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基于男性社交平台男男性行为人群HIV检测率及HIV自我检测率变化趋势分析
引用本文:吴丹,程伟彬,熊媛,陆荧,倪宇馨,唐卫明. 基于男性社交平台男男性行为人群HIV检测率及HIV自我检测率变化趋势分析[J]. 中华流行病学杂志, 2021, 42(2): 269-272
作者姓名:吴丹  程伟彬  熊媛  陆荧  倪宇馨  唐卫明
作者单位:英国伦敦卫生与热带医学院临床研究系, 伦敦 WC1E 7HT;南方医科大学皮肤病医院, 广州 510095;广东省第二人民医院, 广州 510317;南方医科大学皮肤病医院, 广州 510095;美国北卡罗来纳大学教堂山分校中国项目办, 广州 510095
基金项目:国家自然科学基金(81903373);国家重点研发计划(2017YFE0103800);国家科技重大专项(2018ZX10101-001-001-003);牛顿基金(NIF/R1/108020)
摘    要:目的:了解我国MSM的HIV检测率尤其是HIV自我检测(自检)率的变化趋势,初步评估HIV自检在扩大MSM的HIV检测方面的作用。方法:通过Blued男性社交平台在全国范围内招募研究对象,调查内容包括社会人口学特征、性行为、既往HIV检测与自检等,并对历年数据进行趋势性分析。结果:2013-2016、2018年,分别招...

关 键 词:男男性行为人群  艾滋病病毒/艾滋病  自我检测
收稿时间:2020-06-24

Changing trends of HIV testing and HIV self-testing in men who have sex with men on a gay social networking app
Wu Dan,Cheng Weibin,Xiong Yuan,Lu Ying,Ni Yuxin,Tang Weiming. Changing trends of HIV testing and HIV self-testing in men who have sex with men on a gay social networking app[J]. Chinese Journal of Epidemiology, 2021, 42(2): 269-272
Authors:Wu Dan  Cheng Weibin  Xiong Yuan  Lu Ying  Ni Yuxin  Tang Weiming
Affiliation:Department of Clinical Research, London School of Hygiene & Tropical Medicine, London WC1E 7HT, United Kingdom;Dermatology Hospital of Southern Medical University, Guangzhou 510095, China;Guangdong Second Provincial General Hospital, Guangzhou 510317, China;Dermatology Hospital of Southern Medical University, Guangzhou 510095, China;University of North Carolina at Chapel Hill, Project-China, Guangzhou 510095, China
Abstract:Objective To understand the changing trends of HIV testing rates, with a focus on HIV self-testing, and to evaluate the impact of HIV self-testing on expanding HIV testing among MSM in China in past few years.Methods MSM were recruited online nationwide via a gay social networking app (Blued) from 2013 to 2016 and 2018. The survey collected information about socio-demographic backgrounds, sexual behaviors, and prior HIV testing experiences, including HIV self-testing. Trend analyses were conducted.Results Respectively, 1 342, 1 424, 1 173, 2 105 and 699 MSM were recruited nationwide from 2013 to 2016, and in 2018. The mean age was (30.6±6.6)years in 2013 and showed a decreasing trend afterwards. The HIV testing rate was 60.0% (805/1 342) in 2013 and there was a rising trend from 2013 to 2016, and 2018 (trend Z=19.3, P <0.001), reaching a peak at 77.3% (540/699) in 2018. Further, the HIV self-testing rate increased from 19.3% (259/1 342) in 2013 to 58.1% (406/699) in 2018 (χ2=237.5, P <0.001). The proportion of MSM who had HIV self-testing among prior HIV testers significantly increased from 32.2% (259/805) to 75.2% (406/540) during the study period (trend Z=14.3, P <0.001).Conclusions The HIV testing rate, HIV self-testing rate and proportion of men who had HIV self-testing among former HIV testers among web-based Chinese MSM showed substantial increases from 2013 to 2016,and 2018. This suggests that HIV self-testing may have a significant effect on the expansion of HIV testing coverage in MSM, and has important public health implications for HIV/AIDS prevention in China.
Keywords:Men who have sex with men  HIV/AIDS  Self-testing
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