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目的了解男男性行为人群(MSM)对艾滋病病毒(HIV)快速检测的实际利用情况,获取影响MSM接受HIV快速检测的相关需求。方法 2012年10-12月,在杭州市下城区、江干区和富阳市MSM活动场所、自愿咨询检测门诊招募MSM,开展问卷调查。结果在接受调查的501名MSM中,268人回答知道HIV快速检测,占53.5%,其中93.7%(251/268)接受过快速检测,74.3%(199/268)知道快速检测可以较快获得检测结果。在需要做HIV检测时,52.7%(264/501)选择快速检测。在接受快速检测同时,希望接受艾滋病/性病咨询、梅毒检测和丙型肝炎病毒检测的比例分别为71.5%、60.9%、48.9%。79.6%希望接受快速检测的场所为疾病预防控制中心,89.2%愿意动员性伴接受快速检测。影响调查对象接受快速检测的主要因素为获得检测结果的时间(54.7%)、检测结果的准确性(54.5%)、个人信息的保密性(45.7%)等。结论 MSM对检测场所、隐私以及其他检测咨询等有不同的服务需求。因此,要加强对快速检测及相关特点的宣传,在开展快速检测时,从MSM实际需求出发进行改进,促进更多的MSM接受快速检测,扩大检测覆盖面。
Objective To understand the actual utilization of rapid HIV testing in men who have sex with men (MSM) and to obtain the relevant requirements that affect MSM’s rapid HIV testing. Methods From October to December in 2012, MSM was recruited in MSM activity sites in Xiacheng District, Jianggan District and Fuyang City of Hangzhou, and questionnaires were conducted. RESULTS Of the 501 MSMs surveyed, 268 responded that rapid HIV testing was detected, accounting for 53.5%, of which 93.7% (251/268) had undergone rapid tests and 74.3% (199/268) knew that rapid tests could be performed quickly result. When HIV testing was needed, 52.7% (264/501) chose to test quickly. In the meantime, the rate of receiving HIV / STD counseling, syphilis testing and hepatitis C virus testing was 71.5%, 60.9% and 48.9%, respectively. 79.6% want to receive rapid testing of the place for the CDC, 89.2% are willing to mobilize partners to undergo rapid testing. The main factors influencing the subjects to receive rapid test were the time to obtain the test result (54.7%), the accuracy of the test result (54.5%) and the confidentiality of personal information (45.7%). Conclusion MSM has different service requirements for testing sites, privacy and other testing and consulting services. Therefore, to speed up the detection and related features of publicity, in the rapid detection, starting from the actual needs of MSM to improve and promote more MSM to accept rapid detection, to expand the detection coverage.