Regular HIV testing and post-exposure prophylaxis among men who have sex with men in Lishui City
XIA Yongling1, ZHANG Haifang2, TAO Tao2, LAN Huangchen2, CHEN Xiaolei2, WU Zhenyu1
1. Comprehensive Office, Lishui Municipal Center for Disease Control and Prevention, Lishui, Zhejiang 323000, China; 2. Lishui Municipal Center for Disease Control and Prevention, Lishui, Zhejiang 323000, China
Abstract：Objective To investigate the status of regular HIV testing and post exposure prophylaxis (PEP) behaviors among men who have sex with men (MSM) in Lishui City, Zhejiang Province, so as to provide the reference for developing targeted intervention strategies. Methods A total of 389 MSM were selected from Lishui City by convenient sampling method from April to August 2022, and demographic information, sexual behaviors, HIV testing and PEP behaviors were collected through questionnaire surveys. MSM were clustered using two step clustering analysis, and regular HIV testing and PEP behaviors among different groups of MSM were compared. Factors affecting regular HIV testing and PEP behaviors were evaluated using a multivariable logistic regression model. Results The MSM surveyed had a median age of 31.00 (interquartile range, 16.00) years. There were 146 MSM undergoing regular HIV testing, accounting for 37.53%, and 47 MSM receiving PEP, accounting for 12.08%. MSM were divided into two groups. There were 28.05% of MSM with regular HIV testing in group 1, which was lower than the 44.44% in group 2; and 22.56% receiving PEP, which was higher than the 4.44% in group 2 (both P<0.05). Multivariable logistic regression analysis identified age (OR=1.030, 95%CI: 1.011-1.050), sexual roles (both receptive and insertive, OR=2.999, 95%CI: 1.732-5.194) and homosexual behaviors in the past 6 months (use condoms every time, OR=4.567, 95%CI: 2.593-8.044) as factors affecting regular HIV testing among MSM; age (OR=0.970, 95%CI: 0.942-0.999), sexual orientation (OR=0.292, 95%CI: 0.139-0.612) and homosexual behaviors in the past 6 months (not use condoms, OR=0.135, 95%CI: 0.040-0.460; use condoms every time, OR=0.076, 95%CI: 0.018-0.326) as factors affecting PEP behaviors among MSM. Conclusion MSM with different characteristics of sexual behaviors have different preferences for HIV regular testing and PEP, with homosexual behaviors in the past 6 months, sexual roles and sexual orientation being the main influencing factors.
夏永玲, 张海芳, 陶桃, 蓝黄琛, 陈晓蕾, 吴振宇. 丽水市MSM人群HIV定期检测及暴露后预防调查[J]. 预防医学, 2024, 36(6): 465-469.
XIA Yongling, ZHANG Haifang, TAO Tao, LAN Huangchen, CHEN Xiaolei, WU Zhenyu. Regular HIV testing and post-exposure prophylaxis among men who have sex with men in Lishui City. Preventive Medicine, 2024, 36(6): 465-469.
[1] HOU Y S,JIN Y C,CAI C,et al.Comparative analysis of epidemiological features of HIV/AIDS cases aged over and under 50 years old-China,2010-2022[J].China CDC Wkly,2023,5(48):1079-1083. [2] ZHAO Y F,BROMBERG D J,KHOSHNOOD K,et al.Factors associated with regular HIV testing behavior of MSM in China:a cross-sectional survey informed by theory of triadic influence[J].Int J STD AIDS,2020,31(14):1340-1351. [3] RODGER A J,CAMBIANO V,BRUUN T,et al.Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy(PARTNER):final results of a multicentre,prospective,observational study[J].Lancet,2019,393(10189):2428-2438. [4] 中国疾病预防控制中心性病艾滋病预防控制中心.艾滋病病毒暴露后预防技术指南(试用)[EB/OL].[2024-03-21].http://ncaids.chinacdc.cn/tzgggd/202011/W020201116802422550750.pdf. [5] 张倩,罗德威,周乐,等.扬州市居民艾滋病非职业暴露后预防知晓情况调查[J].预防医学,2023,35(12):1093-1096. [6] 赵亚芳,王夏,绳宇.男男性行为者HIV定期检测行为的三元影响因素分析[J].中华疾病控制杂志,2020,24(12):1433-1440. [7] 韦娜香,张贺礼,辛辛,等.上海市浦东新区男男性行为者HIV定期检测状况调查[J].中国艾滋病性病,2021,27(8):874-876. [8] WANG Y,LIU S C,ZHANG Y,et al.Use of HIV post-exposure prophylaxis among men who have sex with men in Shenzhen,China:a serial cross-sectional study[J].AIDS Behav,2022,26(10):3231-3241. [9] 魏然. 男男性行为人群对HIV暴露后预防服务的接受程度及影响因素研究[D].济南:山东大学,2019. [10] 任仙龙,刘国武,夏冬艳,等.HIV非职业暴露后预防药物使用的影响因素研究进展[J].中华流行病学杂志,2021,42(9):1709-1712. [11] 武松. SPSS实战与统计思维[M].北京:清华大学出版社,2019. [12] 陈吟,刘诗洋,孙静,等.基于二阶聚类分析的住院患者满意度研究[J].中华医院管理杂志,2018,34(2):104-109. [13] POLANCO-GARCÍA M,GRANERO R,GALLART L,et al.Finding the vulnerable postoperative population:a two-step cluster analysis of the PAIN-OUT registry[J].Eur J Pain,2022,26(8):1732-1745. [14] 陈文丽,陈剑惠,张宏,等.福州市男同性恋者/男双性恋者行为特征及HIV感染相关因素分析[J].中国艾滋病性病,2022,28(8):910-914. [15] 吴雨霏. 广西南宁、柳州市MSM人群艾滋病非职业暴露后预防的实施效果评价[D].南宁:广西医科大学,2023. [16] 罗西,覃世龙,明方钊,等.武汉市MSM人群HIV抗体重复检测的影响因素分析[J].预防医学,2022,34(8):831-835. [17] 郑亦慧,谢言,魏巍.上海市男男性行为者艾滋病非职业暴露后预防的接受意愿和使用情况[J].上海预防医学,2022,34(2):134-138.
