| 李培龙,汤后林,李东民,葛琳,杨娟,邱延超,刘晓松,梁良,吕繁.石家庄市男男性行为人群HIV自我检测及相关因素分析[J].中华流行病学杂志,2023,44(5):797-801 |
| 石家庄市男男性行为人群HIV自我检测及相关因素分析 |
| HIV self-testing and related factors in men who have sex with men in Shijiazhuang |
| 收稿日期:2022-05-26 出版日期:2023-05-13 |
| DOI：10.3760/cma.j.cn112338-20220526-00466 |
| 中文关键词: 艾滋病病毒 男男性行为人群 自我检测 |
| 英文关键词: HIV Men who have sex with men Self-testing |
| 基金项目:国家科技重大专项(2018ZX10721102) |
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| 中文摘要: |
| 目的 分析石家庄市MSM HIV自我检测（自检）及相关因素。方法 2020年8-9月，在石家庄市采用方便抽样招募MSM，利用线上调查问卷，收集其社会人口学、行为学和HIV自检等信息，采用logistic回归分析HIV自检相关因素。结果 共调查MSM 304人，最近6个月HIV自检率为52.3%（159/304），其中95.0%（151/159）使用指尖血HIV检测试剂；获得HIV检测试剂的途径，以自己购买（45.9%，73/159）和通过MSM社会组织领取（44.7%，71/159）为主；选择HIV自检原因为检测时间不受限制（67.9%，108/159）和保护隐私（62.9%，100/159），不选择原因为自己不会操作（32.4%，47/145）、不知道有HIV自检试剂（24.1%，35/145）和担心自检结果不准确（19.3%，28/145）。多因素logistic回归分析结果显示，18~29岁（aOR=2.68，95%CI：1.20~5.94）、最近6个月在当地领取过HIV自检包（aOR=8.61，95%CI：4.09~18.11）和主要交友途径通过互联网/社交软件（aOR=2.68，95%CI：1.48~4.88）的MSM更倾向于选择HIV自检。结论 HIV自检为MSM提供了一种更灵活、方便的检测途径，应加强HIV自检的推广，进一步提高MSM的HIV检测率。 |
| 英文摘要: |
| Objective To understand HIV self-testing and related factors in men who have sex with men (MSM) in Shijiazhuang. Methods From August to September 2020, convenient sampling was used to recruit MSM in Shijiazhuang. Online questionnaires were used to collect information about their demographic characteristics, sexual behaviors and HIV self-testing. logistic regression model was used to analyze the related factors associated with HIV self-testing. Results In the 304 MSM respondents, 52.3% (159/304) had HIV self-testing in the past 6 months, and 95.0% (151/159) used fingertip blood HIV detection reagent. Self-purchase was the main way to obtain HIV testing reagents (45.9%, 73/159), followed by supply from MSM social organization (44.7%, 71/159). The reasons for having HIV self-testing were non-specific testing time (67.9%, 108/159) and privacy protection (62.9%,100/159), the reasons for having no HIV self-testing included inability of using (32.4%, 47/145), being unaware of HIV self-testing reagent (24.1%, 35/145), and worry about inaccurate self-testing results (19.3%, 28/145). Multivariate logistic regression analysis showed that being 18-29 years old (aOR=2.68, 95%CI: 1.20-5.94), obtaining free HIV self-testing kits in recent 6 months (aOR=8.61, 95%CI: 4.09-18.11) and making friends through Internet and social software (aOR=2.68, 95%CI: 1.48-4.88) were positive factors for having HIV self-testing.Conclusion HIV self-testing is a more flexible and convenient way to detect HIV in MSM, and the promotion of HIV self-testing in MSM should be strengthened to further increase the HIV detection rate in this population. |
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