基于男性社交平台男男性行为人群HIV检测率及HIV自我检测率变化趋势分析

吴丹; 程伟彬; 熊媛; 陆荧; 倪宇馨; 唐卫明

Abstract

吴丹,程伟彬,熊媛,陆荧,倪宇馨,唐卫明.基于男性社交平台男男性行为人群HIV检测率及HIV自我检测率变化趋势分析[J].Chinese journal of Epidemiology,2021,42(2):269-272

基于男性社交平台男男性行为人群HIV检测率及HIV自我检测率变化趋势分析

Changing trends of HIV testing and HIV self-testing in men who have sex with men on a gay social networking app

Received:June 24, 2020

DOI：10.3760/cma.j.cn112338-20200624-00882

KeyWord: 男男性行为人群艾滋病病毒/艾滋病自我检测

English Key Word: Men who have sex with men HIV/AIDS Self-testing

FundProject:国家自然科学基金（81903373）；国家重点研发计划（2017YFE0103800）；国家科技重大专项（2018ZX10101-001-001-003）；牛顿基金（NIF/R1/108020）

Author Name	Affiliation	E-mail
Wu Dan	Department of Clinical Research, London School of Hygiene & Tropical Medicine, London WC1E 7HT, United Kingdom Dermatology Hospital of Southern Medical University, Guangzhou 510095, China
Cheng Weibin	Guangdong Second Provincial General Hospital, Guangzhou 510317, China
Xiong Yuan	Dermatology Hospital of Southern Medical University, Guangzhou 510095, China University of North Carolina at Chapel Hill, Project-China, Guangzhou 510095, China
Lu Ying	Dermatology Hospital of Southern Medical University, Guangzhou 510095, China University of North Carolina at Chapel Hill, Project-China, Guangzhou 510095, China
Ni Yuxin	Dermatology Hospital of Southern Medical University, Guangzhou 510095, China University of North Carolina at Chapel Hill, Project-China, Guangzhou 510095, China
Tang Weiming	Dermatology Hospital of Southern Medical University, Guangzhou 510095, China University of North Carolina at Chapel Hill, Project-China, Guangzhou 510095, China	weiming_tang@med.unc.edu

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Abstract:

目的了解我国MSM的HIV检测率尤其是HIV自我检测（自检）率的变化趋势，初步评估HIV自检在扩大MSM的HIV检测方面的作用。方法通过Blued男性社交平台在全国范围内招募研究对象，调查内容包括社会人口学特征、性行为、既往HIV检测与自检等，并对历年数据进行趋势性分析。结果 2013-2016、2018年，分别招募1 342、1 424、1 173、2 105、699名MSM。2013年研究对象年龄（30.6±6.6）岁，之后年份的研究对象年龄较2013年更为年轻化。2013年MSM的HIV检测率为60.0%（805/1 342），并于2018年增至77.3%（540/699），2013-2016年与2018年MSM的HIV检测率呈现增长趋势（趋势检验Z=19.3，P<0.001）。2013、2018年MSM的HIV自检率分别为19.3%（259/1 342）和58.1%（406/699），2018年是2013年的3倍（χ²=237.5，P<0.001），在HIV检测者中HIV自检比例由2013年的32.2%（259/805）增至2018年的75.2%（406/540）（趋势检验Z=14.3，P<0.001）。结论基于男性社交平台的MSM的HIV检测率、HIV自检率、HIV检测者中HIV自检比例，2013-2016、2018年均呈明显上升趋势。提示HIV自检可提高MSM的HIV检测覆盖面，对我国MSM艾滋病防控有重大公共卫生意义。

English Abstract:

Objective To understand the changing trends of HIV testing rates, with a focus on HIV self-testing, and to evaluate the impact of HIV self-testing on expanding HIV testing among MSM in China in past few years.Methods MSM were recruited online nationwide via a gay social networking app (Blued) from 2013 to 2016 and 2018. The survey collected information about socio-demographic backgrounds, sexual behaviors, and prior HIV testing experiences, including HIV self-testing. Trend analyses were conducted.Results Respectively, 1 342, 1 424, 1 173, 2 105 and 699 MSM were recruited nationwide from 2013 to 2016, and in 2018. The mean age was (30.6±6.6)years in 2013 and showed a decreasing trend afterwards. The HIV testing rate was 60.0% (805/1 342) in 2013 and there was a rising trend from 2013 to 2016, and 2018 (trend Z=19.3, P <0.001), reaching a peak at 77.3% (540/699) in 2018. Further, the HIV self-testing rate increased from 19.3% (259/1 342) in 2013 to 58.1% (406/699) in 2018 (χ²=237.5, P <0.001). The proportion of MSM who had HIV self-testing among prior HIV testers significantly increased from 32.2% (259/805) to 75.2% (406/540) during the study period (trend Z=14.3, P <0.001).Conclusions The HIV testing rate, HIV self-testing rate and proportion of men who had HIV self-testing among former HIV testers among web-based Chinese MSM showed substantial increases from 2013 to 2016,and 2018. This suggests that HIV self-testing may have a significant effect on the expansion of HIV testing coverage in MSM, and has important public health implications for HIV/AIDS prevention in China.

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