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[两种HIV自我检测模式在促进男男性行为者进行HIV检测中的作用]

[The roles of two HIV self-testing models in promoting HIV-testing among men who have sex with men].

作者信息

Zhou Y, Wu D, Tang W M, Li X F, Huang S Z, Liu Y W, He X, Lu Y, Ni Y X, Li J R, Dai W C

机构信息

Center for Disease Control and Prevention of Zhuhai City, Zhuhai 519060, China.

University of North Carolina at Chapel Hill, Project-China, Guangzhou 510095, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Feb 10;42(2):263-268. doi: 10.3760/cma.j.cn112338-20200629-00893.

Abstract

To evaluate the roles between two different HIV self-testing models in promoting HIV-testing among men who have sex with men (MSM). This paper focuses on two HIV self-testing service models. The first; is the online self-testing model (HIV self-testing conventional model) with the sexual health promotion network platform. The other one is an innovative HIV self-testing model (secondary distribution model), based on the previous program. The two different self-testing models, including the number of indexes and alters, the positive rate, and the demographics of indexes and alters, are compared. The influence of volunteers with or without leadership on the number of HIV self-test kits distributed or self-use is analyzed through the leadership survey scale. The return rates of HIV self-testing results in the two models are 94.7%(323/341) and 99.2%(1 141/1 150), respectively, within 30 days. The proportion of alters in the secondary distribution is significantly higher (45.9%,281/612) than the conventional HIV self-testing (6.3%,20/318). In the secondary distribution model, the difference between the number of indexes and alters indicators including age, marital status, residence, sex orientation, anal sex with men in the past six months, and HIV test are statistically significant ( test, all <0.05). The opinion leader of MSM has significantly impacted the promotion of HIV self-testing (<0.05). Both models can promote HIV self-testing, result return, and HIV positive detection among MSM. In terms of expanding the testing and detection of HIV positive, the secondary distribution mode shows more obvious advantages, which significantly promotes a large number of MSM who have never been tested for HIV to undergo HIV testing. Influential indexes have a significant effect on increasing the HIV testing rate and promoting HIV testing among MSM.

摘要

评估两种不同的HIV自我检测模式在促进男男性行为者(MSM)进行HIV检测方面的作用。本文聚焦于两种HIV自我检测服务模式。第一种是通过性健康促进网络平台的在线自我检测模式(HIV自我检测传统模式)。另一种是在先前项目基础上的创新型HIV自我检测模式(二次分发模式)。比较了这两种不同的自我检测模式,包括指标和改变者的数量、阳性率以及指标和改变者的人口统计学特征。通过领导力调查问卷分析有或无领导力的志愿者对HIV自我检测试剂盒分发数量或自我使用数量的影响。两种模式下HIV自我检测结果在30天内的回收率分别为94.7%(323/341)和99.2%(1141/1150)。二次分发中改变者的比例(45.9%,281/612)显著高于传统HIV自我检测(6.3%,20/318)。在二次分发模式中,包括年龄、婚姻状况、居住地、性取向、过去六个月与男性肛交以及HIV检测等指标和改变者指标之间的差异具有统计学意义(检验,均<0.05)。MSM意见领袖对HIV自我检测的推广有显著影响(<0.05)。两种模式都能促进MSM进行HIV自我检测、结果回传以及HIV阳性检测。在扩大HIV阳性检测方面,二次分发模式显示出更明显的优势,显著促进了大量从未进行过HIV检测的MSM接受HIV检测。有影响力的指标对提高MSM的HIV检测率和促进HIV检测有显著作用。

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