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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。
Objective To understand the need of men who have sex with men (MSM) for rapid HIV testing services and to explore the influencing factors of MSM’s willingness to take HIV testing services, so as to provide a theoretical basis for further intervention. Methods Convenient sampling methods were used to recruit MSMs in bars, baths, VCT clinics and networks. Face-to-face questionnaires were conducted. EpiData 3.0 was used for data entry. SPSS 19.0 was used for univariate analysis and Logistic regression analysis. Results From June to October 2013, a total of 455 MSM were surveyed in Hangzhou and Taizhou, Zhejiang Province. Among them, 309 were willing to undergo rapid HIV test, accounting for 67.9%. Multivariate analysis showed that the risk of MSM not receiving HIV rapid test from VCT clinics was 3.229 times that of the bar MSM [odds ratio (OR) = 3.229, 95% confidence interval (CI): 1.508-6.912]; Not every correct use of condoms, do not accept the real-name system does not accept the rapid detection of HIV is the risk of each correct use of condoms, accepted real-name system of 2.317 times, 1.688 times (95% CI: 1.072 ~ 5.009,1.074 ~ 2.654 ). Commercial homosexual behavior in recent years was an independent risk factor for reluctance to undergo rapid HIV testing (OR = 2.097, 95% CI: 1.068-4.119). Conclusions The VCT population is more willing to accept HIV rapid test. MSM with commercial sex and no condom is the key objective of the testing work. To further enhance the publicity of confidential work and further improve the rapid HIV testing needs.