男男性行为者HIV自检意愿及影响因素的网络调查结果分析

Network survey results of willingness and influencing factors of HIV self-test among men who have sex with men

目的了解男男性行为者(MSM)性行为、HIV自检意愿及影响因素、HIV自检试剂使用情况。方法2016年5月至2017年2月通过QQ群、微信群、Blued等发布调查信息,采用QQ直接调查及问卷星自填问卷的方式调查MSM的性行为、HIV自检意愿。结果 385名MSM中,4.94%(19/385)的调查对象报告感染HIV;334名MSM愿意使用HIV自检试剂检测,自检试剂使用受文化程度(χ~2=7.98,P=0.046)、与女性性伴数量(χ~2=41.63,P=0.000)、与Money Boy(MB)性伴数量(χ~2=7.33,P=0.03)等因素影响。47.01%(181/385)从未进行过HIV检测;11.16%的MSM最近3个月和同性性伴发生肛交时从不使用安全套,18.18%(70/385)的MSM最近3个月与女性发生过性行为,其中48.57%未使用安全套。结论积极推广HIV快速自检、加强医院VCT门诊服务建设,以满足MSM对HIV检测服务的需求,同时加大艾滋病防治知识健康教育宣传力度,提高知晓率及检测知识,从而扩大MSM人群HIV检测的覆盖面。

Objective To understand the sexual behavior,HIV self-test intention and its influencing factors,and HIV self test reagent usage among the men who had sex with men（MSM）.Methods From May 2016 to February 2017,QQ group,We Chat group and Blued were released to investigate information.QQ＇s direct investigation and Wenjuanxing self-test questionnaire were used to investigate MSM＇s sexual behavior and HIV self-test intention.Results Of the 385 MSM,4.94%（19/385） subjects reported HIV infection.334 MSM were willing to use self-test reagents for HIV testing.The use of self-test reagents was influenced by educational level（χ^2=7.98,P=0.046）,number of female partners（χ^2=41.63,P=0.000） and number of sexual partners with Money Boy（MB）（χ^2=7.33,P=0.03）（These analyses were not involved in the text）.47.01%（181/385） had never been detected by HIV,11.16% of MSM had never used condoms in the last 3 months and homosexual partners,and 18.18%（70/385） of MSM had sex with women in the last 3 months,of which 48.57% did not use condoms.Conclusion We should actively promote the rapid self-examination of HIV and strengthen the construction of VCT outpatient service in hospital so as to meet the needs of MSM for HIV detection service.At the same time,we should strengthen the propaganda of HIV prevention and health education,and improve the awareness rate and testing knowledge,for expanding the coverage of HIV testing among MSM population.