鞍山市HIV自愿咨询检测利用现状及影响因素

Utilization of voluntary HIV counseling and testing and its influencing factors among higk risk populations in Anshan city

目的了解辽宁省鞍山市部分高危人群艾滋病自愿咨询检测（VCT）利用现状及影响因素。方法 2009年8月对女性性工作者（FSW）、男男性行为者（MSM）、流动人口3类人群共321人进行面对面问卷调查。结果调查对象在VCT点进行过咨询的占64.8%,进行过人类免疫缺陷病毒（HIV）检测的占64.2%;MSM进行过咨询和检测的比例最高,分别为77.6%、93.3%,FSW进行过咨询的比例最低,为56.3%,流动人口进行过检测的比例最低,为44.1%;多因素分析显示,认为咨询检测地点方便（OR=2.481,95%CI=1.289~4.773）、MSM人群（OR=2.393,95%CI=1.101~5.202）与咨询的利用相关;认为咨询检测应该保密（OR=0.233,95%CI=0.101~0.535）、男性（OR=3.580,95%CI=1.102~11.627）及MSM人群（OR=35.322,95%CI=6.000~207.945）与检测的利用相关。结论鞍山市高危人群对艾滋病咨询和HIV检测的利用程度较高,VCT点的可及性和保密程度影响高危人群对自愿咨询检测的利用。

Objective To explore the utilization of voluntary HIV counseling and testing（VCT） among high risk populations in Anshan,Liaoning province and to find factors influencing the utilization of VCT.Methods A cross-sectional study was conducted in August,2009.Totally 321 female sex workers（FSW）,men who have sex with men（MSM）,and migrant workers were interviewed with a structured questionnaire.Results The proportions of participants who ever sought HIV counseling and testing were 64.8% and 64.2%,respectively.The proportions of MSM who sought counseling and testing was the highest among the three populations（77.6% and 93.3%,respectively）.Only 56.3% of FSW ever sought counseling and 44.1% of migrant workers took HIV testing.Multivariate analyses showed that the convenience of VCT clinic（odds ratio=2.481,95% confidence interval：1.289-4.773） and being MSM（OR=2.393,95%CI：1.101-5.202） were related to the use of counseling;the confidentiality of VCT（OR=0.233,95%CI=0.101-0.535）,being male（OR=3.580,95%CI=1.102-11.627） and MSM（OR=35.322,95%CI=6.000-207.945） were related to the use of HIV testing.Conclusion Proportion of high risk population utilizing VCT is high in Anshan city.Accessibility and confidentiality of VCT influence the utilization of VCT among high risk populations.