| 上海和苏州两地男男性行为者HIV自我检测行为、检测模式及影响因素研究 |
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| 引用本文： | 谢言,魏巍,后永春,刘艳,郑亦慧.上海和苏州两地男男性行为者HIV自我检测行为、检测模式及影响因素研究[J].中华疾病控制杂志,2022,26(4):473-476. |
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| 作者姓名： | 谢言 魏巍 后永春 刘艳 郑亦慧 |
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| 作者单位： | 200333 上海，上海市普陀区疾病预防控制中心慢性传染病防制科 |
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| 摘 要： | 目的 评估上海和苏州两地MSM的HIV自我检测行为、检测模式及影响因素。 方法 2021年2-5月间通过社交软件招募上海市、苏州市两地≥18岁且未被诊断为HIV/AIDS的MSM开展网络问卷现况调查，用频率描述自检行为及检测模式，用χ2检验和Logistic回归分析模型分析影响因素。 结果 759名研究对象中，542例有HIV自检史，占比71.4%。其中148例报告既往自检出现过阳性结果，140人经复测确认为假阳性。检测模式包括不检测、传统检测和自检/自检+传统检测三种，各占20.6%、10.0%、69.4%。与含自检模式相比，长居苏州(OR=1.85, 95% CI:1.08~3.17)、性角色插入方(OR=0.34, 95% CI:0.14~0.80)、近1年性伴数2~4人(OR=0.51, 95% CI:0.32~0.81)或5~9人(OR=0.31, 95% CI:0.14~0.68)、线下(OR=0.44, 95% CI:0.23~0.86)或“线下+线上”(OR=0.51, 95% CI:0.31~0.84)寻找性伴、近1年使用毒品/兴奋剂(OR=0.54, 95% CI:0.36~0.83)、有性病史(OR=0.41, 95% CI:0.24~0.69)、试剂获取困难(OR=2.52, 95% CI:1.53~4.15)、试剂使用困难(OR=1.93, 95% CI:1.22~3.07)是MSM选择未检测模式的影响因素；年龄18~＜25岁(OR=0.26, 95% CI:0.10~0.71)或25~＜45岁(OR=0.38, 95% CI:0.15~0.95)、近1年性伴数2~4人(OR=0.42, 95% CI:0.23~0.78)、试剂获取困难(OR=2.58, 95% CI:1.33~4.99)是MSM选择传统检测模式的影响因素(均有P < 0.05)。 结论 上海和苏州两地的MSM具有较高的自检使用率和支持服务需求，年龄、居住地、性行为特征、药物滥用、自检试剂可及性和可操作性影响MSM对检测模式的选择。
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| 关 键 词： | 人类免疫缺陷病毒 男男性行为者 自我检测 |
| 收稿时间： | 2021-08-27 |
HIV self-testing,testing strategy and related factors among men who have sex with men in two cities in Shanghai and Suzhou |
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| XIE Yan,WEI Wei,HOU Yong-chun,LIU Yan,ZHENG Yi-hui.HIV self-testing,testing strategy and related factors among men who have sex with men in two cities in Shanghai and Suzhou[J].Chinese Journal of Disease Control & Prevention,2022,26(4):473-476. |
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| Authors: | XIE Yan WEI Wei HOU Yong-chun LIU Yan ZHENG Yi-hui |
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| Affiliation: | Department of Chronic Infectious Diseases Prevention, Shanghai Putuo District Center for Disease Control and Prevention, Shanghai 200333, China |
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| Abstract: | Objective To understand HIV self-testing behaviors, test strategies and related factors among men who have sex with men (MSM) in Shanghai and Suzhou. Methods MSM aged ≥18 with no HIV/AIDS history in Shanghai and Suzhou were recruited and investigated online from February to May, 2021. Frequencies were used to describe self-testing behaviors and test strategies, and χ2 test and Logistic regression were used in analyses of related factors. Results A total of 759 MSM were recruited. 71.4%(542/759) had self-testing history. Among them, 148 reported having observed a positive result of whom 140 identified it false positive through another test. The rate of adopting test strategy including self-testing, strategy with only facility-based test and no-testing strategy in the last year was 69.4%、10.0% and 20.6%, respectively. Compared to strategy including self-testing, living in Suzhou (OR=1.85, 95% CI: 1.08-3.17), inserting sexual role (OR=0.34, 95% CI: 0.14-0.80), having 2-4(OR=0.51, 95% CI: 0.32-0.81) or 5-9(OR=0.31, 95% CI: 0.14-0.68) sexual partners in the last year, seeking partners offline (OR=0.44, 95% CI: 0.23-0.86) or offline & online(OR=0.51, 95% CI: 0.31-0.84), drug abuse (OR=0.54, 95% CI: 0.36-0.83), STD history (OR=0.41, 95% CI: 0.24-0.69), having difficulties in accessing or using kits (OR=2.52, 95% CI: 1.53-4.15;OR=1.93, 95% CI: 1.22-3.07) were factors relating to choice of no-testing strategy; aged 18- < 25 (OR=0.26, 95% CI: 0.10-0.71) or 25- < 45 (OR=0.38, 95% CI: 0.15-0.95), having 2-4 sexual partners in the last year (OR=0.42, 95% CI: 0.23-0.78) and having difficulties in accessing kits (OR=2.58, 95% CI: 1.33-4.99) were factors relating to choice of only facility-testing strategy (all P < 0.05). Conclusions MSM in Shanghai and Suzhou have a relatively high uptake of HIV self-testing and an imperative demand for specific health care. Choice of test strategy among MSM relates to age, residence, sexual behaviors, drug abuse, accessibility and operability of self-testing kits. |
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