| 蔡衍珊,古羽舟,钟斐,樊莉蕊,赵宇腾,罗业飞,鲁永恒,何蔚云,程伟彬,徐慧芳.广州市MSM“互联网+HIV自检服务平台”——“岭南准”的适用性和可行性分析[J].中华流行病学杂志,2019,40(10):1212-1216 |
| 广州市MSM“互联网+HIV自检服务平台”——“岭南准”的适用性和可行性分析 |
| Applicability and feasibility of “Lingnanzhun”－an “Internet Plus-based HIV Self-testing Tool” targeting MSM in Guangzhou |
| 收稿日期:2019-04-14 出版日期:2019-10-18 |
| DOI：10.3760/cma.j.issn.0254-6450.2019.10.008 |
| 中文关键词: 男男性行为人群 艾滋病病毒 自检 行为特征 |
| 英文关键词: Men who have sex with men HIV Self-testing Behavior characteristics |
| 基金项目:国家科技重大专项（2018ZX10715004） |
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| 中文摘要: |
| 目的 分析广州市MSM“互联网+HIV自检服务平台”——“岭南准”（岭南准）的适用性和可行性，为完善岭南准的服务措施及推广提供科学依据。方法 数据来源于2015年4－6月广州市互联网型MSM检测服务倾向调查、2014年9月至2018年12月岭南准用户数据库。采用单因素和多因素logistic回归，分析岭南准应用的相关影响因素。结果 研究对象769名，年龄16～77（28.6±6.8）岁；未婚者占88.3%（679/769），广州市户籍占42.2%（325/769），文化程度大专/本科及以上者占82.1%（631/769）。其中，采用岭南准自检195人（25.4%），预约现场检测574人（74.6%）。岭南准使用者与预约现场检测者相比，进入MSM圈内时间≥10年者的比例较高（32.8%比20.9%，64/195比120/574）；男性临时性伴数≥2个的比例较高（42.1%比29.6%，82/195比170/574）；发生群交的比例较高（6.2%比2.6%，12/195比15/574）；发生男性商业性行为的比例较高（13.8%比3.0%，27/195比17/574）。岭南准用户数据库显示，共有3 000名用户使用5 038人次岭南准自检服务，既往无HIV检测经历的用户占11.4%（343/3 000）。结论 通过互联网提供HIV自检服务是可行的，岭南准的HIV自检适用于MSM。互联网+HIV自检服务可作为现场HIV检测服务的补充，可接触到HIV感染风险更高的MSM亚人群。 |
| 英文摘要: |
| Objective This article was to evaluate the applicability and feasibility of "Lingnanzhun"-an "Internet Plus-based HIV Self-testing Tool" targeting MSM in Guangzhou. Hopefully, the results could be used to improve the existing HIV testing services and to support the implementation and scale-up of HIV self-testing programs. Methods Data were collected from a survey on HIV testing preferences among the Internet-using MSM in April to June, 2015. Univariate and multivariate logistic regression analysis were applied to identify factors associated with the use of HIV self-testing service provided by Lingnanzhun. Information related to the users of Lingnanzhun during September 2014 and December 2018 was also collected. Results 769 MSM were recruited as participants. Of them, age distribution was 16-77(28.6±6.8) years old, 88.3%(679/769) were unmarried, 42.2%(325/769) were registered residents of Guangzhou, 82.1%(631/769) had university or college education. Among them, 195 (25.4%) used the HIV self- testing program of Lingnanzhun while 574 (74.6%) using the clinic service. Compared with the clinic service users, the Lingnanzhun users showed the following characteristics:longer experience in the MSM community ≥ 10 years (32.8% vs. 20.9%, 64/195 vs. 120/574); having male casual sexual partners ≥ 2 (42.1% vs. 29.6%, 82/195 vs. 170/574); having group sex (6.2% vs. 2.6%, 12/195 vs. 15/574) and having commercial sex with men (13.8% vs. 3.0%, 27/195 vs. 17/574). Data from the Lingnanzhun users showed that a total of 3 000 users had practised 5 038 times of self HIV-testings. 11.4% (343/3 000) of the Lingnanzhun users had never been tested. Conclusions It was applicable and feasible to provide Internet-based HIV self-testing service to MSM as a significant complement to the traditional facility-based HIV testing services. It was also useful in accessing those who were having higher risk or had never received HIV testing so as to increase the testing uptake and the frequency. |
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