成都市MSM中HIV抗体快检阳性者寻求确认检测的影响因素

发布时间：2018-04-15 10:10

本文选题：男男性行为者 + 艾滋病病毒抗体　；参考：《中国艾滋病性病》2017年04期

【摘要】：目的了解成都市接受社区组织艾滋病病毒(HIV)抗体快速检测服务的男男性行为者(MSM)的特征,以及HIV抗体快速检测阳性者后续确认检测行为的影响因素。方法以2015年1-12月接受成都同乐健康咨询服务中心HIV抗体指尖血快速检测服务的MSM为研究对象,搜集人口学和行为学资料、HIV抗体快速检测结果及后续确认检测情况等信息。采用Logistic回归方法分析快检阳性者后续确认检测行为的影响因素。结果共纳入研究对象3 173人,互联网途径找寻性伴(互联网型)占70.4%(2 235人);互联网型和非网络型MSM在年龄、文化程度、婚姻状况、咨询检测地点、最近6个月男性性伴数和最近6个月与男性发生肛交行为时安全套使用频率的分布上,差异有统计学意义(P0.001)。HIV抗体快速检测阳性率为10.6%(335人),84.2%(282/335)接受了后续蛋白印迹试验确认检测,确认阳性率为95.7%(270/282)。多因素分析结果显示:MSM进行后续HIV确认检测的影响因素包括:高中或中专文化程度[VS.文盲/小学,比值比(OR)=4.60,95%可信区间(CI):1.36~15.51]、大专及以上文化程度(VS.文盲/小学,OR=6.11,95%CI:1.90~19.60)、在浴室接受咨询检测(VS.办公室,OR=0.41,95%CI:0.19~0.85)。结论互联网已经成为MSM寻找性伴的主要途径,而非网络型MSM具有多性伴和安全套使用差的特征,应有针对性地进行艾滋病宣传教育和行为干预。文化程度低、在浴室被动员的MSM后续确认检测率低,应加强检测前后咨询,减少快检阳性脱失。
[Abstract]:Objective to investigate the characteristics of MSM (MSM) and the influencing factors of subsequent confirmation of HIV antibody positive patients in Chengdu.Methods from January to December, 2015, MSM who received HIV antibody tip blood rapid detection service in Chengdu Tongle Health Counseling Service Center was used as the research object. The demographic and behavioral data were collected, and the results of rapid detection of HIV antibody and follow-up confirmation were collected.Logistic regression method was used to analyze the influencing factors of the follow-up confirmation test behavior of the positive patients.Results A total of 3 173 subjects were included in the study, of whom 70.435 were found to have sex partners (Internet type) via the Internet, and 2235 were involved in internet type and non-network type MSM in age, education, marital status, counseling and testing sites.The distribution of male sexual partners in the last 6 months and the frequency of condom use during anal sex with men in the last 6 months was significantly different. The positive rate of rapid detection of HIV antibody was 10.6%. The positive rate of rapid detection of HIV antibody was 10.6%. The positive rate of rapid detection of HIV antibody was 10.6%. The positive rate of condom use was confirmed by follow-up Western blotting test.The positive rate was 95.7 / 282%.The results of multivariate analysis showed that the influencing factors of HIV confirmation test were: education level of high school or technical secondary school [VSs].The ratio of illiterate / primary school students was 4.60% / 95% confidence interval (CI: 1.36 / 15.51), the education level of junior college and above was higher than that of VSs.Illiteracy / Primary School / 6.1195 / CI: 1.90 / 19.600.Counseling and testing VS. in the bathroom.The office is 0.41 / 95 / 0.19 / 0.85.Conclusion the Internet has become the main way for MSM to find sexual partners, but not the network type MSM, which is characterized by poor sexual partners and condom use. Therefore, AIDS publicity and education and behavioral intervention should be carried out.The education level is low and the MSM follow-up confirmation rate is low in the bathroom, so we should strengthen the consultation before and after the test to reduce the loss of the quick positive test.
【作者单位】：成都市疾病预防控制中心;成都同乐健康咨询服务中心;
【分类号】：R512.91

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