男男性行为者人类免疫缺陷病毒自我检测现状及影响因素

The status and factors associated with HIV self-testing among HIV negative men who have sex with men

目的了解人类免疫缺陷病毒(HIV)阴性男男性行为者的HIV自检现状及其影响因素。方法于重庆地区招募HIV阴性男男性行为者,收集其人口学特征、性行为特征、自检相关情况等信息。采用单因素和多因素logistic回归模型分析重庆地区男男性行为者HIV自检的影响因素。结果201名纳入研究的男男性行为者中,79.6%(160/201)最近1年进行过HIV自检,报告了受教育程度的受试者中89.6%(138/154)为大专/本科及以上,报告了性行为特征的受试者中近半数(45.6%,52/114)近期无固定性伴侣,且50.7%(69/136)对性伴侣的HIV感染情况未知。多因素logistic分析结果显示,文化程度和近3个月有药物滥用是男男性行为者HIV自检的影响因素。结论重庆地区HIV阴性男男性行为者对HIV自我检测的知晓率和使用率高。受教育程度为大专/本科及以上、近3个月有药物滥用的男男性行为者更倾向于使用HIV自检试纸进行检测。

Objective To understand the current status and factors associated with human immunodeficiency virus(HIV)self-testing among HIV negative men who have sex with men in Chongqing.Methods HIV-negative men who have sex with men in Chongqing were recruited.The demographics,sexual behavior,and HIV self-testing information were collected.Univariate and multivariate logistic regression models were established to analyze the factors influencing HIV self-testing.Results Overall,160(79.6%)of the 201 participants used HIV self-testing in the past year.Majority(89.6%,138/154)of the men who reported the education level had junior college/bachelor or higher degree.Nearly half(45.6%,52/114)of the participants who reported the type of their sexual partners had casual sexual partners,and 50.7%(69/136)of the participants did not know about the HIV infection status of their sexual partners.Multivariate logistic regression analysis showed that education level and drug abuse in the past 3 months were the factors influencing HIV self-testing.Conclusions The level of awareness and HIV self-testing is high among the HIV negative men who have sex with men in Chongqing.The men who have a junior college/bachelor or higher degree and who had drug abuse in the past 3 months are more likely to use HIV self-testing.