北京市男男性行为者HIV唾液快检支付意愿调查

Willingness to pay for oral fluid HIV rapid test among men who have sex with men in Beijing

目的 了解北京市男男性行为者（MSM）对人类免疫缺陷病毒（HIV）唾液快速检测支付意愿情况。方法 采用横断面调查方法，在北京京城皮肤病医院的自愿咨询检测（VCT）门诊招募262名MSM进行问卷调查及HIV、梅毒抗体检测。结果 262名MSM HIV唾液快速检测支付意愿在0-9、10-29、30-49、50-99、100-149元、≥150元的人数分别为53人（20.2%）、48人（18.4%）、16人（6.1%）、64人（24.5%）、57人（21.8%）、24人（9.2%）。多因素logistic回归分析结果显示，在本地居住时间〉3年（OR=3.08；95%CI=1.33-7.16），近6个月男性性伴数〉2人（OR=1.75；95%CI=1.12-2.74），曾经参加过付费的HIV检测（OR=2.24；95%CI=1.36-3.69）与相信唾液快速检测结果（OR=1.61；95%CI=1.02-2.54）的MSM对HIV唾液快速检测更愿意支付较高的价格。当唾液快检的价格由150元降为100、50、30元时的弹性系数分别为2.71、1.43和1.11。结论 北京市MSM愿意支付HIV唾液快速检测的费用和价格富有弹性，可通过降低价格来扩大MSM使用HIV唾液快速检测。

Objective To explore the willingness and the price to pay for oral fluid HIV rapid test among men who have sex with men（MSM） in Beijing.Methods A cross-sectional study was conducted in Beijing Jingcheng Skin Disease Hospital.The data were collected with a self-administered questionnaire.All participants took human immunodeficiency virus（HIV） and syphilis test.Results A total of 262 MSM were recruited.The ratio of the participants who were willing to pay for the oral fluid test at the price of 0-9,10-29,30-49,50-99,100-149,and ≥150 RMB yuan were 20.2%,18.4%,6.1%,24.5%,21.8%,9.2%,respectively.Multiple logistic analysis identified that living in Beijing more than 3 years（odds ratio[OR]=3.08,95% confidence interval [95% CI]=1.33-7.16）,with more than one male sexual partner in the past 6 months（OR=1.75,95%CI=1.12-2.74）,history of paying for an HIV test（OR=2.24,95%CI=1.36-3.69）,and trusts in accuracy of the oral fluid HIV rapid test（OR=1.61,95%CI=1.02-2.54）were associated with a higher price to be paid.When the price decreased from 150 yuan to 100,50,and 30 yuan,the flexibility coefficient of the price was 2.71,1.43,and 1.11,respectively.Conclusion There is a flexibility for the price to be paid for the oral fluid HIV rapid test,and thus decreasing the price could play an important role in improving HIV testing rate.