上海市青浦区男性对线上HIV抗体自我检测接受度和采用度分析

doi:10.3969/j.issn.1006-3110.2023.06.004

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (757 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的了解上海市青浦区男性HIV抗体线下检测和线上自检人群特征,分析其对线上自检的接受度和采用度,提高疾病预防控制中心提供线上自检服务的针对性和可及性。方法在2021年1月1日—12月31日期间,收集HIV抗体线下检测和线上自检中男性检测对象的调查信息进行统计学分析。探究一般社会人口学特征、行为学特征、艾滋病知识知晓情况等相关因素对线上自检接受度和采用度的影响。结果本研究共调查393人,线上自检占53.44%(210/393)。多因素分析结果发现大专及以上学历(OR=3.916,95%CI:1.776~8.632;OR=3.556,95%CI:1.797~7.035)、无性病史(OR=0.112,95%CI:0.022~0.560;OR=0.111,95%CI:0.047~0.263)男性具备更高的接受度和采用度,35岁以下(OR=0.379,95%CI:0.146~0.985)和男男同性性行为(OR=0.346,95%CI:0.157~0.764)男性具备更高的接受度,最近一次性行为使用安全套(OR=2.068,95%CI:1.107~3.863)和愿意接收快递服务包自我检测(OR=17.396,95%CI:7.507~40.309)男性具备更高的采用度,P＜0.05。结论 HIV抗体线上自检在高学历、无性病史等男性人群中可能存在更大的检测需求,该检测方式是线下检测的有效补充,应不断完善线上自检的运行模式,开展更有针对性宣传,切实满足不同人群的检测需求。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	夏春雨
	卢永红
	黎桂福
	李艳芬
	李丹华
	姚雯雯
	周鸿让

关键词 ：艾滋病, 自我检测, 接受度, 采用度

Abstract：Objective To understand the characteristics of populations for offline HIV antibody detection and online self-testing among males in Qingpu District of Shanghai Municipality, and to analyze their acceptance and adoption of online self-testing so as to improve the pertinence and accessibility of online self-testing services provided by centers for disease control and prevention. Methods During the period from January 1 to December 31, 2021, we collected the survey information of male subjects for offline HIV antibody testing and online self-testing, and then conducted a statistical analysis. We also explored the impacts of general sociodemographic characteristics, behavioral characteristics, awareness of AIDS knowledge and their related factors on the acceptance and adoption of online self-testing. Results A total of 393 males were investigated in this study, and online self-testing accounted for 53.44% (210/393). Multivariate analysis showed that men with college degree or above (OR=3.916, 95%CI:1.776-8.632; OR=3.556, 95%CI:1.797-7.035) and men having no a sexual history (OR=0.112, 95%CI:0.022-0.560; OR=0.111, 95%CI:0.047-0.263) had higher acceptance and adoption. Men under 35 years old (OR=0.379, 95%CI:0.146-0.985) and men with gay sexual behavior (OR=0.346, 95%CI:0.157-0.764) had higher acceptance. Men who usedcondoms in the last sexual intercourse (OR=2.068, 95%CI:1.107-3.863) and men who were willing to receive HIV self-testing based on express service packages (OR=17.396, 95%CI:7.507-40.309) had higher adoption, with P<0.05. Conclusion Online HIV self-testing may have a greater detection demand in male populations with high education and having no a sexual history, and this detection method is an effective supplement to offline detection. The operation mode of online self-testing should be constantly improved, and more targeted publicity should be carried out to effectively meet the detection needs of different populations.

Key words： acquired immunodeficiency syndrome self-testing acceptance adoption

收稿日期: 2022-08-29

R512.91

基金资助:2020年度青浦区卫生健康委员会科研课题(w2020-27);上海市青浦区卫生健康系统第四轮医苑新星(WY2019-50)

通讯作者: 卢永红,E-mail:327365634@qq.com。

作者简介: 夏春雨,男,本科,主管医师;研究方向:疾病预防控制。

引用本文:

夏春雨, 卢永红, 黎桂福, 李艳芬, 李丹华, 姚雯雯, 周鸿让. 上海市青浦区男性对线上HIV抗体自我检测接受度和采用度分析[J]. 实用预防医学, 2023, 30(6): 655-658. XIA Chun-yu, LU Yong-hong, LI Gui-fu, LI Yan-fen, LI Dan-hua, YAO Wen-wen, ZHOU Hong-rang. Analysis on the acceptance and adoption of online HIV self-testing among males in Qingpu District of Shanghai Municipality. , 2023, 30(6): 655-658.

链接本文:

https://www.syyfyx.com/CN/10.3969/j.issn.1006-3110.2023.06.004 或 https://www.syyfyx.com/CN/Y2023/V30/I6/655

[1] Belay H,Alemseged F,Angesom T,et al.Effect of late HIV diagnosis on HIV-related mortality among adults in general hospitals of Central Zone Tigray,northern Ethiopia:a retrospective cohort study[J].HIV/AIDS (Auckl),2017,9:187-192.
[2] Rampaul M,Edun B,Gaskin M,et al.Cost-effectiveness analysis of early vs late diagnosis of HIV-infected patients in South Carolina[J].South Med J,2018,111(6):355-358.
[3] 肖绍坦,陈盼盼,辛辛.男男性行为者定期艾滋病咨询检测动机及态度的定性研究[J].中国艾滋病性病,2020,26(3):308-309.
[4] 吴丹,徐杰.艾滋病自检的研究进展[J].中国艾滋病性病,2012,18(8):572-574.
[5] 李佑芳,王玉淼,章任重,等.男男性行为人群HIV抗体唾液快速自检的准确性及影响因素分析[J].中华流行病学杂志,2016,37(1):72-75.
[6] 夏冬艳,王娟,赵月娟,等.HIV抗体快速检测试剂在北京 MSM中应用的真实性评价[J].中国艾滋病性病,2014,20(8):577-579.
[7] 鲍燕,宁镇,顾凯侃,等.上海市男男性行为人群艾滋病病毒检测点服务的利用分析[J].上海预防医学,2021,33(8):687-691.
[8] 赖媛媛.云南大学学生艾滋病自我检测意愿及影响因素研究[D].昆明:云南大学,2019.
[9] 梁梦然,江艳,贺健梅,等.大学生对HIV-1尿液自检模式接受度调查[J].实用预防医学,2022,29(1):88-90.
[10] 李桂英,孙燕鸣,王娟,等.2020年北京市男男性行为者自我评价感染艾滋病风险影响因素分析[J].首都公共卫生,2022,16(3):157-161.
[11] 周宗磊,周茹珍,厉坤鹏,等.2008—2017年成都市新都区50岁及以上人群的艾滋病疫情特征分析[J].上海预防医学,2019,31(12):978-982.
[12] 韦娜,廖健,吴倬琼.南宁市江南区2009—2018年50岁及以上老年人艾滋病流行现状及防治策略[J].右江医学,2020,48(3):224-228.
[13] 周春娟.江苏省常熟市2015—2019年新报告艾滋病病例的晚发现情况及其影响因素[J].上海预防医学,2022,34(2):130-133.
[14] Zhang C,Li XH,Brecht ML,et al.Can self-testing increase HIV testing among men who have sex with men:a systematic review and meta-analysis[J].PLoS One,2017,12(11):e0188890.
[15] Qin YL,Tang WM,Nowacki A,et al.Benefits and potential harms of human immunodeficiency virus self-testing among men who have sex with men in China:an implementation perspective[J].Sex Transm Dis,2017,44(4):233-238.
[16] 毕辰辰,张星灿,赵琬,等.上海市闵行区某两所高校新生HIV抗体自我检测的意愿及其影响因素分析[J].实用预防医学,2022,29(2):206-208.
[17] 梁译文,米国栋,任仙龙,等.4省市男男性行为者HIV自检状况及影响因素[J].中国艾滋病性病,2022,28(7):806-809.