Center for Disease Control and Prevention of Zhejiang Province, Hangzhou, 310051, People's Republic of China.
BMC Public Health. 2013 Jan 17;13:44. doi: 10.1186/1471-2458-13-44.
This study was conducted to determine the prevalence of HIV antibody testing and associated factors among heterosexual sexually transmitted disease (STD) clinic attendees in China.
A self-administered questionnaire was administered among 823 attendees of 4 STD clinics of Zhejiang Province, China in October to December 2007. Psychosocial and behavioural factors associated with HIV antibody testing were identified in both genders using univariate and multivariate analyses.
Of all 823 STD clinic attendees, 9.3% of male and 18.0% of female attendees underwent HIV antibody testing in the most recent 6 months, and 60% of the participants had gotten no educational/behavioral intervention related to HIV prevention. The correlates for HIV antibody testing in the most recent 6 months as identified by multivariate analysis were ever condom use [odds ratio (OR), 10.37; 95% confidence interval (CI), 1.32-81.22]; ever anal/oral sex (OR, 3.13; 95% CI, 1.03-9.50) during their lifetime; having ever received three to seven types of behavioural interventions in the most recent 6 months (OR, 3.70; 95% CI, 1.32-10.36) among male subjects; and ever condom use (OR, 12.50; 95% CI, 2.20-71.01), STD history (OR, 3.86; 95% CI, 1.26-11.86) over their lifetime, or having ever received three to seven types of behavioural interventions in the most recent 6 months (OR, 8.68; 95% CI, 2.39-31.46) in female subjects. A lifetime experience of casual/commercial sex partners was strongly negatively associated with HIV testing in female subjects (OR, 0.08; 95% CI, 0.01-0.83).
The low prevalence of HIV antibody testing and behavioural intervention among STD clinic attendees indicates a need for more targeted, intensive behavioural interventions to promote HIV antibody testing in this population.
本研究旨在确定中国异性性传播疾病（STD）门诊就诊者中 HIV 抗体检测的流行率及其相关因素。
2007 年 10 月至 12 月，采用自填式问卷对浙江省 4 家 STD 诊所的 823 名就诊者进行调查。采用单因素和多因素分析方法，确定男、女性就诊者中与 HIV 抗体检测相关的心理社会和行为因素。
在所有 823 名 STD 门诊就诊者中，9.3%的男性和 18.0%的女性在最近 6 个月内接受了 HIV 抗体检测，60%的参与者未接受过任何与 HIV 预防相关的教育/行为干预。多因素分析确定的最近 6 个月内 HIV 抗体检测的相关因素包括：曾使用安全套[比值比（OR），10.37；95%置信区间（CI），1.32-81.22]；一生中曾有过肛交/口交经历（OR，3.13；95%CI，1.03-9.50）；最近 6 个月内接受过 3 至 7 种行为干预（OR，3.70；95%CI，1.32-10.36）；曾使用安全套（OR，12.50；95%CI，2.20-71.01）；一生中有过性病史（OR，3.86；95%CI，1.26-11.86）；或最近 6 个月内接受过 3 至 7 种行为干预（OR，8.68；95%CI，2.39-31.46）。女性就诊者中，一生中偶然/商业性伴侣经历与 HIV 检测呈强烈负相关（OR，0.08；95%CI，0.01-0.83）。
STD 门诊就诊者中 HIV 抗体检测和行为干预的低流行率表明，需要针对该人群开展更有针对性、更强化的行为干预，以促进 HIV 抗体检测。
