铜川市男男性行为人群HIV自检情况及其影响因素分析

doi:10.12183/j.scjpm.2023.1243

摘要/Abstract

摘要： 目的了解铜川市男男性行为人群（MSM）HIV自检情况,分析MSM HIV自检相关影响因素,为在MSM人群中推广HIV自检提供科学依据。方法 2023年3—5月运用“滚雪球”的方法抽取铜川市MSM进行HIV自检情况横断面问卷调查。内容包括人口学特征、高危行为和HIV检测情况。结果共收集有效问卷447份,264人有HIV自检经历,216人通过网络购买自检试剂,占81.8%,134人（50.8%）和83人（31.4%）分别使用过唾（尿）液和血液检测试剂,47人（17.7%）两者兼有;无HIV自检经历的183人中102人（55.7%）认为HIV自检结果不可靠,53人（29.0%）未考虑过自检。MSM年龄中位数33（27,43）岁;年龄≥40岁组,105人（23.5%）;未婚304人,占68.0%。62.0%（277/447）的MSM自认为有感染HIV风险;72.5%（324/447）的MSM 6个月内发生过无保护肛交行为;245人有HIV习惯性检测,占54.8%。多因素logistic回归分析显示,年龄≥40岁（OR=0.467）和已婚（OR=0.435）是MSM进行HIV自检的阻碍因素。自认为有感染HIV风险（OR=2.069）、6个月无保护肛交（OR=1.633）和HIV习惯性检测（OR=1.837）是MSM进行HIV自检的促进因素。结论铜川市MSM的HIV自检率偏低,HIV自检工作可提升空间较大,应在MSM人群中推广HIV自检,最大限度地发现HIV感染者。

关键词: 男男性行为者, HIV自检, 影响因素

Abstract: Objective To gain insights into the status of HIV self-testing among men who have sex with men （MSM） in Tongchuan City and analyze the associated factors influencing HIV self-testing in this population, aiming to provide a scientific foundation for promoting HIV self-testing among MSM. Methods A cross-sectional survey on HIV self-testing among MSM in Tongchuan City was conducted from March to May 2023 using a ‘snowball’ approach. The survey analysis included general demographic characteristics, high-risk behaviors, and HIV testing practices. Results A total of 447 valid questionnaires were collected, with 264 individuals reporting HIV self-test experience. Among them, 81.8%（216 individuals） purchased self-test reagents through online platforms. Salivary （urine） and blood test reagents were used by 134 （50.8%） and 83 （31.4%） participants, respectively, while a combination of both was utilized by 47 individuals （17.7%）. Out of the remaining 183 respondents who had not undergone HIV self-testing, 102 （55.7%） thought that the results of HIV self-testing were unreliable, and 53 （29.0%） had not considered self-testing. The median age of MSM was 33 （27, 43） years, 105 individuals （23.5%） were in the age ≥40 group, and 304 individuals （68.0%） were unmarried. Approximately 62.0% （277/447） of MSM perceived themselves to be at risk for HIV infection, 72.5% （324/447） had unprotected anal sex within 6 months, and 245 individuals were habitually tested for HIV, which accounted for 54.8%. Multivariate logistic regression analysis showed that the age ≥40 years （OR=0.467） and married （OR=0.435） were deterrents to HIV self-testing among MSM. Self-perceived risk of HIV infection （OR=2.069）, unprotected anal sex within 6 months （OR=1.633）, and habitual HIV testing （OR=1.837） were the facilitators of HIV self-testing among MSM. Conclusions The HIV self-testing rate among MSM in Tongchuan City is relatively low, indicating significant room for improvement in the implementation of HIV self-testing initiatives. Therefore, it is imperative to actively promote HIV self-testing among MSM to effectively enhance the identification of individuals infected with HIV.

Key words: Men who have sex with men, HIV self-testing, Influencing factor

中图分类号:

R512.91

马龙, 邓文升, 赵宇鑫, 巩娟芳. 铜川市男男性行为人群HIV自检情况及其影响因素分析[J]. 华南预防医学, 2023, 49(10): 1243-1247.

MA Long, DENG Wensheng, ZHAO Yuxin, GONG Juanfang. HIV self-testing and its influencing factors among men who have sex with men in Tongchuan City[J]. South China Journal of Preventive Medicine, 2023, 49(10): 1243-1247.

参考文献

[1] Na H.Research progress in the epidemiology of HIV/AIDS in China[J]. China CDC weekly,2021,3(48):1022-1030.
[2] 程晓松,林荣,薛建.2021年烟台市男男性行为者HIV自检试剂使用现状及影响因素分析[J].预防医学情报杂志,2023,39(5):533-539.
[3] 王毅,李六林,樊静,等.男男性行为者HIV检测场所偏好及影响检测原因[J].中国艾滋病性病,2018,24(2):164-169.
[4] 单多,熊燃,肖冬,等. HIV自我快速检测试剂使用现状调查[J]. 中国艾滋病性病, 2021, 27(2): 166-169.
[5] 邱理杨,夏永玲,陈晓蕾,等.丽水市男男性行为者HIV检测行为及影响因素研究[J].中国艾滋病性病,2021,27(8):832-835.
[6] 王敏,张云,谭素敏,等.广西地区男男性行为者HIV自我检测使用的影响因素分析[J].中国艾滋病性病,2022,28(9):1018-1023.
[7] 梁译文,米国栋,任仙龙,等.4省市男男性行为者HIV自检状况及影响因素[J].中国艾滋病性病,2022,28(7):806-809.
[8] 张静瑜,李青青,韩德琳,等.男男性行为人群性角色状况及其与安全套使用和HIV检测的关系[J].中华疾病控制杂志,2013,17(5):400-403.
[9] 鲍燕,沈冰,顾凯侃,等.上海市男男性行为者HIV自检情况及其影响因素[J].中国艾滋病性病,2021,27(7):715-718.
[10] 谢言,魏巍,后永春,等.上海和苏州两地男男性行为者HIV自检行为、检测模式及影响因素研究[J].中华疾病控制杂志,2022,26(4):473-476,482.
[11] Ying L,Guo HW,Rong RL, et al.Facilitators and barriers associated with uptake of hiv self-testing among men who have sex with men in Chongqing, China: A cross-sectional survey[J]. Int J Environ Res Public Health,2020,17(5):1634.
[12] 任仙龙. 北京市男男性行为人群HIV自我检测对求询检测行为及高危性行为的影响[D].北京:中国疾病预防控制中心,2017.
[13] 甘永霞,李浩,杨峥嵘,等.深圳市男男性行为者唾液和血液HIV快速检测比较[J].中国热带医学,2020,20(12):1172-1174.
[14] 张玲,沈贞姬,杨一偲,等. 哈尔滨市2009—2018年男男性行为人群HIV感染状况分析[J].中华流行病学杂志,2021,42(3):538-543.
[15] 夏春雨,卢永红,黎桂福,等.参加暴露前预防的男男性行为者HIV自检试剂使用现状及影响因素分析[J].中华流行病学杂志,2021,27(2):166-169.
[16] 庾泳,蔡慧玲,李辉,等.济南市未婚育的HIV阳性男男性行为者的婚育意愿及影响因素[J].中国艾滋病性病,2022,28(9):1024-1029.
[17] 尚小絮,绳宇.男男性行为人群HIV自我检测研究进展[J].中国公共卫生,2021,37(8):1301-1304.
[18] 王毅,李六林,周万明,等.年轻男男性行为者互联网不同寻找性伴平台及关联因素[J].中国公共卫生,2019,35(11):1486-1491.
[19] 何伶俐,门娅玲,赵春蓉,等.成都市男男性行为者HIV检测意愿的影响因素分析[J].中国热带医学,2021,21(10):1001-1006.
[20] Vashisht S, Jha S, Thakur N, et al.Comparing the effects of HIV self-testing to standard HIV testing for key populations:A systematic review and meta-analysis[J].Cureus,2022,14(8):e28157.
[21] 韩孟杰,金聪,李敬云,等.扩大艾滋病检测促进早检测专家共识[J].中国艾滋病性病,2021,27(11):1202-1206.