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[基于互联网的HIV检测在男男性行为者中的应用可行性及有效性]

[Feasibility and effectiveness of application of internet-based HIV testing in men who have sex with men].

作者信息

Hu X J, Min Y C, Xie N H, Liu C, Hu R, Zhang M, Dong Q L, Wang X

机构信息

Department of HIV/AIDS Prevention and Control, Wuhan Center for Disease Control and Prevention, Wuhan 430024, China.

Division of HIV/AIDS Prevention and Control, Jiangxia District Center for Disease Control and Prevention, Wuhan 430299, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2022 Nov 10;43(11):1773-1777. doi: 10.3760/cma.j.cn112338-20220606-00500.

Abstract

To evaluate the feasibility and effectiveness of the application of internet-based HIV testing in men who have sex with men (MSM) in practical application and provide evidence for its application in the future. MSM who visited the internet-based intervention platform for at least one time from June to December 2020 were selected for the study. The information about platform visit, the number of self-test kits provided, the basic characteristics of the MSM and their satisfactory level were collected. And multivariable logistic regression analyses were conducted to identify the potential factors associated with the reporting of self-test results. By the end of December 31, 2020, a total of 132 267 platform visits had been recorded, and 3 511 HIV self-test kits had been provided upon the MSM's requests, and 3 237 MSM (92.2%) reported self-test results. The HIV positive rate was 2.4% (69/2 855) and the confirmation rate of positive HIV test results was 86.7% (52/60). The MSM who asked for self-test kits online were mainly aged ≤30 years, had education level of college or above, and found their sexual partners through internet or dating software. Multivariable logistic regression analyses showed that repeat of online HIV self-test kits application (=3.50,95%:2.10-5.83), guarantee deposit of 50 yuan at application (=2.55,95%:1.33-4.89), monthly economic income 1-3 000 yuan (=1.54,95%:1.05-2.28) or no income (=1.71,95%:1.20-2.42) and online sexual partners finding (=1.49,95%:1.13-1.95) were associated with higher reporting rate of self-test results. The satisfactory rate the MSM to the service of platform was 99.5% (217/218). The study confirmed the feasibility and effectiveness of internet-based intervention for HIV tests in MSM, which could promote the self-test of HIV in MSM and facilitate the early detection of HIV infection through social media platforms and multi-channel promotion.

摘要

评估基于互联网的HIV检测在男男性行为者(MSM)实际应用中的可行性和有效性,并为其未来应用提供依据。选取2020年6月至12月至少访问过一次基于互联网的干预平台的MSM进行研究。收集平台访问信息、提供的自检试剂盒数量、MSM的基本特征及其满意度。并进行多变量逻辑回归分析,以确定与自检结果报告相关的潜在因素。截至2020年12月31日,共记录到132267次平台访问,应MSM要求提供了3511份HIV自检试剂盒,3237名MSM(92.2%)报告了自检结果。HIV阳性率为2.4%(69/2855),HIV检测阳性结果的确认率为86.7%(52/60)。在线申请自检试剂盒的MSM主要年龄≤30岁,具有大专及以上文化程度,通过互联网或交友软件寻找性伴侣。多变量逻辑回归分析显示,重复应用在线HIV自检试剂盒(比值比=3.50,95%置信区间:2.10-5.83)、申请时缴纳50元保证金(比值比=2.55,95%置信区间:1.33-4.89)、月经济收入1000-3000元(比值比=1.54,95%置信区间:1.05-2.28)或无收入(比值比=1.71,95%置信区间:1.20-2.42)以及通过网络寻找性伴侣(比值比=1.49,95%置信区间:1.13-1.95)与更高的自检结果报告率相关。MSM对平台服务的满意度为99.5%(217/218)。该研究证实了基于互联网的干预措施在MSM中进行HIV检测的可行性和有效性,可促进MSM的HIV自检,并通过社交媒体平台和多渠道推广促进HIV感染的早期发现。

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