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目的了解广西大学生男男性行为者(MSM)艾滋病(AIDS)自愿咨询检测服务(VCT)利用情况及其影响因素,为制定大学生MSM的行为干预措施提供参考。方法 2014年9月至2016年2月采用滚雪球法及网络招募法在广西省11所高校招募295名大学生MSM,采用自填式问卷进行调查,采用Logistic回归分析影响利用VCT服务的因素。结果163名(55.3%)MSM利用过VCT服务,其中132名(80.9%)大学生MSM获取VCT服务的主要场所为“同伴教育工作组”。多因素Logistic回归分析结果显示,在学校居住(OR=2.438)、知晓AIDS(OR=2.346)、免费咨询过AIDS(OR=6.146)、参加过同伴教育(OR=2.556)、患过性病(OR=3.621)是利用VCT服务的促进因素(P值均<0.05)。结论大学生MSM VCT服务利用率较低,应以同伴教育的方式加强大学生MSM的AIDS宣传力度,提高其VCT服务利用率。
Objective To understand the situation and influencing factors of AIDS voluntary counseling and testing service (VCT) in Guangxi college students who have sex with men (MSM), and to provide reference for making behavioral interventions for MSM in college students. Methods From September 2014 to February 2016, 295 undergraduates MSM were enrolled in 11 colleges and universities in Guangxi by means of snowballing method and internet recruitment method. The self-administered questionnaires were used to investigate the factors influencing the use of VCT services by Logistic regression. As a result, 163 (55.3%) MSMs used VCT services, of which 132 (80.9%) college students got the VCT service MSM’s main place as “Peer Education Working Group”. Multivariate logistic regression analysis showed that AIDS (OR = 2.346), AIDS (OR = 6.146), peer education (OR = 2.556), sexually transmitted diseases (OR = 3.621) were contributing factors for the use of VCT services (P <0.05). Conclusions MSM VCT service utilization rate is low among college students, and peer education should be used to reinforce MSM AIDS awareness among college students and improve their VCT service utilization rate.