杭州市和台州市MSM的HIV快速检测需求及其影响因素

Demand of rapid HIV detection and its influencing factors among men having sex with men

目的了解男男性行为者(MSM)接受艾滋病病毒(HIV)快速检测服务的需求,探索该人群接受HIV快速检测服务意愿的影响因素,为进一步开展干预提供理论依据。方法采用方便抽样方法,在酒吧、浴池、VCT门诊和网络招募MSM,并开展面对面问卷调查,采用EpiData 3.0进行数据录入,SPSS 19.0进行卡方单因素分析和Logistic回归多因素分析。结果 2013年6-10月,在浙江省杭州市和台州市共调查455名MSM,其中309人愿意接受HIV快速检测,占67.9%。多因素结果显示,来源于VCT门诊的MSM不接受HIV快速检的危险性是来源于酒吧MSM的3.229倍[比值比(OR)=3.229,95%可信区间(CI):1.508~6.912];不是每次正确使用安全套者、不接受实名制者不接受HIV快速检测的危险性,是每次正确使用安全套者、接受实名制者的2.317倍、1.688倍(95%CI:1.072~5.009,1.074~2.654)。最近一年有商业同性性行为是不愿意接受HIV快速检测的独立危险因素(OR=2.097,95%CI:1.068-4.119)。结论 VCT人群更愿意接受HIV快速检测,有商业性行为和不用安全套的MSM是检测工作的重点目标,要进一步提高保密工作的宣传力度,进一步提高HIV快速检测需求。

Objective To analyze the data of HIV rapid test demand among men having sex with men （MSM）, to promote the awareness of HIV rapid test among MSM, and to improve the capacity of HIV rapid test services. Methods Data from two cities （ Hangzhou and Taizhou） in Zhejiang province was collected and analyzed by Chisquare univariate analysis and logistic regression methods by using 17.0 SPSS software. Results Among 455 MSM interviewed in the survey, 309 were willing to accept HIV rapid test, accounting for 67.9%. MSM from VCT, condom use, non commercial homosexual behaviors and real name service were factors associated to demand of HIV rapid test among MSM. Improvement of the high-risk behavior intervention and HIV rapid testing education, condom-use promotion, and privacy protection of HIV test result were also factors influencing the demands of HIV rapid tests. Conclusion MSM who usually accept VCT services will be most likely to uptake HIV rapid testing. MSM with commercial sexual behavior without condom use should be our focus groups in HIV/AIDS intervention. Safe sex should be advocated among MSM by using condom and rapid HIV tests should be promoted among MSM.