Zhuhai Center for Disease Control and Prevention, Zhuhai, China.
China Medical University, Shenyang, China.
Front Public Health. 2021 Dec 9;9:752965. doi: 10.3389/fpubh.2021.752965. eCollection 2021.
Solidarity, such as community connectedness and social cohesion, may be useful in improving HIV testing uptake among men who have sex with men (MSM). This study aimed to evaluate the impact of solidarity on HIV testing before the coronavirus disease 2019 (COVID-19) and HIV testing willingness during COVID-19 among MSM in China. An online survey was conducted to collect sociodemographic, sexual behavioral, and solidarity items' information from the participants. We first used factor analysis to reveal the principal component of the solidarity items and then used logistic regression to study the impact of solidarity on HIV testing, by adjusting the possible confounding factors, such as age and education. Social cohesion and community connectedness were revealed by the factor analysis. MSM with high community connectedness were more willing to undergo HIV testing before the epidemic adjusted by age [odds ratio (): 1.07, 95% : 1.01-1.13]. The community connectedness was also related to the willingness of HIV testing during the epidemic, with adjustments of 1.09 (95% : 1.03-1.15). People who did not test for HIV before the COVID-19 epidemic were more willing to have the HIV test during the epidemic, which was correlated with the community connectedness, and the value was 1.14 (95%: 1.03-1.25). A high level of community connectedness helped to increase the HIV testing rate before COVID-19 and the willingness of HIV testing during the epidemic among MSM. Strategies can strengthen the role of the community in the management and service of MSM.
团结，如社区联系和社会凝聚力，可能有助于提高男男性行为者（MSM）的 HIV 检测率。本研究旨在评估团结对中国 MSM 在 2019 年冠状病毒病（COVID-19）之前 HIV 检测和 COVID-19 期间 HIV 检测意愿的影响。我们通过在线调查收集了参与者的社会人口统计学、性行为和团结项目的信息。我们首先使用因子分析揭示团结项目的主要成分，然后使用逻辑回归研究团结对 HIV 检测的影响，调整可能的混杂因素，如年龄和教育。社会凝聚力和社区联系通过因子分析揭示。与年龄调整后的疫情前具有高社区联系的 MSM 更愿意接受 HIV 检测[比值比（）：1.07，95%：1.01-1.13]。社区联系也与疫情期间 HIV 检测的意愿有关，调整后为 1.09（95%：1.03-1.15）。在 COVID-19 疫情前未进行 HIV 检测的人在疫情期间更愿意进行 HIV 检测，这与社区联系有关，其值为 1.14（95%：1.03-1.25）。高水平的社区联系有助于提高 MSM 在 COVID-19 之前的 HIV 检测率和疫情期间 HIV 检测意愿。可以采取措施加强社区在 MSM 管理和服务中的作用。
