目的了解男男性行为人群(MSM)艾滋病病毒(HIV)检测意愿情况,分析其影响因素,为更好地开展该人群的检测干预工作提供依据。方法 2013年4-8月,由社区组织(CBO)通过网络招募MSM,对其在线开展一次横断面调查。调查其社会人口学和性行为特征及检测意愿,分析对检测意愿有影响的相关因素。同时免费发放检测试剂盒,由其自行检测并报告检测结果,评估自我检测的可行性。结果共招募了220名MSM,全部自行完成了HIV血清学检测,33人(15.0%)为阳性,确证试验证实感染HIV。65.0%的参与者(143名)愿意接受CBO的检测,28.2%的人(62名)更愿意到疾病预防控制中心(CDC)接受免费检测。年龄偏大和低收入的单纯MSM、无性病史者、过去6个月性伴数较少者,更愿意接受CBO的检测。结论家庭内自我检测对受过高等教育的年轻MSM可能是一种可行的检测方式,由CBO对MSM开展HIV检测,可能是提高MSM检测覆盖率的一种潜在方法,具体实施方法需进一步探讨。 Objective To understand the willingness of HIV testing in men who have sex with men (MSM) and to analyze its influencing factors so as to provide a basis for better testing intervention in this population. Methods From April to August 2013, MSOs were recruited by community organizations (CBOs) through the Internet to conduct a cross-sectional online survey. Investigate its socio-demographic and sexual behavior characteristics and testing intentions, analysis of the willingness to test the relevant factors. At the same time free distribution of test kits, by its own test and report the test results to assess the feasibility of self-testing. Results A total of 220 MSMs were recruited, all of whom completed HIV serological tests on their own, 33 (15.0%) were positive and confirmed that the test confirmed HIV infection. 65.0% of the participants (143) were willing to undergo CBO testing, while 28.2% (62) preferred to receive free testing at the Centers for Disease Control and Prevention (CDC). Older MSM and low-income MSM, history of non-sexually transmitted diseases, the past 6 months with fewer partners, are more willing to accept the CBO test. Conclusion Self-testing in the home may be a viable means of testing for young MSM with higher education. CBO testing of MSM for HIV may be a potential method to improve the detection coverage of MSM, and its implementation needs to be further explored.