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目的探索HIV快速检测方法在VCT门诊男男性接触者(MSM)中的应用。方法按自愿原则分成2组,一组为快速检测组,开展快速检测HIV抗体及常规HIV、梅毒检测;另一组为常规检测组。开展人口学和性行为学特征问卷调查。结果快速检测组初筛阳性拒绝确证率低于常规检测(P<0.05)。与常规检测组比较,快速检测组年龄较小,文化程度较低,自我认同为同性性取向的比例较高,第一次与男性发生性行为的年龄较小,最近六个月与同性发生肛交性行为每次使用安全套的比例较低,差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,第一次与男性发生性行为的年龄越小、文化程度越低的MSM人群,更愿意接受快速检测,OR值分别为0.608和0.609(P<0.05)。结论 HIV快速检测在VCT门诊MSM人群干预中的实用性较好。
Objective To explore the application of HIV rapid test in patients with MSM at VCT clinic. The methods were divided into two groups according to the principle of voluntarism. One group was rapid test group, which was used to detect HIV antibody and routine HIV and syphilis. The other group was routine test group. Conduct a demographic and sexual behavior questionnaire. Results The positive rate of rejection declined in routine test (P <0.05). Compared with the routine test group, the rapid test group had a younger age, lower education level, higher proportion of self-identity as same-sex orientation, younger age of first sexual behavior with male, same-sex anal sex in the last six months The proportion of each use of condoms for sexual activity was lower, the difference was statistically significant (P <0.05). Multivariate logistic regression analysis showed that the younger MSMs who first had sexual intercourse with men and the younger MSMs were more likely to receive rapid tests with odds ratios of 0.608 and 0.609, respectively (P <0.05). Conclusion The rapid detection of HIV in VCT outpatient MSM population is more practical.