摘要
目的分析福州市HIV现场检测和自我检测MSM特征差异,为推动MSM扩大检测策略提供参考。方法2022年分别采用横断面研究方法开展MSM HIV现场检测和自我检测,分析其人口学、行为学特征及艾滋病知识知晓率差异。结果HIV现场检测MSM 1247人,HIV抗体阳性率8.66%(108/1247),HIV自我检测MSM 1844人,HIV抗体阳性率1.03%(19/1844)。现场检测MSM中本地居住时间2年以上(87.81%,1095人)、自报性向同性恋(69.37%,865人)、线上寻找性伴(98.80%,1232人)、HIV抗体检测阳性(8.66%,108人)和艾滋病知识知晓率(99.12%,1236人)高于自我检测MSM。自我检测MSM中≤24岁年龄(48.86%,901人)、未婚(89.64%,1653人)、发生同性商业性性行为(3.42%,63人)、发生异性性行为28.52%(526人)、使用精神活性物质20.99%(387人)、既往感染性病(10.68%,197人)、既往检测比例(71.69%,1322人)高于现场检测MSM,差异均有统计学意义(P<0.05)。结论与现场检测MSM相比,参与HIV自我检测者中单身、年轻、流动性大的MSM比例高,艾滋病知识知晓率低、高危性行为比例高,推动自我检测能有效弥补HIV现场检测的不足,有利于促进MSM扩大检测。
Objective To analyze the differences in the characteristics of men who have sex with men(MSM)receiving on-site testing and self-testing for HIV in Fuzhou City,and to provide references for expanding testing strategies for MSM.Methods In 2022,to analyze the differences in demographic and behavioral characteristics and HIV knowledge among MSM,cross-sectional studies were conducted to perform on-site HIV testing and self-testing.Results A total of 1247 MSM received on-site HIV testing,and the HIV positive rate was 8.66%(108/1247).A total of 1844 MSM received self-testing,and the positive rate was 1.03%(19/1844).Among the former,87.81%(1095/1247)had lived locally for more than two years,69.37%(865/1247)reported homosexuality themselves,98.80%(1232/1247)had sought a sexual partner online,8.66%(108/1247)were positive for HIV antibody testing,and 99.12%(1236/1247)were aware of AIDS knowledge,all of which were higher than those receiving self-testing.Among the latter,48.86%(901/1844)were≤24 years old,89.64%(1653/1844)were unmarried,3.42%(63/1844)had homosexual commercial sex,28.52%(526/1844)had sex with women,20.99%(387/1844)had used psychoactive substances,10.68%(197/1844)had a previous history of sexually-transmitted diseases,and 71.69%(1322/1844)had received previous testing,all of which were higher than those receiving on-site testing.All differences were statistically significant(P<0.05).Conclusions Compared with on-site testing,the proportion of single young MSM with high mobility among those receiving HIV self-testing is high.Moreover,those receiving self-testing have low awareness rate of AIDS-related knowledge and high proportion of high-risk sexual behaviors.Promoting self-testing can compensate for the shortcomings of HIV on-site testing and expand testing among MSM.
作者
张宏
肖洲萍
陈剑惠
何鼎盛
薛洪洪
林春仲
许绍溢
ZHANG Hong;XIAO Zhouping;CHEN Jianhui;HE Dingsheng;XUE Honghong;LIN Chunzhong;XU Shaoyi(Fuzhou Center for Disease Control and Prevention of Fujian Medical University,Fuzhou 350004,Fujian,China;School of Public Health,Fujian Medical University,Fuzhou 350000,Fujian,China;Fujian Volunteers Association of STD&AIDS Prevention and Control,Fuzhou 350000,Fujian,China)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2023年第10期1081-1085,共5页
Chinese Journal of Aids & STD
基金
福建省卫生健康委员会科技计划项目-医学创新课题(2021CXA044)
福州科技局社会发展项目-医疗项目(2020-ws-115)。
关键词
艾滋病
男男性行为者
自我检测
现场检测
影响因素
AIDS
men who have sex with men(MSM)
self-testing
on-site testing
influencing factor
