深圳市MSM利用自愿咨询检测服务的影响因素

Factors associated with voluntary counseling and testing among men who have sex with men in Shenzhen

目的了解深圳市男男性行为人群(MSM)自愿咨询检测(VCT)的情况及其影响因素。方法对2005-2011年深圳市MSM接受VCT服务等的资料,进行Cochran-Armitage趋势检验和Logistic回归分析。结果 2005-2011年,共有5 232名MSM接受VCT服务,338人(6.46%)确认感染艾滋病病毒(HIV),1 097人(20.97%)确认感染梅毒,既往VCT接受率呈逐年增加趋势(z=-15.479 8,P<0.000 1)。单因素和多因素分析结果均显示,年龄≥30岁、大专及以上文化程度、曾经献血、性取向为同性恋及双性恋、梅毒感染阳性,是MSM既往接受VCT服务的促进因素;职业为待业/无业、工人和学生,是既往接受VCT服务的阻碍因素。结论应有针对性地对MSM进行VCT宣传教育,并充分发挥性病门诊在该人群VCT服务中的作用。

Objective To investigate the status and factors associated with voluntary counseling and testing （VCT） among men who have sex with men （MSM） in Shenzhen. Methods VCT service data of MSM in Shenzhen from 2005 to 2011 was collected and analyzed by Cochran-Armitage trend test and logistic regression. Results A total of 5 232 MSMs received VCT service from 2005 to 2011, among whom 338（6.46%） were confirmed human immunodeficiency virus（HIV） positive and 1 097（20.97%） were syphilis positive. The rate of receiving VCT serv- ice showed a statistically significant increase year after year （z=-15. 479 8,P〈0. 000 1）. The results of both uni- variate and multivariate logistic regression analysis showed that age over 30 years, college or above education level, history of donating blood, homosexual or bisexual orientation and confirmed syphilis positive were the contributing factors of receiving VCT service, and jobless or jobseekers, workers and students were the obstacle factors of re- ceiving VCT service. Conclusion Targeted VCT service should be provided to MSM and sexually transmitted disea- ses （STD） clinic should play a full role of providing VCT service to MSM at the same time.