杭州市和台州市MSM的HIV快速检测需求及其影响因素

发布时间：2018-01-31 04:07

本文关键词： 艾滋病病毒男男性行为者快速检测　出处：《中国艾滋病性病》2017年05期 　论文类型：期刊论文

【摘要】：目的了解男男性行为者(MSM)接受艾滋病病毒(HIV)快速检测服务的需求,探索该人群接受HIV快速检测服务意愿的影响因素,为进一步开展干预提供理论依据。方法采用方便抽样方法,在酒吧、浴池、VCT门诊和网络招募MSM,并开展面对面问卷调查,采用EpiData 3.0进行数据录入,SPSS 19.0进行卡方单因素分析和Logistic回归多因素分析。结果 2013年6-10月,在浙江省杭州市和台州市共调查455名MSM,其中309人愿意接受HIV快速检测,占67.9%。多因素结果显示,来源于VCT门诊的MSM不接受HIV快速检的危险性是来源于酒吧MSM的3.229倍[比值比(OR)=3.229,95%可信区间(CI):1.508~6.912];不是每次正确使用安全套者、不接受实名制者不接受HIV快速检测的危险性,是每次正确使用安全套者、接受实名制者的2.317倍、1.688倍(95%CI:1.072~5.009,1.074~2.654)。最近一年有商业同性性行为是不愿意接受HIV快速检测的独立危险因素(OR=2.097,95%CI:1.068-4.119)。结论 VCT人群更愿意接受HIV快速检测,有商业性行为和不用安全套的MSM是检测工作的重点目标,要进一步提高保密工作的宣传力度,进一步提高HIV快速检测需求。
[Abstract]:Objective to investigate the MSM (MSM) to accept the AIDS virus (HIV) for rapid detection of service needs, to explore influencing factors of the population receiving HIV for rapid detection of service intention, provide a theoretical basis for further intervention. Methods we used convenient sampling in the bar, bath, VCT clinic and recruitment network MSM, and carry out investigation and face to face the questionnaire, EpiData 3 was used for data entry, 19 SPSS regression multivariate analysis ANOVA and Logistic results. In 2013 6-10, in Hangzhou City, Zhejiang province and Taizhou city were investigated in 455 patients with MSM, 309 of whom are willing to accept the rapid detection of HIV, 67.9%. results showed that multiple factors, from the VCT clinic MSM does not accept the risk of HIV rapid detection is 3.229 times [odds ratio from the bar of MSM (OR) =3.229,95% confidence interval (CI): 1.508~6.912]; not every correct use of condoms, do not accept the real name For who do not accept the risk of rapid detection of HIV, every time the correct use of condoms, accept the real name system 2.317 times, 1.688 times (95%CI:1.072~5.009,1.074~2.654). The last year of commercial sex is not willing to accept the independent risk factors for rapid detection of HIV (OR= 2.097,95%CI:1.068-4.119). Conclusion VCT people are more willing to accept HIV detection of commercial sex without a condom and MSM is the key target detection work, to further improve the security work of propaganda, to further improve the HIV rapid detection requirements.

【作者单位】：浙江省疾病预防控制中心;
【基金】：浙江省重大科技专项(2013C03047-1) 2016年省医药卫生一般研究计划(A类)(2016KYA066)~~
【分类号】：R512.91
【正文快照】： Supported by Science and Technology Research Project of Zhejiang(2013C03047-1)我国男男性行为者(MSM)的艾滋病病毒(HIV)感染率持续上升。近几年浙江省MSM的HIV感染率也维持在较高水平,从2011年到2015年基本维持在8%以上的感染率[1-2]。HIV快速检测可以在短时间内获得检

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