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目的了解北京市男男性行为者(MSM)对HIV快速检测与HIV检测服务方式的需求情况。方法 2012年8至10月,在北京对262名MSM进行横断面问卷调查;统计分析使用SAS 9.2统计软件包,影响因素分析采用logistic回归模型分析,P<0.05的变量纳入多因素logistic回归模型。结果 262名MSM中,分别有125(47.71%)、68(25.95%)和69(26.34%)人选择血液快检、唾液快检和ELISA检测;154(58.78%)、68(25.95%)和40(15.27%)人选择在医院VCT、疾控中心VCT和在家进行检测。多因素logistic回归分析结果显示,年龄≤25岁(AOR:2.62,95%CI:1.24～5.55),月收入>3000元(AOR:2.65,95%CI:1.43～4.90),曾经听说过HIV快速检测(AOR:2.89,95%CI:1.08～7.71)是MSM选择HIV快速检测的独立影响因素。结论积极推广HIV快检、加强医院VCT门诊服务建设以满足MSM对HIV检测服务的需求,从而扩大MSM人群HIV检测的覆盖面。
Objective To understand the demand of MSM for HIV testing and HIV testing services in Beijing. METHODS: A cross-sectional questionnaire was performed on 262 MSM patients in Beijing from August to October 2012. Statistical analysis was performed using the SAS 9.2 statistical software package. The influential factors were analyzed by logistic regression analysis. P <0.05 variables were included in the multivariate logistic regression model. Results Among the 262 MSMs, 125 (47.71%), 68 (25.95%) and 69 (26.34%) were selected for rapid blood test, saliva quick test and ELISA test. 40 (15.27%) chose VCT at the hospital, VCT at CDC and testing at home. Multivariate logistic regression analysis showed that age <25 years (AOR: 2.62, 95% CI: 1.24-5.55), monthly income> 3000 yuan (AOR: 2.65, 95% CI: 1.43-4.90) Rapid detection (AOR: 2.89, 95% CI: 1.08-7.71) was an independent determinant of rapid HIV screening by MSM. Conclusions Actively promote rapid HIV testing and strengthen the construction of VCT outpatient services in hospitals to meet the demand of MSM for HIV testing services so as to expand the coverage of HIV testing in MSM populations.