应用交友软件调查大学生男男性行为者HIV检测现状及相关因素

金莹莹; 徐杰; 江震; 吴尊友

文章摘要

金莹莹,徐杰,江震,吴尊友.应用交友软件调查大学生男男性行为者HIV检测现状及相关因素[J].中华流行病学杂志,2017,38(5):629-633

应用交友软件调查大学生男男性行为者HIV检测现状及相关因素

Mobile internet based survey of current status of HIV test and related factors in men who have sex with men in college students in China

收稿日期:2016-11-07 出版日期:2017-05-18

DOI：10.3760/cma.j.issn.0254-6450.2017.05.014

中文关键词: 男男性行为者，大学生 HIV检测移动互联网

英文关键词: Men have sex with men in college students HIV test Mobile internet

基金项目:

作者	单位	E-mail
金莹莹	230032 合肥, 安徽医科大学公共卫生学院流行病与卫生统计室 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心健康教育和行为干预室
徐杰	102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心健康教育和行为干预室
江震	102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心健康教育和行为干预室
吴尊友	230032 合肥, 安徽医科大学公共卫生学院流行病与卫生统计室 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心健康教育和行为干预室	wuzy@263.net

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中文摘要:

目的了解活跃于移动互联网的大学生MSM最近1年HIV检测现状及相关因素。方法按照横断面调查设计，基于中国同性恋流行使用的一款同性恋社交软件Blued，按18~25岁大学生MSM的HIV检测率50%推算样本量为500人。于2016年9月开始手机端电子问卷调查，主要收集人口学特征、HIV检测行为、性行为等信息。采用 χ²检验和非条件logistic回归分析大学生MSM最近1年HIV检测的相关因素。结果共调查1 384名大学生MSM，平均年龄（20.99±0.04）岁，最近1年HIV检测比例为47.1%（652/1 384）。多因素分析结果显示：听说过HIV检测（OR=6.37，95%CI：3.592~11.300），愿意定期接受HIV检测（OR=2.64，95%CI：1.191~2.631），部分了解（OR=3.58，95%CI：2.138~5.996）和完全不了解（OR=2.25，95%CI：1.479~3.422）固定性伴HIV感染状况皆使大学生MSM的HIV检测可能性增加；信任固定性伴无感染HIV风险（OR=0.65，95%CI：0.445~0.938），最近1年固定性伴仅为1人（OR=0.37，95%CI：0.232~0.589）使大学生MSM的HIV检测可能性降低。结论活跃于移动互联网的大学生MSM人群最近1年HIV检测比例较低，该群体性行为活跃，固定性伴间相互信任，或仅为1人的原因，反而使HIV检测比例更低，应予以重视。

英文摘要:

Objective To assess the current status of HIV test during the past year and related factors in men who have sex with men (MSM) in college students in China. Methods Based on a MSM website, a cross-sectional study was conducted in 500 MSM in college students aged 18-25 years, who were selected based on the estimated HIV detection rate of 50% in this population, by means of mobile phone questionnaire survey. χ² test and non-conditional multivariate logistic regression analysis were conducted to identify the factors related with HIV test, respectively. Results The mean age of MSM in college students was 20.99 (±0.04) years and the HIV test rate during the past year was 47.1%(652/1 384). Multivariate logistic regression analysis indicated that active factors associated with HIV test included awareness of HIV test (OR=6.37, 95%CI: 3.592-11.300), willing to receive regular HIV testing (OR=2.64, 95%CI: 1.191-2.631) well-knowing or not knowing of the HIV infection statues of their regular sex partners (OR=3.58, 95%CI: 2.138-5.996), (OR=2.25, 95%CI: 1.479-3.422), respectively. The negative factors associated with HIV test included believing their regular sex partners not being infected with HIV (OR=0.65, 95%CI: 0.445-0.938), having only one regular sex partner during the past year (OR=0.37, 95%CI: 0.232-0.589). Conclusion The survey indicated that the HIV test rate in MSM in college students during the past year was low. The MSM in college students are usually sexual active, but less of them received HIV test due to the trust between them and less number of sexual partners. Close attention should be paid to the AIDS intervention in this population.

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