男男性行为者定期艾滋病VCT行为及影响因素研究

Study on regular AIDS voluntary counseling and testing behavior and influencing factors among MSM

目的了解男男性行为者(MSM)定期艾滋病自愿咨询检测(VCT)行为及影响因素,为开展MSM的定期艾滋病VCT、MSM感染艾滋病病毒早发现的促进工作提供建议。方法 2016年2-8月,在上海某区VCT门诊连续招募咨询原因为"发生男男性行为"的对象。知情同意后,调查对象在单独空间完成自填式的调查问卷(涵括基本社会人口学特征、VCT行为、性行为、接受艾滋病干预及性向等内容)。结果共227名MSM参与问卷调查,中位数年龄为27岁,文化程度在高中及以上的占89.4%,79.7%为未婚。首次男男性行为中位数年龄21岁,近一年男性性伴中位数人数为2人(0~25人)。35.2%(80名)MSM认为"自己不是纯粹的同性性向";98名MSM曾有VCT经历(除此次),中位数次数为2次(1~8次);33.0%的对象在近一年内曾有艾滋病VCT经历。控制其他因素后,曾在VCT门诊接受过艾滋病相关知识[比值比(OR)=2.898]、曾被诊断过性病(OR=2.417)、调查前3个月与固定男友或其他男性有过性行为(OR=1.815)的对象,更可能会定期进行艾滋病VCT。结论重视并积极回应MSM在VCT过程中的咨询内容,主动传播艾滋病防控知识,推动MSM的性病诊疗工作,对促进该人群的定期VCT有积极作用。

Objective To explore HIV voluntary counseling and testing（VCT） behavior and influencing factors among men who have sex with men（MSM） and provide the reference for promotion of their regular VCT behavior and early HIV detection. Methods During February to August, 2016, a continuous recruitment was conducted among the male clients who visited the VCT clinic because of their homosexual behavior. The clients were required to finish the self-administered questionnaire so as to know their social demographic characteristics, VCT experience, sexual behavior, history of HIV intervention, and sexual orientation after informed consent. Results There was 227 VCT clients whose median age was 27 years. 89.4 M of them had education of high school, technical secondary school or above, and 79.7% were unmarried. The median age of the MSM who had their first homosexual behavior was 2t years old and the median of the male sexual partners in the past year was 2, ranged from 0 to 25. 35.20% didn＇t think himself as homosexual orientation. 98 clients had ever visited VCT clinic excluding this time and the median time of the visits was 2 （1-8 times）, 33. 0% had visited VCT clinic and receiving HIV testing in the past year. The factors to make MSM more likely to visit VCT clinics regularly ineluded HIV/AIDS related knowledge from VCT services （OR = 2. 898） they once got, STD diagnosis （OR = 2.417 ）, and their sex with boyfriends or other men they had in the past 3 months （OR= 1. 815）. Conclusion VCT services should ac-tively respond to AIDS related problems of the clients, spread AIDS-related knowledge of prevention and control, and promote STD medical services among MSM, which will surely attract MSM to visit VCT clinics regularly.