Li Jianjun, Marley Gifty, Zhang Ye, Chen Yunting, Tang Weiming, Rongbin Yu, Fu Gengfeng
Jiangsu Provincial Center for Disease Prevention and Control, Nanjing, China.
School of Public Health, Nanjing Medical University, Nanjing, China.
Front Public Health. 2021 Nov 1;9:736440. doi: 10.3389/fpubh.2021.736440. eCollection 2021.
To help inform regarding HIV self-testing (HIVST) upscale, we assessed the determinants of recent HIVST uptake among men who have sex with men (MSM) in Jiangsu province, China. We conducted a convenience online survey from March to April, 2020 among men aged ≥16 years, who had ever had sex with other men. Statistical analysis included Pearson's chi-square test, bivariate correlation, and multivariable logistic regression. < 0.05 was considered statistically significant. Of the total 692 participants, 69.5% (481) were aged between 18 and 40 years, and 65.9% (456) had reportedly ever self-tested. Using HIVST for first HIV test (aOR = 1.98, 95% CI: 1.21-3.26), perceiving HIVST as more private (aOR = 1.41, 95% CI: 0.85-2.35), and users not needing to go to a health facility (aOR = 1.68, 95% CI: 1.20-2.34) were associated with recent HIVST as facilitating factors. HIVST uptake rate has increased among Jiangsu MSM and can be further promoted by healthcare workers routinely recommending HIVST to their clients.
为了为扩大艾滋病毒自我检测（HIVST）提供信息，我们评估了中国江苏省男男性行为者（MSM）近期接受HIVST的决定因素。我们于2020年3月至4月对年龄≥16岁、曾与其他男性发生过性行为的男性进行了一项便利的在线调查。统计分析包括Pearson卡方检验、双变量相关性分析和多变量逻辑回归。P<0.05被认为具有统计学意义。在总共692名参与者中，69.5%（481名）年龄在18至40岁之间，据报告65.9%（456名）曾进行过自我检测。将HIVST用于首次艾滋病毒检测（调整后比值比[aOR]=1.98，95%置信区间[CI]：1.21-3.26）、认为HIVST更私密（aOR=1.41，95%CI：0.85-2.35）以及使用者无需前往医疗机构（aOR=1.68，95%CI：1.20-2.34）是与近期HIVST相关的促进因素。江苏省男男性行为者的HIVST接受率有所提高，医护人员定期向其客户推荐HIVST可进一步促进该接受率的提高。
