上海市青浦区男性对线上HIV抗体自我检测接受度和采用度分析

Analysis on the acceptance and adoption of online HIV self-testing among males in Qingpu District of Shanghai Municipality

目的了解上海市青浦区男性HIV抗体线下检测和线上自检人群特征,分析其对线上自检的接受度和采用度,提高疾病预防控制中心提供线上自检服务的针对性和可及性。方法在2021年1月1日—12月31日期间,收集HIV抗体线下检测和线上自检中男性检测对象的调查信息进行统计学分析。探究一般社会人口学特征、行为学特征、艾滋病知识知晓情况等相关因素对线上自检接受度和采用度的影响。结果本研究共调查393人,线上自检占53.44%(210/393)。多因素分析结果发现大专及以上学历(OR=3.916,95%CI:1.776~8.632;OR=3.556,95%CI:1.797~7.035)、无性病史(OR=0.112,95%CI:0.022~0.560;OR=0.111,95%CI:0.047~0.263)男性具备更高的接受度和采用度,35岁以下(OR=0.379,95%CI:0.146~0.985)和男男同性性行为(OR=0.346,95%CI:0.157~0.764)男性具备更高的接受度,最近一次性行为使用安全套(OR=2.068,95%CI:1.107~3.863)和愿意接收快递服务包自我检测(OR=17.396,95%CI:7.507~40.309)男性具备更高的采用度,P<0.05。结论HIV抗体线上自检在高学历、无性病史等男性人群中可能存在更大的检测需求,该检测方式是线下检测的有效补充,应不断完善线上自检的运行模式,开展更有针对性宣传,切实满足不同人群的检测需求。

Objective To understand the characteristics of populations for offline HIV antibody detection and online self-testing among males in Qingpu District of Shanghai Municipality,and to analyze their acceptance and adoption of online self-testing so as to improve the pertinence and accessibility of online self-testing services provided by centers for disease control and prevention.Methods During the period from January 1 to December 31,2021,we collected the survey information of male subjects for offline HIV antibody testing and online self-testing,and then conducted a statistical analysis.We also explored the impacts of general sociodemographic characteristics,behavioral characteristics,awareness of AIDS knowledge and their related factors on the acceptance and adoption of online self-testing.Results A total of 393 males were investigated in this study,and online self-testing accounted for 53.44%(210/393).Multivariate analysis showed that men with college degree or above(OR=3.916,95%CI:1.776-8.632;OR=3.556,95%CI:1.797-7.035) and men having no a sexual history(OR=0.112,95%CI:0.022-0.560;OR=0.111,95%CI:0.047-0.263) had higher acceptance and adoption.Men under 35 years old(OR=0.379,95%CI:0.146-0.985) and men with gay sexual behavior(OR=0.346,95%CI:0.157-0.764) had higher acceptance.Men who used condoms in the last sexual intercourse(OR=2.068,95%CI:1.107-3.863) and men who were willing to receive HIV self-testing based on express service packages(OR=17.396,95%CI:7.507-40.309) had higher adoption,with P<0.05.Conclusion Online HIV self-testing may have a greater detection demand in male populations with high education and having no a sexual history,and this detection method is an effective supplement to offline detection.The operation mode of online self-testing should be constantly improved,and more targeted publicity should be carried out to effectively meet the detection needs of different populations.