIAN Wei-yi;MO Jin-li;HUANG Hai-mei;TAN Su-min;CEN Ping;LAN Guang-hua;NING Chuan-yi(The Second Affiliated Hospital,Guangxi Medical University,Nanning,Guangxi 530007,China;不详)

机构地区：[1]广西医科大学第二附属医院,广西南宁530007 [2]广西医科大学护理学院 [3]广西医科大学公共卫生学院 [4]南宁市疾病预防控制中心 [5]广西重大传染病防控与生物安全应急响应重点实验室,广西壮族自治区疾病预防控制中心 [6]广西艾滋病防治研究重点实验室

出　　处：《现代预防医学》2025年第4期720-724,768,共6页Modern Preventive Medicine

基　　金：广西自然科学基金项目杰出青年科学项目(2023GXNSFFA026007);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)。

摘　　要：目的了解广西男男性行为者(MSM)HIV传递检测现状,探讨广西MSM HIV传递检测的影响因素,为推动MSM扩大HIV检测提供参考。方法2021年9月至2022年2月在广西南宁市、桂林市、柳州市及北海市招募330名MSM开展前瞻性队列研究,采用广义估计方程探究MSM HIV传递检测的影响因素。结果随访调查的319名MSM中,63.95%(204/319)人进行HIV传递检测。广义估计方程多因素结果显示,有医疗保险(aOR=1.959,95%CI:1.047~3.664),大专及以上(aOR=1.736,95%CI:1.173~2.569),最近3个月进行HIV检测(aOR=3.565,95%CI:2.048~6.205),最近3个月使用HIV自我检测的MSM更愿意进行HIV传递检测(aOR=1.780,95%CI:1.227~2.582)。结论广西MSM HIV传递检测的比例为63.95%,有医疗保险、大专及以上、最近3个月进行HIV检测者及使用HIV自我检测者更愿意进行HIV传递检测,在该人群中应加强HIV传递检测的宣传及推广,鼓励其传递检测。Objective To investigate the current status and related factors of distribution of HIV delivery test among men who have sex with men(MSM)in Guangxi,aiming to provide references for promoting expanded HIV testing strategies for MSM.Methods From September 2021 to February 2022,330 MSM were recruited in Nanning,Guilin,Liuzhou and Beihai,Guangxifor aprospective cohort study.Generalized Estimating Equations were used in analyses of related factors.Results Among the 319 MSM participants in the follow-up survey,63.95%(204/319)underwent HIV delivery test.Multivariate generalized estimating equations showed that MSM with health insurance(aOR=1.959,95%CI:1.047-3.664),those with a college and above(aOR=1.736,95%CI:1.173-2.569),those who had undergone HIV testing in the past 3 months(aOR=3.565,95%CI:2.048-6.205),and those who had used HIV self-testing in the past 3 months(aOR=1.780,95%CI:1.227-2.582)were more willing to undergo HIV delivery test.Conclusion The proportion of HIV delivery test of MSM in Guangxi was63.95%.MSM with health insurance,a college or above education,had HIV test,and HIV self-testing in the past 3 months were more willing to undergo HIV delivery test.We should strengthen the publicity and promotion of HIV delivery test,encouraging individuals to participate in HIV delivery test in this population.

关 键 词：男男性行为者 艾滋病病毒 影响因素 广义估计方程 

分 类 号：R512.91[医药卫生—内科学]