“互联网+”的学生艾滋病自检服务模式效果初探

Effect of "Internet plus" based HIV self-testing services for students

目的总结分析"互联网+"学生艾滋病自检模式的运行情况,了解学生使用自检服务的影响因素,为完善和推广服务模式提供参考依据。方法收集分析模式运行期间相关数据,采用横断面调查学生自检服务模式利用情况,影响因素采用Logistic回归进行单因素和多因素分析。结果自服务模式运行以来,共1 136人1 481人次自填了风险评估问卷,其中934人1 165人次评估结果判断为有感染风险。有感染风险者中,有180人(19.3%)221人次(19.0%)申领了自检试剂,检出阳性1例。有感染风险学生中,性伴数多于2个以上、有过同性肛交性行为、滥用毒品和自述感染过性病的分别是51.9%、61.5%、14.1%和6.6%,既往HIV检测率和坚持安全套使用率低均<40%。模式试行期间,170名学生接受了服务模式利用影响调查,当中30.6%申领了试剂;多因素Logistic回归分析结果显示,医学类专业[比值比(OR)=3.15,95%可信区间(CI):1.38~7.17]、艾滋病相关知识总体知晓(OR=4.84,95%CI:1.02~22.88)和从同学/朋友告知知道自检服务(OR=2.72,95%CI:1.28~5.77)的学生自检服务使用率更高。结论 "互联网+"学生艾滋病自检模式对扩大学生检测有促进作用,可作为对传统艾滋病咨询检测的有效补充。

Objective To summarize and analyze the effect of "Internet plus" based HIV self-testing services for students, and to understand the influencing factors, so as to provide reference for improvement and promotion of the service model. Methods Since the services started, the relevant data were collected, and a cross-section study was conducted to know the use and operation of the model. The univariable and multivariable logistic regression methods were used for the analysis of the influencing factors. Results There was a total of 1 136 students who filled in the questionnaire, of which 934 thought they had HIV infection risk. Among those at risk, 180(19.3%) students applied for self-testing reagents and one was detected as HIV positive. Out of 180 students at risk, those with more than two sexual partners, homosexual anal sex, drug abuse and self-reported STD infection were 51.9%, 61.7%, 14.1% and 6.6%, respectively. Moreover, the rates of previous HIV detection and consistent condom use were both lower than 40%. 170 students were surveyed on the impact of service model, of which 30.6% applied for reagents. Multivariable logistic regression analysis showed that students with major in medicine(OR =3.15, 95% CI : 1.38-7.17), awareness of HIV/AIDS-related knowledge(OR =4.84, 95% CI : 1.02-22.88) and that of self-testing services informed from classmates or friends(OR =2.72, 95% CI : 1.28-5.77) had higher rate of using self-testing services. Conclusion The "Internet plus" based HIV self-testing service model has a positive effect on HIV testing expansion and can be used as an effective tool to support HIV counseling and testing.