男男性行为人群HIV抗体唾液快速自检的准确性及影响因素分析

李佑芳; 王玉淼; 章任重; 王珏; 李志晴; 王玲; 潘颂峰; 杨彦玲; 马艳玲; 贾曼红

Abstract

李佑芳,王玉淼,章任重,王珏,李志晴,王玲,潘颂峰,杨彦玲,马艳玲,贾曼红.男男性行为人群HIV抗体唾液快速自检的准确性及影响因素分析[J].Chinese journal of Epidemiology,2016,37(1):72-75

男男性行为人群HIV抗体唾液快速自检的准确性及影响因素分析

Analysis on accuracy and influencing factors of oral fluid-based rapid HIV self-testing among men who have sex with men

Received:June 08, 2015

DOI：10.3760/cma.j.issn.0254-6450.2016.01.015

KeyWord: 男男性行为者艾滋病口腔黏膜渗出液快速检测影响因素

English Key Word: Men who have sex with men Oral fluid based rapid HIV testing Influencing factor

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Author Name	Affiliation
Li Youfang	STD/AIDS Prevention and Control Institute, Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China
Wang Yumiao	School of Public Health, Kunming Medical University, Kunming 650500, China
Zhang Renzhong	STD/AIDS Prevention and Control Institute, Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China
Wang Jue	STD/AIDS Prevention and Control Institute, Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China
Li Zhiqing	STD/AIDS Prevention and Control Institute, Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China
Wang Ling	STD/AIDS Prevention and Control Institute, Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China
Pan Songfeng	STD/AIDS Prevention and Control Institute, Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China
Yang Yanling	STD/AIDS Prevention and Control Institute, Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China
Ma Yanling	STD/AIDS Prevention and Control Institute, Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China
Jia Manhong	STD/AIDS Prevention and Control Institute, Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China

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Abstract:

目的了解MSM人群HIV抗体唾液快速自检的准确性及其影响因素。方法采用非概率抽样,对接受调查的研究对象进行自检全程评判,并对结果进行分析。结果调查对象中年龄21～30岁占57.0%,大专/本科及以上文化程度占45.7%,未婚者占78.5%,临时工占59.3%。调查对象唾液快速自检准确率95.0%,操作步骤中准确率最高为“试纸箭头朝下插入试管”(98.0%),最低为“轻倒置试管三次使溶液混合均匀”(65.0%)。χ²检验结果显示:学历为文盲、取出时不触碰到试纸中间膜、箭头向下插入试管内、是否仔细阅读说明书、是否读懂说明书与自检结果之间差异具有统计学意义(P <0.05)。多因素logistic回归分析结果显示,学历、取出时不触碰到试纸中间膜和读懂说明书与自检结果准确性有关。结论 MSM人群HIV抗体唾液快速自检准确率高,不同文化程度自检的准确性不同;检测中取出试纸时是否触碰到试纸中间膜和读懂说明书影响自检结果准确性。

English Abstract:

Objective To understood the accuracy of oral fluid-based rapid HIV self-testing among men who have sex with men (MSM) and related factors. Methods Survey was conducted among MSM selected through non-probability sampling to evaluate the quality of their rapid HIV self-testing, and related information was analyzed. Results The most MSM were aged 21-30 years (57.0%). Among them, 45.7% had educational level of college or above, 78.5% were unmarried, 59.3% were casual laborers. The overall accuracy rate of oral fluid based self-testing was 95.0%, the handling of “inserting test paper into tube as indicated by arrow on it” had the highest accuracy rate (98.0%), and the handling of “gently upsetting tube for 3 times” had lowest accuracy rate (65.0%); Chi-square analysis showed that educational level, no touch with middle part of test paper, whether reading the instruction carefully, whether understanding the instruction and inserting test paper into tube as indicated by the arrow on it were associated with the accuracy of oral fluid-based rapid HIV self-testing, (P <0.05). Multivariate logistic regression analysis indicated that educational level, no touch with middle part of test paper and understanding instructions were associated with the accuracy of oral fluid-based rapid HIV self-testing. Conclusions The accuracy of oral fluid-based rapid HIV self-testing was high among MSM, the accuracy varied with the educational level of the MSM. Touch with the middle part of test paper or not and understanding the instructions or not might influence the accuracy of the self-testing.

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