摘要
目的了解互联网+自我检测模式下,首次接受艾滋病病毒(HIV)检测的男男性行为者(MSM)的特征及其感染危险因素。方法与北京当地社区组织合作,通过互联网+自我检测模式,为有HIV检测意向的MSM提供免费HIV快速检测试剂。通过快递收到HIV快速检测试剂后,按操作说明要求进行自我检测,并将HIV自我检测结果反馈回HIV自检试剂领取网站。结果 2015-2016年共发放检测试剂5 072份,其中491例未反馈HIV自检结果,未反馈自检结果的比例为9.7%。4 581例反馈结果的网络自检MSM中,680例为既往阳性/重复检测,809例既往进行过HIV检测却不知晓检测结果,3 092例为首次HIV检测者。互联网+自我检测MSM具有受教育程度高、多性伴和肛交行为中未能使用安全套等特点。首次自检MSM的HIV阳性率为7.9%(244/3 092),最近1个月内肛交行为活跃(≥5次)与HIV感染相关[比值比(OR)=1.50,95%可信区间(CI):1.04~2.16],<25岁(OR=1.98,95%CI:1.35~2.91)、初中及以下受教育程度(OR=1.47,95%CI:1.06~2.04)和最近一个月未全程使用安全套(OR=1.36,95%CI:1.00~1.85)首次自检者的HIV感染率较高。结论与社区组织合作的互联网+自我检测模式可有效提高HIV检测服务的可及性。
Objective To assess the characteristics and risk factors of MSM seeking for internet based HIV rapid testing for the first time. Methods Free HIV testing kits were delivered to MSM who intended to receive HIV testing promoted based on the website by the local community-based organization in Beijing. MSM had a self-test with the HIV rapid test kits received and upload the self-test result back to the website. Results 5072 HIV rapid test kits were delivered to MSM seeking for self-testing based on the internet between 2015 to 2016, among which 491（9.7%） didn＇t report their selftest results back. Out of the 4581 MSM reported self-test results, 680 were previously HIV positive or repeated receiving HIV testing by getting rapid test kits through internet; 809 were ever tested but unaware of their testing results; and 3092 received their first HIV testing. The MSM using internet based self-testing included those with higher education, more sexual partners and inconsistent use of condoms in anal intercourse. MSM receiving HIV rapid testing for the first time had the HIV positive rate of 7.9%, and those with active anal sex last month（more than five times）, less than 25 years, below the high-school education level and not use condoms during and sexual activities were closely related to HIV infection. Conclusion Internet based self-testing is effective to increase the accessibility and pertinence of HIV testing.
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2017年第11期1043-1046,共4页
Chinese Journal of Aids & STD
