目的 了解浙江省台州市男性同性性行为人群(MSM)近一年艾滋病病毒(HIV)检测情况。方法 选取2013—2015年台州市哨点监测MSM为研究对象,分析其近一年HIV检测率及关联因素。结果 本次研究共纳入2013—2015年哨点监测MSM 1429人,近一年检测率为62.6%。2013年、2014年和2015年监测对象近一年HIV检测率分别为66.5%、60.6%和59.2%,有下降趋势,年间差异有统计学意义(χ^2=5.45,P=0.020)。多因素logistic回归分析显示,研究对象近一年是否有过HIV检测与其婚姻状况、职业、艾滋病相关知识得分是否为满分、性取向、曾经同性性伴数、曾经异性性伴数、是否接受同伴教育有统计学关联。结论 浙江省台州市MSM人群HIV检测工作有待进一步加强,加强艾滋病宣传教育和同伴教育,提高HIV感染风险意识有助于提高MSM人群HIV检测率。
OBJECTIVE To determine proportion and correlates of HIV testing practice in the past year among men who have sex with men(MSM) in Taizhou, Zhejiang Province. METHODS HIV testing experience in the past year was obtained by questionnaire interview of MSM participating in HIV sentinel surveillance during 2013 to 2015. Logistic regression analysis was used to examine correlates of HIV testing practice in the past year. RESULTS A total of 1 429 MSM enrolled from 2013 to 2015. The proportion of having had HIV testing in the past year was 62.6% overall, 66.5% for 2013, 60.6% for 2014 and 59.2% for 2015, showing a secular declining trend(χ^2=5.45, P=0.020). Multiple logistic regression analysis indicated that HIV testing practice in the past year was significantly correlated with marital status, occupation, HIV/AIDS knowledge score, disclosure of homosexual identity, number of life-time homosexual partners, number of lifetime heterosexual partners and having ever received peer education. CONCLUSIONS More efforts were needed to promote HIV testing among MSM in Taizhou. It needed to enhance health education and peer education, improve HIV risk awareness and promote acceptance and practice of HIV testing.