School of Public Health, Guilin Medical University, Guilin, China.
School of Public Health, Baotou Medical University, Baotou, China.
Sex Health. 2021 Mar;18(1):58-63. doi: 10.1071/SH20088.
Background HIV prevalence has been rapidly increasing among men who have sex with men (MSM) attending university in China, but HIV testing rates remain suboptimal. The factors associated with past HIV testing in this population in Beijing, China, were investigated.
This study used data from the baseline survey of an HIV intervention clinical trial among MSM who did not have a history of a positive HIV diagnosis. This analysis focused on the HIV testing experience in a subgroup of university student MSM participants. Log-binomial models were used to evaluate factors associated with past HIV testing.
Of 375 university student MSM, the median age was 22 years; 89.3% were Han ethnic. Approximately half (50.4%, n = 189) had ever taken an HIV test before the survey. In a multivariable log-binomial model, older age (adjusted prevalence ratio (APR), 1.04; 95% confidence interval (CI), 1.02-1.06), had first sexual intercourse at age <18 years (APR, 1.35; 95% CI, 1.08-1.45) and knew someone living with HIV (APR, 1.33; 95% CI, 1.07-1.61) were associated with a higher likelihood of past testing. Self-reported barriers to taking a test included perceived low HIV risk, fear of a positive diagnosis, did not know where to get tested and fear of discrimination. Facilitators included anonymity in taking a test, confidentiality of testing results and availability of home-based and rapid testing.
The HIV testing rate among university student MSM was low. Interventions should be implemented to address structural, institutional and individual barriers to HIV testing in this vulnerable population.
在中国，男男性行为者（MSM）在大学中艾滋病病毒（HIV）的流行率迅速上升，但 HIV 检测率仍不理想。本研究旨在调查中国北京这一人群中既往 HIV 检测的相关因素。
本研究采用了一项 HIV 干预临床试验的基线调查数据，该研究对象为既往 HIV 诊断阳性史的 MSM。本分析重点关注未发生 HIV 诊断阳性的大学生 MSM 参与者的 HIV 检测经历。采用对数二项式模型评估与既往 HIV 检测相关的因素。
在 375 名大学生 MSM 中，中位数年龄为 22 岁，89.3%为汉族。在调查前，约有一半（50.4%，n=189）曾接受过 HIV 检测。在多变量对数二项式模型中，年龄较大（调整后的流行比（APR），1.04；95%置信区间（CI），1.02-1.06）、18 岁前发生首次性行为（APR，1.35；95% CI，1.08-1.45）和认识 HIV 感染者（APR，1.33；95% CI，1.07-1.61）与既往检测可能性更高相关。自我报告的检测障碍包括自认为 HIV 风险低、担心阳性诊断、不知道去哪里检测和担心歧视。促进因素包括检测时匿名、检测结果保密以及提供家庭和快速检测。
大学生 MSM 的 HIV 检测率较低。应针对这一弱势群体的结构性、机构性和个体性 HIV 检测障碍实施干预措施。
