男男性行为者HIV自愿咨询检测需求与利用

Demand and use of VCT service among MSM

目的了解男男性接触者(MSM)者艾滋病自愿咨询检测(VCT)服务需求及其利用状况,分析VCT服务利用的影响因素。方法采用应答驱动抽样、关键知情人介绍及在MSM活动的网站上发布广告的方法招募研究对象,通过匿名方式进行面对面问卷调查。结果接受VCT服务的报告率为10.2%,既往HIV检测报告率为24.5%;有31.0%的人不知道VCT服务。同性恋性取向、有亲密朋友、认为自己有可能感染HIV、有同性肛交高危性行为、同性肛交性伴数4个以上者,VCT服务利用率分别为13.5%,12.2%,13.9%,14.5%和16.7%。去公共浴池的MSM接受VCT服务率为4.2%。HIV阳性者无一人接受过VCT服务,梅毒螺旋体现感染者和既往感染者的VCT服务利用率分别为12.5%和12.9%。结论改善MSM对VCT服务信息和服务方式的可及性,提高HIV感染危险意识以促进MSM人群对VCT服务的利用,控制艾滋病性病的传播。

Objective To determine the demand and use of VCT services among men who have sex with men （MSM） and the related factors of VCT use. Methods 228 eligible MSM were recruited to participate in the study by respond driven sampling （RDS） and the key-informative persons and internet advertising in Hefei, Anhui province. The participants were interviewed with anonymous questionnaire by face to face. Results The rate of self-report of VCT use was 10.2 % and the rate of HIV testing in the past was 24.5 %. There were 31.0 % MSM even did not know VCT service at all. The rate of self-report of VCT use in those who had homosexual sex orientation, close friends, awareness of HIV infection, high risk and sexual behavoir, more than 4 sexual partners were 13.5 %, 12.2 %, 13.9 %, 14.5 % and 16.7 %, respectively. 4.2 % MSM who frequently presented in public bath reported VCT use. None of MSM with HIV infection took use of VCT service. MSM with syphilis infection currently and in the past reported VCT use were 12.5% and 12.9% .Conclusion To prevent and control STDs and HIV epidemic, the accessibility to VCT information and service should be improved as well as enhanced, the awareness of HIV infection to increase the demand and use of VCT among MSM.