石家庄市男男性行为人群对同伴推动HIV检测策略的接受意愿分析

Willingness on acceptance of peer-referral strategies for promoting HIV testing in men who have sex with men in Shijiazhuang

目的了解石家庄市MSM对同伴推动HIV检测策略的接受意愿及其相关因素。方法2018年8-9月通过石家庄市MSM社会组织协助,分享线上问卷二维码,采用方便抽样方式招募544名MSM作为调查对象,登录“金数据企业版”(https://im.jinshuju.com/users/sign_in)进行线上匿名调查。调查内容包括社会人口学、行为学、HIV检测相关态度、同伴推动HIV检测策略的接受意愿等信息。采用χ2检验分析社会人口学特征,采用logistic回归模型分析MSM同伴推动HIV检测策略的接受意愿的相关因素。采用SAS 9.4软件进行统计学分析。结果521名调查对象中,建议同伴接受HIV检测的意愿占59.50%(310/521),接受同伴建议HIV检测的意愿占90.02%(469/521)。多因素logistic回归模型分析结果显示,HIV检测频次分别为每年1次(aOR=2.72,95%CI:1.42~5.20)、每半年1次(aOR=5.72,95%CI:2.97~11.02)与每个季度≥1次(aOR=8.76,95%CI:4.56~16.83)、发生性行为前询问对方HIV感染状态(aOR=1.94,95%CI:1.15~3.28)和STD史(aOR=1.83,95%CI:1.06~3.14)是建议同伴接受HIV检测的意愿的正相关因素;与同伴讨论HIV检测相关问题(aOR=4.43,95%CI:1.87~10.54)、认为向同伴提出HIV检测建议会影响双方感情(aOR=0.35,95%CI:0.15~0.82)分别是接受同伴建议HIV检测意愿的正相关、负相关因素。结论提高MSM主动建议同伴接受HIV检测的意愿,增强自我保护意识和双方平等交流及沟通的技巧,是MSM同伴推动HIV检测策略成功的关键。

Objective To understand the willingness to accept peer-referral strategies for promoting HIV testing and related factors in men who have sex with men(MSM)in Shijiazhuang.Methods A total of 544 MSM were recruited using convenient sampling and sharing two-dimensional code of online questionnaire througth MSM social organizations in Shijiazhuang from August to September in 2018.The anonymous online survey were taken by login through the website"jinshuju.com"(https://im.jinshuju.com/users/sign_in).The information collected included:the demographic and behavioral characteristics,the attitude to HIV testing for partners,and the willingness to accept peer-referral strategies for promoting HIV testing.The socio-demographic characteristics were analyzed byχ2 test.Univariate and multivariate logistic regression analyses were conducted to identify the related factors associated with willingness.The SAS 9.4 software was used for statistical analysis.Results A total of 521 MSM completed the survey.Among them 59.50%(310/521)were willing to advise their partners to receive HIV testing,and 90.02%(469/521)were willing to accept the partners'advice of HIV testing.Higher HIV testing frequency for once a year(aOR=2.72,95%CI:1.42-5.20);for once a half year(aOR=5.72,95%CI:2.97-11.02);for≥1 time a quarter(aOR=8.76,95%CI:4.56-16.83),enquiring their partners'HIV status(aOR=1.94,95%CI:1.15-3.28)and STD history of their partners(aOR=1.83,95%CI:1.06-3.14)before having sex were the factors positively associated with the willingness to advise partners to receive HIV testing.Discussing HIV testing with partners(aOR=4.43,95%CI:1.87-10.54)was the factor positively associated with the desire to accept the advice of HIV testing from partners,but feeling emotional hurt by the suggestion of HIV testing(aOR=0.35,95%CI:0.15-0.82)was the factor negatively associated with the willingness to accept the advice of HIV testing from partners.Conclusion To improve the willingess of MSM to advise their partners to receive HIV testing and strengthen self-protection awareness and equal communication skills are essential for the success of peer-referral strategies for promoting HIV testing among MSM.