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目的了解宁波市男男性行为(MSM)人群HIV抗体定期检测现状及其影响因素,为MSM人群定期检测干预提供依据。方法采用同伴推动抽样法招募最近十二个月与同性发生过口交和(或)肛交性行为的MSM进行问卷调查和HIV抗体、梅毒抗体检测,分析性行为特征、HIV抗体检测史以及检测与治疗意愿等。结果共招募MSM 126人,其中84.13%愿意接受定期检测;73.02%既往做过HIV检测,其中通过自愿咨询检测途径占89.13%;46.03%有定期检测习惯。多因素Logistic回归分析显示,年龄(OR=2.62,95%CI:1.06~6.51)、接受过专业人员宣传干预(OR=0.08,95%CI:0.02~0.25)和了解艾滋病抗病毒治疗(OR=0.25,95%CI:0.09~0.67)是MSM定期检测的独立影响因素。结论宁波市MSM人群HIV抗体定期检测率不高,但需求较高。应加强艾滋病防治宣传与行为干预,提高HIV定期检测率。
Objective To understand the status quo of HIV antibody detection in MSM and its influencing factors in Ningbo, and to provide a basis for routine testing of MSM. Methods A companion-driven sampling method was used to survey the MSM who had had same-sex oral sex and / or anal sex in the past 12 months and HIV antibody, syphilis antibody test, analysis of sexual behavior, HIV antibody test and detection and treatment Will and so on. Results A total of 126 MSMs were enrolled, of whom 84.13% were willing to undergo regular testing. 73.02% of them had done HIV testing before, including 89.13% through voluntary counseling and testing and 46.03% had regular testing habits. Multivariate Logistic regression analysis showed that age (OR = 2.62, 95% CI: 1.06 ~ 6.51), professional publicity intervention (OR = 0.08, 95% CI: 0.02-0.25) and understanding of HIV antiviral therapy (OR = 0.25, 95% CI: 0.09 ~ 0.67) were the independent influencing factors of regular MSM test. Conclusion The detection rate of HIV antibodies in MSM in Ningbo is not high, but the demand is high. AIDS prevention and treatment should be strengthened publicity and behavior interventions to improve the regular HIV testing.