温州市现场招募与网络招募进行HIV检测的男男性行为者特征比较

A comparison of HIV testers characteristics among MSM recruited on-site and online in Wenzhou

目的比较温州市现场招募与网络招募进行HIV检测的男男性行为者在人口学、性行为及检测行为的差异,为MSM艾滋病干预检测策略的制定提供依据。方法现场招募对象来自酒吧、茶室、会所、浴池、公园及自愿咨询检测门诊。网络招募对象来自“阳光测”预约检测平台。对两种模式招募的MSM进行面对面问卷调查及HIV检测。采用SPSS 26.0分析两种模式招募MSM的人口学、性行为及HIV检测行为差异。结果2021年4-7月,现场与网络分别招募197例和203例MSM,HIV阳性率分别为10.15%、6.40%。与现场招募相比,网络招募MSM在本地居住时间>2年(χ^(2)=23.058,P<0.001),大专及以上学历(χ^(2)=38.578,P<0.001)、性向为同性恋(χ^(2)=20.917,P<0.001)及通过互联网/交友软件寻找男性性伴(χ^(2)=24.240,P<0.001)的比例均较高。性行为分析显示,与现场招募相比,网络招募MSM最近6个月肛交性行为时每次都使用安全套(χ^(2)=8.361,P=0.011)及与网络性伴发生同性临时性行为时每次都使用安全套(χ^(2)=9.119,P=0.007)的比例均较高。检测行为分析显示,与现场招募相比,网络招募MSM最近1年HIV检测(χ^(2)=51.049,P<0.001)比例高,HIV定期检测时间间隔短(χ^(2)=28.011,P<0.001),艾滋病知识知晓率(χ^(2)=4.765,P=0.029)、最近一年接受HIV宣传干预比例(χ^(2)=39.539,P<0.001)均较高。结论与现场招募MSM相比,网络招募MSM流动性小,学历高,危险性行为发生率低,HIV检测意识及接受干预比例高。应继续推进互联网+综合干预模式,同时加强MSM活动场所的艾滋病宣传干预。

Objective eTo compare the differences of HIV testers in demographics,sexual behaviors and testing behaviors among MSM(men who have sex with men)recruited on-site and online in Wenzhou,so as to provide evidence for developing HIV intervention and testing strategies for MSM.Methods On-site recruitment was conducted in bars,tea rooms,clubhouses,bathhouses,parks and VCT(voluntary HIV counselling and testing),while online recruitment was conducted through the"Sunshine Test"preordered testing platform of WeChat public account.Face-to-face questionnaires and HIV testing were performed for MSM recruited in both groups.SPSS 26.0 was used to analyze differences between the two groups in demographics,sexual behaviors and testing behaviors.Results From April to July 2021,197 and 203 cases were recruited from on-site and online,and HIV infection rates were 10.15%and 6.40%,respectively.Compared with those recruited on-site,the proportions recruited online were higher for proportions who lived in the local area more or higher(X^(2)=38.578,P<0.001),was homosexual(X^(2)=20.917,P<0.001),and found male sexual partners via internet/dating software(x2=24.240,P<0.001).Analysis of sexual behavior characteristics showed that,the proportion of condom use per anal intercourse(X^(2)=8.361,P=0.011)and per temporary anal intercourse with internet partners was higher among online MSM(-9.119,P=0.007)than among on-site MSM.Analysis of testing behavior characteristics showed that,compared with on-site MSM,the proportion of HIV testing in the last year was higher(X^(2)=51.049,P<0.001),the time interval of regular testing was shorter(X^(2)=28.011,P<0.001),the awareness rate of HIV knowledge was higher(X^(2)=4.765,P=0.029),and the intervention services received was higher(X^(2)=39.539,P<0.001)among online MSM.Conclusionss Compared with MSM recruited on-site,online MSM showed lower mobility,higher educational level,lower incidence of risky sex,higher rates of HIV testing awareness and AIDS intervention willingness.The model of comprehensive intervention plus internet should be promoted,and AIDS publicity and intervention in MSM venues should be strengthened.