中国浙江，互联网上寻找性伴的男男性行为者中 HIV 确证告知对频繁 HIV 检测和自我检测的作用：横断面研究。

Role of HIV Serostatus Communication on Frequent HIV Testing and Self-Testing Among Men Who Have Sex With Men Who Seek Sexual Partners on the Internet in Zhejiang, China: Cross-Sectional Study.

机构信息

Department of AIDS and STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.

Department of Infectious Diseases Prevention and Control, Yiwu Center for Disease Control and Prevention, Yiwu, Zhejiang, China.

出版信息

JMIR Form Res. 2024 Nov 14;8:e57244. doi: 10.2196/57244.

DOI:10.2196/57244

PMID:39541583

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11605257/

Abstract

BACKGROUND

Men who have sex with men (MSM) are increasingly using the internet to meet casual sexual partners. Those who do are at higher risk of sexually transmitted diseases. However, little is known about the rates and associations of frequent HIV testing and self-testing among such MSM.

OBJECTIVE

We aimed to examine HIV serostatus communication and perceptions regarding the HIV infection risk of internet-based partners, along with their associations with frequent HIV testing and self-testing.

METHODS

A cross-sectional study was conducted between May 2018 and April 2019 in Zhejiang Province, China. The study participants were assigned male at birth, were aged 18 years or older, had had casual sex with another male found through the internet in the last 6 months, and were HIV-negative. Information was obtained on HIV-testing behavior, along with demographic characteristics, HIV-related knowledge, internet-based behaviors, sexual behaviors with male partners, HIV serostatus communication, and perceptions regarding the HIV infection risk of internet-based partners. Uni- and multivariate logistic regression models were used to measure the associations of HIV testing and self-testing.

RESULTS

The study recruited 281 individuals who had sought casual sexual partners through the internet during the previous 6 months. Of the participants, 61.9% (174/281) reported frequent HIV testing (twice or more frequently) and 50.9% (119/234; 47 with missing values) reported frequent HIV self-testing. MSM who always or usually communicated about the HIV serostatus of internet-based partners in the previous 6 months had 3.12 (95% CI 1.76-5.52) and 2.45 (95% CI 1.42-4.22) times higher odds of being frequently tested or self-tested for HIV, respectively, compared with those who communicated about this issue minimally or not at all.

CONCLUSIONS

There remains a need to improve the frequency of HIV testing and self-testing among internet-based MSM. HIV serostatus communication should be improved within the context of social networking applications to promote frequent HIV testing among internet-based MSM, especially for those who communicated about this issue minimally or not at all.

摘要

背景

男男性行为者（MSM）越来越多地利用互联网寻找随意的性伴侣。这些人感染性传播疾病的风险更高。然而，对于此类 MSM 频繁进行 HIV 检测和自我检测的频率和关联知之甚少。

目的

我们旨在研究基于互联网的性伴侣 HIV 感染风险的认知情况以及 HIV 血清学检测结果的沟通情况，以及它们与频繁 HIV 检测和自我检测之间的关联。

方法

本研究于 2018 年 5 月至 2019 年 4 月在中国浙江省进行了一项横断面研究。研究对象为出生时为男性、年龄在 18 岁及以上、在过去 6 个月内与通过互联网找到的另一名男性发生过随意性行为且 HIV 检测结果为阴性的人。研究收集了 HIV 检测行为以及人口统计学特征、HIV 相关知识、基于互联网的行为、与男性性伴侣的性行为、HIV 血清学检测结果的沟通情况以及对基于互联网的性伴侣 HIV 感染风险的认知情况。采用单变量和多变量逻辑回归模型来衡量 HIV 检测和自我检测之间的关联。

结果

该研究共招募了 281 名在过去 6 个月内通过互联网寻找随意性伴侣的参与者。其中，61.9%（174/281）的参与者报告经常进行 HIV 检测（两次或更多次），50.9%（119/234；47 名有缺失值）报告经常进行 HIV 自我检测。与很少或从不沟通基于互联网的性伴侣 HIV 血清学检测结果的参与者相比，在过去 6 个月内经常沟通该问题的参与者，其 HIV 检测和自我检测的可能性分别增加 3.12 倍（95%CI 1.76-5.52）和 2.45 倍（95%CI 1.42-4.22）。