288名学生男男性行为者HIV检测状况及影响因素分析

HIV testing status and influencing factors among 288 men who have sex with men students

摘要:

目的：了解学生男男性行为者（men who have sex with men，MSM）在近1年里对人类免疫缺陷病毒（human immunodeficiency virus，HIV）进行检测的状况及影响因素。方法：在重庆、四川、广西、新疆地区采用多种途径进行方便抽样，共招募291名学生MSM进行问卷调查和现场HIV检测。结果：调查完成问卷291份，有效问卷288份（98.97%）。近1年HIV检测率为58.68%，本次HIV抗体阳性检出率为5.90%。多因素logistic回归显示学生MSM近1年进行HIV检测的促进因素有：年龄≥22岁（OR=2.59，95%CI=1.24~5.42，P=0.012）、艾滋病知识得分＞10分（OR=2.45，95%CI=1.37~4.39，P=0.003）、主动进行过艾滋病免费咨询（OR=6.64，95%CI=3.80~11.60，P=0.000）。结论：重庆、四川、广西、新疆地区学生MSM近1年HIV检测率不高。影响近1年HIV检测的主要因素有为年龄、艾滋病知识得分、主动进行艾滋病免费咨询。

Abstract:

Objective：To know about the human immunodeficiency virus（HIV） testing status and its influencing factors among men who have sex with men（MSM） students during the latest year. Methods：In Chongqing，Sichuan，Guangxi and Xinjiang regions，convenience sampling in different ways was used and 291 MSM students were recruited to finish the survey and field HIV testing. Results：There were 291 questionnaires and 288（98.97%） valid questionnaires. HIV testing rate in latest year was 58.68%. HIV antibody positive rate was 5.90%. Logistic regression showed that contributing factors for having HIV testing during the latest year were aged over or equal to 22（OR=2.59，95%CI=1.24-5.42，P=0.012），acquired immune deficiency syndrome（AIDS） knowledge score over 10（OR=2.45，95%CI=1.37-4.39，P=0.003），and having free AIDS counseling initiatively（OR=6.64，95%CI=3.80-11.60，P=0.000）. Conclusion：The HIV testing rate during latest year is not high among MSM students in Chongqing，Sichuan，Guangxi and Xin－jiang provinces. The influencing factors are age，AIDS knowledge score，and having free AIDS counseling initiatively.