男性性病门诊就诊者接受性病艾滋病检测短信提醒服务的意愿及影响因素调查

Willingness on accepting the short-message-service and factors related to HIV/STD testing among male STD clinic clients

目的 了解男性性病门诊就诊者对短信提醒服务的接受意愿及其影响因素,为实施短信提醒干预措施提供参考.方法 采用方便抽样的方法,选取在无锡市疾病预防控制中心性病门诊就诊的男性就诊者为调查对象,开展匿名问卷调查.结果 共调查368人,其中75.5％的人愿意接受短信提醒服务,定期提醒其检测HIV/STD.57.2％的人愿意每3个月接受一次短信提醒,38.1％的人愿意每6个月接受一次短信提醒.53.8％的人愿意将此项服务推荐给有需要的性伴侣,44.8％的人愿意将此项服务推荐给有需要的朋友.多因素logistic回归分析显示：高中及以上文化程度（aOR=3.632,95％ CI：1.939 ～ 6.715）、曾发生过男男性行为（aOR=1.973,95％CI：1.234～8.358）、过去1年中接受过艾滋病相关服务（OR=9.416,95％CI：4.822 ～ 18.309）的男性性病门诊就诊者更愿意接受短信提醒服务.结论 短信提醒服务在男性性病门诊就诊者中具有一定的可接受性,未来在性病门诊实施短信提醒干预措施具有可行性.同时,在为性病门诊就诊者提供常规的干预服务时应加强短信提醒服务的宣传和解释,以提高就诊者对短信提醒服务的接受率.

Objective To understand the willingness on acceptance of a short-message-service （SMS） program provided for HIV/STD testing and the related factors,among male clients at the STD clinics in China.Methods Convenience sampling method was used to select study subjectsat a STD clinic in Wuxi,Jiangsu province.A questionnaire survey was conducted among the subjects to collect the information on socio-demographic characteristics and willingness of acceptance to the SMS.Results A total of 368 SMS subjects were surveyed,in which 75.5% expressed the willingness of acceptance,while 57.2% and 38.1% of them wanted to receive the short message every 3 months or 6 months,respectively.53.8% of the respondents showed their willingness to share the news with their sexual partners about SMS and 44.8% of them would do the same to their friends.Data from the Multivariate logistic regression analysis showed that those who had received senior high school or above education （aOR =3.632,95%CI：1.939-6.715）,having homosexual behavior （aOR =1.973,95% CI：1.234-8.358） or those having received AIDS related intervention service in the past year （aOR=9.416,95%CI：4.822-18.309） were more likely to accept the SMS.Conclusion SMS seemed to be acceptable among the male STD clinic clients in Wuxi,suggesting that it is feasible to conduct the SMS as a strategy to improve the HIV/STDs testing program at the STD clinics in the future.Promotion of SMS should be strengthened and the provision of general AIDS intervention service at the STD clinics should be established in order to make more STD clinic clients understand this SMS.