新型冠状病毒肺炎疫情对男男性行为人群HIV检测服务利用的影响因素分析

  目的  分析COVID-19疫情时MSM的HIV检测服务利用及相关影响因素。  方法  2020年9月—2020年11月，在深圳市龙华区疾病预防控制中心艾滋病自愿检测与咨询室、深圳市第三人民医院对MSM进行电子问卷调查，采用秩和检验比较各因素不同情况中的HIV检测服务利用，并建立有序多分类Logistic回归分析模型分析HIV检测服务利用的影响因素。  结果  研究对象疫情期间HIV检测服务利用减少的比例较高(30.4%)，多因素分析结果显示，对COVID-19高度恐慌、肛交性行为频率减少(OR=0.056, 95% CI: 0.021~0.150, P＜0.001)、男性伴侣/男朋友建议不要去检测机构(OR=0.538, 95% CI: 0.297~0.975, P=0.041)、感染了COVID-19(OR=21.979, 95% CI: 4.369~110.559, P＜0.001)的MSM人群HIV检测服务利用次数减少可能性更大。  结论  COVID-19疫情期间MSM人群HIV检测服务利用下降，在制定及实施疫情防控措施时需加强关注。

Influencing factors of COVID-19 epidemic on the utilization of Human immunodeficiency virus testing among men who have sex with men

  Objective  To analyze the utilization of HIV testing services and related influencing factors among men who have sex with men (MSM) on COVID-19.  Methods  From September to November 2020, an electronic questionnaire survey was conducted on MSM in the AIDS Vct of Longhua CDC and the Third People's Hospital of Shenzhen, The rank sum test was used to compare the changes in the utilization of HIV testing services in different situations of various factors, and ordinal multinomial logistic regression model was established to analyze the influencing factors of the utilization of HIV testing services.  Results  A total of 30.4% MSM were reported reduction in the use of HIV testing services. Logistic regression analysis showed that highly panic of COVID-19 reducing the frequency of anal sex (OR=0.056, 95% CI: 0.021-0.150, P < 0.001), being advised not going to testing agency (OR=0.538, 95% CI: 0.297-0.975, P=0.041), and being infected of COVID-19 (OR=21.979, 95% CI: 4.369-110.559, P < 0.001) had higher chance of reduction in the used of HIV testing services.  Conclusion  The HIV testing service utilization is decreased in MSM during COVID-19. It is necessary to pay more attention to this convenience when formulating and implementing epidemic prevention and control measures.