摘要
目的探索针对男男性行为人群(MSM)特征的艾滋病有效检测促进方法。方法建立以疾病预防控制中心主导、由MSM志愿者骨干具体实施相结合的MSM人群艾滋病性病防治组织模式,以核心同伴宣传员(POL)为主进行MSM人群检测促进,分别采用应答者驱动招募法(RDS)进行基线、中期及期终评估招募调查和检测。结果基线调查201人,中期200人,期终203人,人口学特征无统计学差异。基线、中期、期终调查比较:知道艾滋病咨询和检测的分别为36.8%、50.5%、55.7%,现在愿意做艾滋病检测的分别为55.2%、82.5%、88.2%;调查时报告做过检测的分别为17.4%、37.5%、59.1%,半年内作过检测的分别为52.9%、58.7%、81.0%,参加检测的分别占40.3%、55.5%、84.7%,差异均有统计学意义。除是否知道艾滋病咨询和检测外,其余上升趋势显著(P(0.001)。干预前后梅毒累计感染率、现感染率,2007年与2008年艾滋病阳性率,差异均无统计学意义。结论CDC主导、MSM志愿者骨干实施的组织模式下,POL为主的艾滋病检测促进方法,是适合MSM人群特点的一种有效检测促进手段。
Objective To explore effective promotion of HIV detection among men who have sex with men （MSM）. Methods An organization of HIV/STD prevention among MSM was established to promote HIV detec- tion by combining local CDCs as the key force with MSM volunteers and popular opinion leaders （POL）, and baseline, middle-stage and end-stage surveys were conducted by respondent driven sampling （RDS） to assess the effectiveness of such model of organization. Results A total of 201, 200 and 203 MSM were enrolled in the baseline, middle stage and end-stage surveys, respectively, and there was no demographic differences among MSM enrolled in the surveys. The awareness of HIV VCT was 36.8%, 50.5% and 55.7% respectively in the 3 surveys; the rate of MSM who were willing to receive HIV tests was 55.2%, 82.5% and 88.2%, respectively; the rate of MSM who reported to have HIV testing during the survey period was 17.4%, 37.5% and 59. 1%, respectively; the rate of MSM who reported to have HIV testing in the past half year was 52.9%, 58.7% and 81.0%, respectively; the rate of MSM who had access to HIV testing was 40.3%, 55.5% and 84.7%, respectively. All the differences were statistically significantl. Except for the awareness of HIV VCT, the other rates tended to be increaqsing （P〈0. 001）. The difference in cumulative rate and current infection rate of syphilis before and after the interventions, as well as the difference in the positive rate of HIV in 2007 and 2008 had no statistical significance. Conclusion The model of organization to combine local CDCs as the key force with MSM volunteers and POL is an effective approach to promote HIV detection among MSM.
出处
《中国艾滋病性病》
CAS
2009年第5期486-489,共4页
Chinese Journal of Aids & STD
基金
卫生部艾滋病防治应用性研究项目(课题编号:WA2005-04)
中美艾滋病防治合作项目(课题编号:6.3.3.3)
