中国MSM人群HIV自我检测现状及影响因素的meta分析

摘要/Abstract

摘要： 目的系统评价我国男男性行为者（men who sexual with men,MSM）人群人类免疫缺陷病毒（human immunodeficiency virus,HIV）自我检测（HIV self-testing,HIVST）的使用率及影响因素,为HIVST的推广实施提供参考依据。方法检索中国知网、万方数据库、维普数据库、PubMed、Web of Science、Embase、The Cochrane Library数据库,系统收集从建库至2022年11月的有关我国 MSM 人群 HIVST使用情况的文献,对纳入的文献采用Stata1 5.0软件进行meta分析。结果共纳入15篇文献,MSM人群HIV自我检测率为47.6%（95%CI：37.3%~57.9%）。文化程度（OR=1.922,95%CI：1.409~2.623）、婚姻状况（OR=1.727,95%CI：1.188~2.509）、曾检测过HIV（OR=3.119,95%CI：1.557~6.247）、多性伴（OR=1.486,95%CI：1.252~1.764）、近1年使用成瘾性物质（OR=1.489,95%CI：1.215~1.826）、寻找性伴途径（OR=1.863,95%CI：1.427~2.433）、同性商业性行为（OR=1.925,95%CI：1.489~2.489）及学生（OR=2.278,95%CI：1.242~4.177）是MSM人群HIV自我检测的影响因素。结论我国MSM人群HIV自我检测率为47.6%,本科/大专及以上、已婚、曾检测过HIV、多性伴、近1年使用过毒品、在线上寻找性伴、学生及有同性商业性行为的MSM人群使用HIV自我检测的可能性更大。应针对其人群特征采取同伴教育、网络宣传等多种干预手段,不断推广HIVST的正确使用,提高我国HIV的自我检测率。

关键词: 艾滋病, 男男性行为者, 自我检测, 影响因素, Meta分析

Abstract: Objective To systematically evaluate the utilization rate and influencing factors of HIV self-testing（HIVST） among men who have sex with men（MSM） in China,so as to provide reference for the popularization and implementation of HIVST. Methods The databases of CNKI,Wanfang,VIP,PubMed,Web of Science,Embase and The Cochrane Librarywere searched,and the literature about HIVST usage among MSM in China were systematically collected from database establishment to November 2022. The meta-analysis was performed on included literature by Stata15.0 software. Results Totally 13 articles were included,and the HIVST rate of MSM population was 47.6%（95%CI：37.3%-57.9%）. The education level（OR=1.922,95%CI：1.409-2.623）,marital status（OR=1.727,95%CI：1.188-2.509）,previously tested for HIV（OR=3.119,95%CI：1.557-6.247）,multiple sexual partners（OR=1.486,95%CI：1.252-1.764）,use of addictive substances in the past year（OR=1.489,95%CI：1.215-1.826）,ways to find sexual partners（OR=1.863,95%CI：1.427-2.433）,same-sex commercial sex（OR=1.925,95%CI：1.489-2.489） and students（OR=2.278,95%CI：1.242-4.177） were the influencing factors of HIVST in MSM population. Conclusions The HIV self-testing rate of MSM in China is 47.6%. The MSM who are bachelor/college degree or above,married,have tested for HIV,have multiple sexual partners,have used drugs in the past year,search for sexual partners online,students,and have same-sex commercial sexual activity are more likely to use HIV self-testing. According to the characteristics of its population,it is necessary to adopt various intervention measures such as peer education and network publicity,and constantly promote the correct use of HIVST,so as to improve the HIVST rate of HIV in China.

Key words: AIDS, Men who have sex with men, Self-testing, Influencing factors, Meta-analysis

中图分类号:

R181.2

李娜, 雷青, 王娅鑫, 佘桂芳, 孙鸿燕. 中国MSM人群HIV自我检测现状及影响因素的meta分析. [J]职业与健康, 2023, 39(19): 2700-2704.

LI Na, LEI Qing, WANG Yaxin, SHE Guifang, SUN Hongyan. Meta-analysis of HIV self-testing status and influencing factors among MSM in China. [J]OCCUPATION AND HEALTH, 2023, 39(19): 2700-2704.

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