男男性行为者接受艾滋病自愿咨询检测服务

Analysis on the utilization of VCT services among MSM with different characteristics

目的对武汉市不同特征男男性行为者（MSM）接受艾滋病自愿咨询检测（VCT）的状况进行分析，为开展艾滋病防治工作提供依据。方法对2012年期间在武汉馨缘工作组参与VCT服务的MSM进行问卷调查，了解其社会人口学特征、高危性行为状况和VCT利用状况。结果共检测5832名MSM，HIV感染率3．91％，其中3479名MSM接受了问卷调查，有474名MSM曾接受过VCT服务，占13．62％，其余3005名MSM均为首次检测（86．38％），18～35岁、现居住地在武汉市、文化水平为大学及以上、有正式职业、与男性同居或离婚或丧偶、主要活动场所为互联网以及安全套使用状况较差的MSM寻求VCT服务的比例较大。结论武汉市MSM人群既往VCT覆盖率较低，不同特征MSM对VCT服务的利用状况存在差异，相比以卫生部门主导的VCT门诊，民间组织因其自身特征在推动MSM人群HIV检测上有独特优势。

Objective To analyze the utilization of AIDS voluntary counseling and testing services （VCT） among men having sex with men （MSM） with different characteristics in Wuhan, and provide advice for AIDS prevention and control. Methods Questionnaire survey was conducted among MSM receiving ~CT services in Wuhan Xin Yuan working group to collect information on their demographics,behavior and utilization of VTC. Results A total of 5832 MSM were tested for HIV,the prevalence of HIV infection was 3.91%. Of 3579 MSM cases receiving questionnaires ,474 had HIV test in the past,accounted for 13. 62% ,the rest （3005 MSM,86. 38%） were detected with HIV infection for the first time. There age was from 18 to 35 years old ,living in Wuhan, being university level and above, having a formal profession, cohabiting with male,or divorced, or widowed. Those whose sex-seeking information was mostly through internet contact, and with poor- condom use,were more likely to seek VCT services. Conclusion The coverage rate of VCT service among MSM in Wuhan was low,it was different in the utilization of VCT service among MSM with different characteristics. Comparing with general health institutions, non-governmental organizations had a unique advantage and played a more important role in improving VCT service.