Objective To examine HIV self-testing uptake and its determinates among men who have sex with men （MSM） in Beijing, China. Methods A cross-sectional online survey was conducted in Beijing, China in 2016. Participant...Objective To examine HIV self-testing uptake and its determinates among men who have sex with men （MSM） in Beijing, China. Methods A cross-sectional online survey was conducted in Beijing, China in 2016. Participants were users of a popular Chinese gay networking application and had an unknown or negative HIV status. Univariate and multivariate logistic regression analyses were conducted to examine factors associated with HIV self-testing based on adjusted odds ratio （AOR） and 95% confidence interval （CI）. Results Among the 5,996 MSM included in the study, 2,383 （39.7%） reported to have used HIV self-testing kits. Willingness to use an HIV self-test kit in the future was expressed by 92% of the participants. High monthly income （AOR = 1.49; CI = 1.10-2.02; P = 0.010）, large number of male sex partners （≥2： AOR = 1.24; CI = 2.09-1.43; P = 0.002）, sexual activity with commercial male sex partners （〉 2： AOR = 1.94; CI = 1.34 -2.82; P = 0.001）, long-term drug use （AOR = 1.42; CI = 1.23-1.62; P 〈 0.001）, and long-term HIV voluntary counseling and testing （VCT） attendance （AOR = 3.62; CI = 3.11-4.22; P 〈 0.001） were all associated with increased odds of HIV self-testing uptake. Conclusion The nearly 40% rate of HIV self-testing uptake among MSM in our sample was high. In addition, an over 90% willingness to use kits in the future was encouraging. HIV self-testing could be an important solution to help China achieve the global target of having 90% of all people living with HIV diagnosed by 2020.展开更多
通过文献综述的方法,收集男男性行为人群(men who have sex with men,MSM)中HIV自我检测的使用现状,分析自我检测对于在MSM中扩大检测的优势,以及存在的不足。结果发现,部分国家MSM中HIV自我检测的比例已超过20%,由于操作简单、隐秘性...通过文献综述的方法,收集男男性行为人群(men who have sex with men,MSM)中HIV自我检测的使用现状,分析自我检测对于在MSM中扩大检测的优势,以及存在的不足。结果发现,部分国家MSM中HIV自我检测的比例已超过20%,由于操作简单、隐秘性强等特点,该检测手段可能会有利于在MSM扩大检测范围,发现更多感染者,但因为缺少检测前后的咨询以及正规的购买渠道,其检测结果的准确性可能受到影响,可能导致检测者错误使用和理解检测结果。所以在推广HIV自我检测前,应该规范试剂的销售渠道,并且制定包括检测前后咨询,阳性确诊和转介的自检模式,充分利用自检优势扩大检测覆盖面,从而发现更多传染源。展开更多
基金funded by China-US Collaboration on HIV/AIDS(Grant#5U2GGH001153)China National Health&Family Planning Commission(131-16-000-105-02)
文摘Objective To examine HIV self-testing uptake and its determinates among men who have sex with men （MSM） in Beijing, China. Methods A cross-sectional online survey was conducted in Beijing, China in 2016. Participants were users of a popular Chinese gay networking application and had an unknown or negative HIV status. Univariate and multivariate logistic regression analyses were conducted to examine factors associated with HIV self-testing based on adjusted odds ratio （AOR） and 95% confidence interval （CI）. Results Among the 5,996 MSM included in the study, 2,383 （39.7%） reported to have used HIV self-testing kits. Willingness to use an HIV self-test kit in the future was expressed by 92% of the participants. High monthly income （AOR = 1.49; CI = 1.10-2.02; P = 0.010）, large number of male sex partners （≥2： AOR = 1.24; CI = 2.09-1.43; P = 0.002）, sexual activity with commercial male sex partners （〉 2： AOR = 1.94; CI = 1.34 -2.82; P = 0.001）, long-term drug use （AOR = 1.42; CI = 1.23-1.62; P 〈 0.001）, and long-term HIV voluntary counseling and testing （VCT） attendance （AOR = 3.62; CI = 3.11-4.22; P 〈 0.001） were all associated with increased odds of HIV self-testing uptake. Conclusion The nearly 40% rate of HIV self-testing uptake among MSM in our sample was high. In addition, an over 90% willingness to use kits in the future was encouraging. HIV self-testing could be an important solution to help China achieve the global target of having 90% of all people living with HIV diagnosed by 2020.
文摘通过文献综述的方法,收集男男性行为人群(men who have sex with men,MSM)中HIV自我检测的使用现状,分析自我检测对于在MSM中扩大检测的优势,以及存在的不足。结果发现,部分国家MSM中HIV自我检测的比例已超过20%,由于操作简单、隐秘性强等特点,该检测手段可能会有利于在MSM扩大检测范围,发现更多感染者,但因为缺少检测前后的咨询以及正规的购买渠道,其检测结果的准确性可能受到影响,可能导致检测者错误使用和理解检测结果。所以在推广HIV自我检测前,应该规范试剂的销售渠道,并且制定包括检测前后咨询,阳性确诊和转介的自检模式,充分利用自检优势扩大检测覆盖面,从而发现更多传染源。
