浙江省男男性行为者HIV自我检测现况及相关因素分析
The characteristics of HIV self-testing and its related factors among men who have sex with men in Zhejiang Province
陈婉君 1何林 1陈琳 1姜婷婷 1陈卫永 1郑锦雷 1王憓 1柴程良1
作者信息
- 1. 浙江省疾病预防控制中心艾滋病与性病预防控制所,杭州 310051
- 折叠
摘要
目的 了解MSM HIV自我检测现况及相关因素,为扩大MSM HIV自我检测提供科学依据.方法 采用横断面调查方法,于2022年4月至2023年10月,采用滚雪球抽样方法招募MSM开展问卷调查,调查内容包括一般人口学资料、性行为特征、HIV检测行为特征等内容.采用多因素Logistics回归模型对最近一年HIV自我检测的相关因素进行分析.结果 共招募806名MSM,平均年龄(35.1±10.1)岁,25～39岁占51.2％,本省户籍占62.0％,最近3个月通过互联网寻找性伴占90.3％.最近一年MSM做过HIV自我检测比例为42.7％(344/806).Logistic回归模型多因素分析显示大专及以上(aOR=2.21,95％CI:1.41～3.48),性角色为"仅插入方"(aOR=1.97,95％CI:1.30～2.99),HIV 相关知识全部知晓(aOR=2.29,95％CI:1.65～3.18),最近 3个月通过互联网交友(aOR=2.84,95％CI:1.40～5.75),既往在医疗机构做过HIV检测(aOR=2.04,95％CI:1.46～2.84)的MSM最近一年进行HIV自我检测的比例更高.结论 浙江省MSM HIV自我检测比例为42.7％,建议探索利用互联网平台尤其是MSM交友软件开展HIV相关知识的宣传教育,重点对低文化水平MSM开展HIV检测知识的宣传教育,倡导促进MSM高危行为后进行HIV自我检测.
Abstract
Objective To understand the current status of self-testing for HIV among men who have sex with men(MSM)and its associated factors,in order to provide scientific evidence for expanding HIV self-testing among MSM.Methods A cross-sectional survey was conducted from April 2022 to October 2023.MSM were recruited using a snowball sampling method,and a questionnaire survey was conducted,which included general demographic information,sexual behavior characteristics,and HIV testing behavior characteristics.Multivariable logistic regression models were used to analyze the factors associated with recent self-testing for HIV among MSM.Results A total of 806 MSM with a mean age of(35.1±10.1)years were recruited.The age group of 25-39 years accounted for 51.2％,and those with local household registration accounted for 62.0％.In the last three months,90.3％of MSM had sought sexual partners through the Internet.The proportion of MSM who had performed self-testing for HIV in the last year was 42.7％(344/806).Multivariable logistic regression model revealed that MSM with a college degree or above(aOR=2.21,95％CI:1.41-3.48),those who identified as"insertive only"in their sexual role(aOR=1.97,95％CI:1.30-2.99),those with thorough awareness of knowledge HIV(aOR=2.29,95％CI:1.65-3.18),those who had used the internet for dating in the past three months(aOR=2.84,95％CI:1.40-5.75),and those who had previously been tested for HIV in medical institutions(aOR=2.04,95％CI:1.46-2.84)were more likely to have performed self-testing for HIV in the last year.Conclusions The proportion of MSM self-testing for HIV in Zhejiang Province is relatively low.It is recommended to explore the use of internet platforms,especially MSM dating APPs,for HIV-related knowledge promotion and education.Special attention should be given to MSM with lower education levels in HIV testing knowledge promotion and education.Self-testing for HIV among MSM after engaging in high-risk behaviors should be advocated.
关键词
男男性行为者/艾滋病病毒/自我检测Key words
HIV/men who have sex with men(MSM)/self-testing引用本文复制引用
基金项目
浙江省卫生健康科技计划项目(2021KY623)
浙江省卫生健康科技计划项目(2022KY724)
浙江省青少年和青少年工作研究课题(ZQ2024033)
杭州市卫生科技计划项目(A20220422)
出版年
2024
NETL
NSTL
万方数据