杭州市同性恋浴池MSM人群既往HIV检测行为相关因素分析

Previous HIV testing behavior and related factors in men who have sex with men in gay bathroom in Hangzhou, Zhejiang province

目的 了解杭州市同性恋浴池MSM人群HIV既往检测行为的相关影响因素.方法 2015年10月至2016年1月,在杭州市同性恋浴池开展时间-场所抽样调查,招募最近6个月与同性发生口交或肛交性行为的同性恋浴池MSM,主要收集最近6个月HIV检测行为及相关信息.运用SPSS 22.0软件分析HIV最近6个月HIV检测行为、性行为和安全套使用情况等相关因素,数据分析采用χ^2检验、logistic回归法分别进行单因素和多因素分析.结果 共招募480人,实际调查465名MSM.最近6个月接受HIV检测的比例为47.3%（220/465）.多因素logistic分析结果表明,已婚（OR=0.35,95%CI：0.18-0.69）,接受同伴教育（OR=4.31,95%CI：1.32-14.09）,最近6个月有同性肛交性行为（OR=1.85,95%CI：1.08-3.14）,最近6个月有非婚异性性行为（OR=4.12,95%CI：2.45-6.91）可能是促进检测的相关因素.结论 已婚、最近6个月发生过同性肛交性行为、非婚异性性行为、接受过同伴教育可能是促进浴池MSM人群进行检测的相关因素.因此,需加强对浴池MSM的同伴教育,提高其高危行为后的检测意识,促进其进行检测.

Objective To understand the related factors on previous HIV testing behavior among MSM who visit gay bathroom in Hangzhou, Zhejiang province. Methods Through time-location sampling （TLS） survey, men who had oral sex or anal sex with men in past 6 months were interviewed in the gay bathroom in Hangzhou from October 2015 to January 2016. Software SPSS 22.0 was used to analyze the HIV testing acceptance, sexual behaviors and condom usage of MSM during past 6 months, and χ2 test and logistic regression model were used for univariate and multivariate analyses. Results Our study planned to recruit 480 gay bathroom MSM, due to the unwilling or other factors, 465 MSM were surveyed. A total of 47.3%（220/465） gay bathroom MSM received HIV testing during past 6 months. Multivariate analysis indicated that being married （OR=0.35, 95%CI：0.18-0.69）, peer education （OR=4.31, 95%CI：1.32-14.09）, homosexual behavior during past 6 months （OR=1.85, 95%CI： 1.08-3.14）, extramarital heterosexual behavior during past 6 months （OR=4.12, 95%CI： 2.45-6.91） might be positive factors related with HIV testing acceptation in MSM. Conclusion Being married, homosexual behavior during past 6 months, extramarital heterosexual behavior, partner education might be the positive factors related with acceptance of HIV testing among gay bathroom MSM. Therefore, peer education needs to be strengthened. HIV testing after high risk sexual behavior needs to be promoted in MSM.