成都高校男男性行为学生参加HIV检测影响因素分析

Analysis of influencing factors of HIV test among university MSM students in Chengdu

目的了解成都高校学生男男性行为者(MSM)HIV检测率及影响因素,为高校制定艾滋病健康教育策略提供指导依据。方法 2016年7—12月,采用同伴推动抽样方法(RDS法),在成都市高校招募并一对一问卷调查MSM学生254名。对定性资料进行描述性分析,对影响因素进行单因素分析及非条件Logistic回归分析。结果成都高校学生男男性行为者最近1年HIV检测率为35.4%(90/254),65.4%(166/254)具有明确的HIV检测意愿,37.8%(96/254)知晓HIV检测知识及价值。61.4%(156/254)愿意选择HIV检测机构进行检测,19.7%(50/254)倾向自我检测。最近1月高危性行为发生率为15.0%(38/254),82.3%(209/254)具有较强的风险意识。非条件Logistic回归分析显示,风险意识、最近1月有无高危性行为发生、检测意愿、周围人有无做过检测、寻找性伴侣的主要途径、是否知晓成都同志酒吧为HIV检测的影响因素。结论成都高校学生MSM检测率较低。建议针对影响因素,有重点地加强行为干预,动员MSM学生参加检测,扩大HIV检测覆盖面。

Objective To understand the HIV detection rate and its influencing factors among university MSM students in Chengdu,and to provide a guidance for the establishment of health education strategies of AIDS prevention in universities.Methods Respondent-driven sampling（RDS） was involved in this study during July to December in 2016.One-to-one questionnaire survey was conducted among 254 university MSM students in Chengdu.Descriptive analysis was for qualitative data while single factor analysis and unconditional Logistic regression analysis were carried out on the influencing factors.Results The HIV detection rate was35.4%（90/254） in the latest one year,in which 65.4%（166/254） of them had a clear HIV test willingness,and 37.8%（96/254） were aware of the knowledge and value of HIV test.Among them,61.4%（156/254） were willing to select HIV test institutions and 19.7%（50/254） tended to self-test.In the latest month,the rate of high-risk sexual behavior was 15%（38/254）,and 82.3%（209/254） of them had a strong risk consciousness.With non-conditional Logistic regression analysis,variables which included the sense of risk,having high-risk sexual behavior in the latest month,test willingness,whether the people around having tested,main approach of looking for sexual partners and knowing Chengdu gay bar finally entered the model.Conclusion The HIV detection rate of Chengdu university MSM students is low,suggesting that the influencing factors should be targeted,behavior intervention be strengthened,MSM students be motivated to participate in test,and the coverage of HIV test should be expanded to prevent the AIDS epidemic worsening.