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青岛市新型毒品滥用男男性行为者HIV自检情况及相关因素分析

黄贵花 朱丽敏 宋鑫 傅泳 葛琳 李培龙 李东民

黄贵花, 朱丽敏, 宋鑫, 傅泳, 葛琳, 李培龙, 李东民. 青岛市新型毒品滥用男男性行为者HIV自检情况及相关因素分析[J]. 中华疾病控制杂志, 2023, 27(5): 581-586. doi: 10.16462/j.cnki.zhjbkz.2023.05.015
引用本文: 黄贵花, 朱丽敏, 宋鑫, 傅泳, 葛琳, 李培龙, 李东民. 青岛市新型毒品滥用男男性行为者HIV自检情况及相关因素分析[J]. 中华疾病控制杂志, 2023, 27(5): 581-586. doi: 10.16462/j.cnki.zhjbkz.2023.05.015
Huang GH, Zhu LM, SONG Xin, FU Yong, GE Lin, LI Peilong, LI Dongmin. Analysis of HIV self-testing and related factors in club drug abusers among men who have sex with men in Qingdao[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(5): 581-586. doi: 10.16462/j.cnki.zhjbkz.2023.05.015
Citation: Huang GH, Zhu LM, SONG Xin, FU Yong, GE Lin, LI Peilong, LI Dongmin. Analysis of HIV self-testing and related factors in club drug abusers among men who have sex with men in Qingdao[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(5): 581-586. doi: 10.16462/j.cnki.zhjbkz.2023.05.015

青岛市新型毒品滥用男男性行为者HIV自检情况及相关因素分析

doi: 10.16462/j.cnki.zhjbkz.2023.05.015
基金项目: 

国家科技重大专项 2017ZX10201101-002-005

详细信息
    通讯作者:

    李东民,E-mail:lidongmin@Chinaaids.cn

  • 中图分类号: R512.91

Analysis of HIV self-testing and related factors in club drug abusers among men who have sex with men in Qingdao

Funds: 

National Science and Technology Major Project of China 2017ZX10201101-002-005

More Information
  • 摘要:   目的   分析青岛市新型毒品滥用MSM HIV自检情况及其相关因素,为推动该人群的HIV自检提供参考。   方法   2022年4―7月,由社会组织招募HIV阴性或感染状态未知的新型毒品滥用MSM,采用纸质问卷面对面调查其人口学特征、性行为特征、新型毒品滥用情况及HIV自检情况等信息。采用$\chi$2检验和多因素logistic回归分析模型分析研究对象HIV自检的相关因素。   结果   共调查569例,最近6个月HIV自检率为67.84%(386/569),其中自检1次者占65.80%(254/386)、自检2次者占32.90%(127/386)、自检3次者占1.30%(5/386)。HIV自检试剂来源中,MSM社会组织免费申领占80.57%(311/386),网络购买占36.01%(139/386),同伴给予占14.25%(55/386)。多因素logistic回归分析模型分析显示:最近6个月在检测点检测HIV 1次者和≥2次者(OR=30.318, 95% CI: 8.181~112.360; OR=5.487, 95% CI:1.663~18.101)、发生无保护肛交行为者(OR=2.437, 95% CI: 1.310~4.533)、发生群交性行为者(OR=1.807, 95% CI: 1.113~2.932)和新型毒品混用者(OR=1.582, 95% CI: 1.004~2.493)最近6个月进行HIV自检的可能性更高。已婚者(OR=0.595, 95% CI: 0.367~0.967)和性角色为被插入方(OR=0.529, 95% CI: 0.311~0.902)最近6个月进行HIV自检的可能性更低。   结论   青岛市新型毒品滥用MSM人群最近6个月HIV自检率较高,但已婚、性角色为被插入方、未在检测点检测HIV及未混用新型毒品的研究对象HIV自检比例较低,应加强对该部分人群HIV自检的宣传力度。
  • 表  1  青岛市滥用新型毒品MSM人群最近6个月HIV自检者与未自检者人口学特征比较[n(%)]

    Table  1.   Comparison of demographic characteristics in club drug abusers among MSM by received HIV self-testing in Qingdao in the past 6 months [n(%)]

    变量 合计 最近6个月自检 $\chi$2 P值
    年龄组(岁) 0.561 0.454
       < 25 96(16.87) 62(16.06) 34(18.58)
      ≥25 473(83.13) 324(83.94) 149(81.42)
    婚姻状况 5.443 0.020
      未婚 458(80.49) 321(83.16) 137(74.86)
      已婚 111(19.51) 65(16.84) 46(25.14)
    文化程度 0.702 0.402
      高中/中专及以下 216(37.96) 142(36.79) 74(40.44)
      大专及以上 353(62.04) 244(63.21) 109(59.56)
    户籍 2.813 0.094
      山东省 476(83.66) 316(81.87) 160(87.43)
      非山东省 93(16.34) 70(18.13) 23(12.57)
    在青岛市居住时间(年) 0.147 0.701
       < 5 31(5.45) 22(5.70) 9(4.92)
      ≥5 538(94.55) 364(94.30) 174(95.08)
    自我报告性取向 2.006 0.157
      同性 526(92.44) 361(93.52) 165(90.16)
      异性/双性/不确定 43(7.56) 25(6.48) 18(9.84)
    艾滋病知识知晓 0.589 a
      是 567(99.65) 385(99.74) 182(99.45)
      否 2(0.35) 1(0.26) 1(0.55)
      注:a表示使用Fisher确切概率法。
    下载: 导出CSV

    表  2  青岛市滥用新型毒品MSM人群最近6个月HIV自检者与未自检者行为学特征比较[n(%)]

    Table  2.   Comparison of behavioral characteristics in club drug abusers among MSM by received HIV self-testing in Qingdao in the past 6 months [n(%)]

    变量 合计 最近6个月自检 $\chi$2 P
    性角色 16.281 < 0.001
      插入方 152(26.71) 108(27.98) 44(24.04)
      被插入方 170(29.88) 95(24.61) 75(40.98)
      插入方与被插入方兼做 247(43.41) 183(47.41) 64(34.97)
    最近6个月有多性伴 0.406 a
      是 559(98.24) 378(97.83) 181(98.91)
      否 10(1.76) 8(2.07) 2(1.09)
    最近6个月性伴固定 0.777 0.773
      固定 14(2.46) 9(2.33) 5(2.73)
      非固定 555(97.54) 377(97.67) 178(97.27)
    最近6个月在检测点检测HIV次数(次) 78.487 < 0.001
      0 36(6.33) 4(1.04) 32(17.49)
      1 111(19.51) 100(25.91) 11(6.01)
      ≥2 422(74.16) 282(73.06) 140(76.50)
    最近6个月发生无保护肛交行为 10.541 0.001
      是 500(87.87) 351(90.93) 149(81.42)
      否 69(12.13) 35(9.07) 34(18.58)
    最近6个月发生群交性行为 37.438 < 0.001
      是 396(69.60) 300(77.72) 96(52.46)
      否 173(30.40) 86(22.28) 87(47.54)
    最近6个月发生性行为时安全套破损 0.398 0.528
      是 92(16.17) 65(16.84) 27(14.75)
      否 477(83.83) 321(83.16) 156(85.25)
    最近6个月新型毒品混用 10.540 0.001
      是 173(30.40) 134(34.72) 39(21.31)
      否 396(69.60) 252(65.28) 144(78.69)
    最近6个月知晓性伴感染状况 6.080 0.014
      知晓 420(73.81) 297(76.94) 123(67.21)
      不知晓 149(26.19) 89(23.06) 60(32.79)
    注:a表示使用Fisher确切概率法。
    下载: 导出CSV

    表  3  青岛市滥用新型毒品MSM人群最近6个月HIV自检相关因素分析

    Table  3.   Analysis of related factors of HIV self-testing in club drug abusers among MSM in Qingdao in the past 6 months

    变量 β sx Wald $\chi$2 OR值(95% CI) P
    婚姻状况
      未婚 1.000
      已婚 -0.518 0.247 4.391 0.595(0.367~0.967) 0.036
    性角色
      插入方 1.000
      被插入方 -0.636 0.271 5.476 0.529(0.311~0.902) 0.019
      插入方与被插入方兼做 -0.070 0.257 0.074 0.932(0.564~1.543) 0.785
    最近6个月在检测点检测HIV次数(次)
      0 1.000
      1 3.411 0.668 26.057 30.318(8.181~112.360) < 0.001
      ≥2 1.702 0.609 7.814 5.487(1.663~18.101) 0.005
    最近6个月发生无保护肛交行为
      是 0.891 0.317 7.913 2.437(1.310~4.533) 0.005
      否 1.000
    最近6个月发生群交性行为
      是 -0.592 0.247 5.731 1.807(1.113~2.932) 0.017
      否 1.000
    最近6个月新型毒品混用
      是 0.459 0.232 3.914 1.582(1.004~2.493) 0.048
      否 1.000
    最近6个月知晓性伴感染状况
      知晓 0.215 0.246 0.764 1.240(0.766~2.008) 0.375
      不知晓 1.000
    下载: 导出CSV
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出版历程
  • 收稿日期:  2022-10-31
  • 修回日期:  2022-12-21
  • 刊出日期:  2023-05-10

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