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Article(id=1241065988846841894, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241065978004557893, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202408129, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1723132800000, receivedDateStr=2024-08-09, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1773822789632, onlineDateStr=2026-03-18, pubDate=1740412800000, pubDateStr=2025-02-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1773822789632, onlineIssueDateStr=2026-03-18, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1773822789632, creator=13701087609, updateTime=1773822789632, updator=13701087609, issue=Issue{id=1241065978004557893, tenantId=1146029695717560320, journalId=1227665162245664772, year='2025', volume='52', issue='4', pageStart='577', pageEnd='768', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1773822787047, creator=13701087609, updateTime=1773823194927, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1241067688831808347, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241065978004557893, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1241067688831808348, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241065978004557893, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=720, endPage=724, ext={EN=ArticleExt(id=1241065989161414715, articleId=1241065988846841894, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Related factors of HIV delivery test among men who have sex with men, Guangxi, columnId=1228016573156360233, journalTitle=Modern Preventive Medicine, columnName=Disease Control and Prevention, runingTitle=null, highlight=null, articleAbstract=
Objective

To investigate the current status and related factors of distribution of HIV delivery test among men who have sex with men (MSM) in Guangxi, aiming to provide references for promoting expanded HIV testing strategies for MSM.

Methods

From September 2021 to February 2022, 330 MSM were recruited in Nanning, Guilin, Liuzhou and Beihai, Guangxifor aprospective cohort study.Generalized Estimating Equations were used in analyses of related factors.

Results

Among the 319 MSM participants in the follow-up survey, 63.95% (204/319) underwent HIV delivery test.Multivariate generalized estimating equations showed that MSM with health insurance (aOR=1.959, 95% CI: 1.047-3.664), those with a college and above (aOR=1.736, 95% CI: 1.173-2.569), those who had undergone HIV testing in the past 3 months (aOR=3.565, 95% CI: 2.048-6.205), and those who had used HIV self-testing in the past 3 months (aOR=1.780, 95% CI: 1.227-2.582) were more willing to undergo HIV delivery test.

Conclusion

The proportion of HIV delivery test of MSM in Guangxi was63.95%.MSM with health insurance, a college or above education,had HIV test, and HIV self-testing in the past 3 months were more willing to undergo HIV delivery test.We should strengthen the publicity and promotion of HIV delivery test, encouraging individuals to participate in HIV delivery test in this population.

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目的

了解广西男男性行为者（MSM）HIV传递检测现状，探讨广西MSM HIV传递检测的影响因素，为推动MSM扩大HIV检测提供参考。

方法

2021年9月至2022年2月在广西南宁市、桂林市、柳州市及北海市招募330名MSM开展前瞻性队列研究，采用广义估计方程探究MSM HIV传递检测的影响因素。

结果

随访调查的319名MSM中，63.95%（204/319）人进行HIV传递检测。广义估计方程多因素结果显示，有医疗保险（aOR=1.959，95% CI：1.047~3.664），大专及以上（aOR=1.736，95% CI：1.173~2.569），最近3个月进行HIV检测（aOR=3.565，95% CI：2.048~6.205），最近3个月使用HIV自我检测的MSM更愿意进行HIV传递检测（aOR=1.780，95% CI：1.227~2.582）。

结论

广西MSM HIV传递检测的比例为63.95%，有医疗保险、大专及以上、最近3个月进行HIV检测者及使用HIV自我检测者更愿意进行HIV传递检测，在该人群中应加强HIV传递检测的宣传及推广，鼓励其传递检测。

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宁传艺，E-mail：
, copyrightStatement=本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点，除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=8tv2RT8fzkD8F7yTMsWGtQ==, magXml=duk7SYoad6rI2tPXTiFJAQ==, pdfUrl=null, pdf=D4nWDnD+dFc/nrvOLaHlvA==, pdfFileSize=592342, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=80OSCcE0Es5h6sCrLn9Qcg==, mapNumber=null, authorCompany=null, fund=null, authors=

王敏（1995—），女，硕士，主管护师，研究方向：艾滋病流行病学与护理教育

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王敏（1995—），女，硕士，主管护师，研究方向：艾滋病流行病学与护理教育

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王敏（1995—），女，硕士，主管护师，研究方向：艾滋病流行病学与护理教育

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Clinical Infectious Diseases, 2021, 73(7): e2251-e2257., articleTitle=Social media-based secondary distribution of human immunodeficiency virus/syphilis self-testing among Chinese men who have sex with men, refAbstract=null), Reference(id=1241066004634202758, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, doi=null, pmid=null, pmcid=null, year=2023, volume=25, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[24], rfOrder=31, authorNames=Jing FS, Ye Y, Zhou Y, journalName=Journal of Medical Internet Research, refType=null, unstructuredReference=Jing FS, Ye Y, Zhou Y, et al. Identification of key influencers for secondary distribution of HIV Self-Testing Kits among Chinese men who have sex with men: development of an ensemble machine learning approach[J]. Journal of Medical Internet Research, 2023, 25: e37719., articleTitle=Identification of key influencers for secondary distribution of HIV Self-Testing Kits among Chinese men who have sex with men: development of an ensemble machine learning approach, refAbstract=null)], funds=[Fund(id=1241065999584260604, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, awardId=2023GXNSFFA026007, language=CN, fundingSource=广西自然科学基金项目杰出青年科学项目(2023GXNSFFA026007), fundOrder=null, country=null), Fund(id=1241065999693312514, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, awardId=GKLKP-KF-202202, language=CN, fundingSource=广西重大传染病防控与生物安全应急响应重点实验室开放课题(GKLKP-KF-202202), fundOrder=null, country=null)], companyList=[AuthorCompany(id=1241065991275343993, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, xref=1., ext=[AuthorCompanyExt(id=1241065991283732602, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, companyId=1241065991275343993, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=The Second Affiliated Hospital, Guangxi Medical University, Nanning, Guangxi 530007, China), AuthorCompanyExt(id=1241065991292121211, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, companyId=1241065991275343993, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1.广西医科大学第二附属医院，广西 南宁 530007)]), AuthorCompany(id=1241065991376007301, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, xref=2., ext=[AuthorCompanyExt(id=1241065991384395911, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, companyId=1241065991376007301, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2.广西医科大学护理学院)]), AuthorCompany(id=1241065991497642129, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, xref=3., ext=[AuthorCompanyExt(id=1241065991506030739, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, companyId=1241065991497642129, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=3.广西医科大学公共卫生学院)]), AuthorCompany(id=1241065991589916830, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, xref=4., ext=[AuthorCompanyExt(id=1241065991594111135, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, companyId=1241065991589916830, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=4.南宁市疾病预防控制中心)]), AuthorCompany(id=1241065991715745961, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, xref=5., ext=[AuthorCompanyExt(id=1241065991724134570, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, companyId=1241065991715745961, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=5.广西重大传染病防控与生物安全应急响应重点实验室 广西壮族自治区疾病预防控制中心)]), AuthorCompany(id=1241065991828992177, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, xref=6., ext=[AuthorCompanyExt(id=1241065991833186482, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, companyId=1241065991828992177, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=6.广西艾滋病防治研究重点实验室)])], figs=[ArticleFig(id=1241065997684240864, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, language=EN, label=Table 1, caption=

A comparison of baseline characteristics between MSM participants engaging in distribution behavior and those not engaging in it [n(%)]

, figureFileSmall=null, figureFileBig=null, tableContent=
变量传递者
(n=204)		未传递者
(n=115)
年龄（岁）
18~30144(70.58)90(78.26)
31~4046(22.55)15(13.04)
>4014(6.86)10(8.70)
民族
汉族129(63.23)78(67.83)
壮族63(30.88)33(28.70)
其他12(5.88)4(3.48)
医疗保险
否17(8.33)21(18.26)
是187(91.67)94(81.74)
文化程度
高中及以下106(51.96)69(60.00)
大专及以上98(48.04)46(40.00)
职业
学生63(30.88)43(37.39)
非学生141(69.12)72(62.61)
居住状态
其他人同住86(42.16)57(49.57)
家人同住47(23.04)32(27.83)
独居71(34.80)26(22.61)
月收入（元）
<3 00077(37.75)58(50.43)
3 000~5 00053(25.98)30(26.09)
>5 00074(36.27)27(23.48)
婚姻状态
未婚183(89.71)104(90.43)
已婚14(6.86)9(7.83)
离异或丧偶7(3.43)2(1.74)
过去12个月检测HIV
否10(4.90)18(15.65)
是194(95.10)97(84.35)
过去12个月检测梅毒
否27(13.24)34(29.57)
是177(86.76)81(70.43)
性向
同性恋138(67.65)81(70.43)
双性恋52(25.50)27(23.48)
不确定14(6.86)7(6.09)
认同自己生理性别
否27(13.23)15(13.04)
是177(86.76)100(86.96)
公开性向
否94(46.08)61(53.04)
是110(53.92)54(46.96)
初次与男性发生性行为年龄（岁）
1852(25.49)82(71.30)
18~24126(61.76)31(26.96)
2426(12.75)2(1.74)
), ArticleFig(id=1241065997784904167, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, language=CN, label=表1, caption=

传递者与未传递者基线特征[n(%)]

, figureFileSmall=null, figureFileBig=null, tableContent=
变量传递者
(n=204)		未传递者
(n=115)
年龄（岁）
18~30144(70.58)90(78.26)
31~4046(22.55)15(13.04)
>4014(6.86)10(8.70)
民族
汉族129(63.23)78(67.83)
壮族63(30.88)33(28.70)
其他12(5.88)4(3.48)
医疗保险
否17(8.33)21(18.26)
是187(91.67)94(81.74)
文化程度
高中及以下106(51.96)69(60.00)
大专及以上98(48.04)46(40.00)
职业
学生63(30.88)43(37.39)
非学生141(69.12)72(62.61)
居住状态
其他人同住86(42.16)57(49.57)
家人同住47(23.04)32(27.83)
独居71(34.80)26(22.61)
月收入（元）
<3 00077(37.75)58(50.43)
3 000~5 00053(25.98)30(26.09)
>5 00074(36.27)27(23.48)
婚姻状态
未婚183(89.71)104(90.43)
已婚14(6.86)9(7.83)
离异或丧偶7(3.43)2(1.74)
过去12个月检测HIV
否10(4.90)18(15.65)
是194(95.10)97(84.35)
过去12个月检测梅毒
否27(13.24)34(29.57)
是177(86.76)81(70.43)
性向
同性恋138(67.65)81(70.43)
双性恋52(25.50)27(23.48)
不确定14(6.86)7(6.09)
认同自己生理性别
否27(13.23)15(13.04)
是177(86.76)100(86.96)
公开性向
否94(46.08)61(53.04)
是110(53.92)54(46.96)
初次与男性发生性行为年龄（岁）
1852(25.49)82(71.30)
18~24126(61.76)31(26.96)
2426(12.75)2(1.74)
), ArticleFig(id=1241065997889761770, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, language=EN, label=Table 2, caption=

Factors associated with HIV delivery test among participants

, figureFileSmall=null, figureFileBig=null, tableContent=
变量单因素分析多因素分析
OR(95% CI)POR(95% CI)P
基线特征
年龄（岁）
18~301.0001.000
31~401.622(1.111~2.368)0.0121.586(0.981~2.563)0.060
>401.241(0.656~2.346)0.2961.574(0.721~3.437)0.255
民族
汉族1.000-
壮族1.135(0.803~1.603)0.473--
其他1.199(0.635~2.263)0.577--
医疗保险
否1.0001.000
是1.794(1.031~3.122)0.0391.959(1.047~3.664)0.035
文化程度
高中及以下1.0001.000
大专及以上2.181(1.514~3.140)<0.0011.736(1.173~2.569)0.006
职业
学生1.0001.000
非学生1.492(1.061~2.098)0.0220.659(0.308~1.409)0.282
居住状态
其他人同住1.0001.000
家人同住1.301(0.861~1.967)0.2111.178(0.713~1.946)0.523
独居1.637(1.146~2.337)0.0071.104(0.667~1.828)0.701
月收入（元）
<3 0001.0001.000
3 000~5 0001.319(0.884~1.968)0.1741.641(0.822~3.278)0.160
>5 0002.050(1.423~2.955)<0.0011.754(0.929~3.310)0.083
婚姻状态
未婚1.000-
已婚0.898(0.484~1.668)0.733--
离异或丧偶2.080(0.921~4.701)0.078--
过去12个月检测HIV
否1.0001.000
是3.180(1.626~6.222)0.0011.766(0.601~5.193)0.301
过去12个月检测梅毒
否1.0001.000
是1.969(1.235~3.139)0.0041.417(0.732~2.744)0.301
性向
同性恋1.000-
双性恋1.149(0.800~1.651)0.452--
不确定1.301(0.682~2.480)0.452--
认同自己生理性别
否1.000-
是0.976(0.617~1.543)0.917--
公开性向
否1.000-
是0.940(0.641~1.379)0.751--
初次与男性发生性行为年龄（岁）
<181.000-
18~240.736(0.508~1.066)0.105--
>240.744(0.442~1.254)0.267--
随访特征
最近3个月进行HIV检测
否1.0001.000
是5.185(3.580~7.511)<0.0013.565(2.048~6.205)<0.001
最近3个月使用HIV自我检测
否1.0001.000
是2.920(2.227~3.829)<0.0011.780(1.227~2.582)0.002
最近3个月有多性伴
否1.0001.000
是2.001(1.473~2.720)<0.0011.221(0.762~1.958)0.406
最近3个月有男性固定性伴
否1.0001.000
是2.281(1.722~3.020)<0.0011.605(0.949~2.713)0.078
最近3个月有男性临时性伴
否1.0001.000
是1.577(1.172~2.123)0.0031.011(0.464~2.204)0.978
最近3个月与男性性伴发生一夜情
否1.0001.000
是1.605(1.190~2.165)0.0021.082(0.566~2.069)0.812
最近3个月与男性性伴发生无保护性行为
否1.0001.000
是1.507(1.099~2.068)0.0111.064(0.753~1.504)0.723
), ArticleFig(id=1241065998011396595, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241065988846841894, language=CN, label=表2, caption=

研究对象HIV传递检测影响因素分析

, figureFileSmall=null, figureFileBig=null, tableContent=
变量单因素分析多因素分析
OR(95% CI)POR(95% CI)P
基线特征
年龄（岁）
18~301.0001.000
31~401.622(1.111~2.368)0.0121.586(0.981~2.563)0.060
>401.241(0.656~2.346)0.2961.574(0.721~3.437)0.255
民族
汉族1.000-
壮族1.135(0.803~1.603)0.473--
其他1.199(0.635~2.263)0.577--
医疗保险
否1.0001.000
是1.794(1.031~3.122)0.0391.959(1.047~3.664)0.035
文化程度
高中及以下1.0001.000
大专及以上2.181(1.514~3.140)<0.0011.736(1.173~2.569)0.006
职业
学生1.0001.000
非学生1.492(1.061~2.098)0.0220.659(0.308~1.409)0.282
居住状态
其他人同住1.0001.000
家人同住1.301(0.861~1.967)0.2111.178(0.713~1.946)0.523
独居1.637(1.146~2.337)0.0071.104(0.667~1.828)0.701
月收入（元）
<3 0001.0001.000
3 000~5 0001.319(0.884~1.968)0.1741.641(0.822~3.278)0.160
>5 0002.050(1.423~2.955)<0.0011.754(0.929~3.310)0.083
婚姻状态
未婚1.000-
已婚0.898(0.484~1.668)0.733--
离异或丧偶2.080(0.921~4.701)0.078--
过去12个月检测HIV
否1.0001.000
是3.180(1.626~6.222)0.0011.766(0.601~5.193)0.301
过去12个月检测梅毒
否1.0001.000
是1.969(1.235~3.139)0.0041.417(0.732~2.744)0.301
性向
同性恋1.000-
双性恋1.149(0.800~1.651)0.452--
不确定1.301(0.682~2.480)0.452--
认同自己生理性别
否1.000-
是0.976(0.617~1.543)0.917--
公开性向
否1.000-
是0.940(0.641~1.379)0.751--
初次与男性发生性行为年龄（岁）
<181.000-
18~240.736(0.508~1.066)0.105--
>240.744(0.442~1.254)0.267--
随访特征
最近3个月进行HIV检测
否1.0001.000
是5.185(3.580~7.511)<0.0013.565(2.048~6.205)<0.001
最近3个月使用HIV自我检测
否1.0001.000
是2.920(2.227~3.829)<0.0011.780(1.227~2.582)0.002
最近3个月有多性伴
否1.0001.000
是2.001(1.473~2.720)<0.0011.221(0.762~1.958)0.406
最近3个月有男性固定性伴
否1.0001.000
是2.281(1.722~3.020)<0.0011.605(0.949~2.713)0.078
最近3个月有男性临时性伴
否1.0001.000
是1.577(1.172~2.123)0.0031.011(0.464~2.204)0.978
最近3个月与男性性伴发生一夜情
否1.0001.000
是1.605(1.190~2.165)0.0021.082(0.566~2.069)0.812
最近3个月与男性性伴发生无保护性行为
否1.0001.000
是1.507(1.099~2.068)0.0111.064(0.753~1.504)0.723
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广西男男性行为者HIV传递检测现状及其影响因素
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王敏 1, 2 , 张云 1, 2 , 田韦毅 2 , 莫金莉 1 , 黄海妹 2 , 谭素敏 1 , 岑平 3, 4 , 蓝光华 5 , 宁传艺 2, 6
现代预防医学 | 疾病预防控制 2025,52(4): 720-724
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现代预防医学 | 疾病预防控制 2025, 52(4): 720-724
广西男男性行为者HIV传递检测现状及其影响因素
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王敏1, 2, 张云1, 2, 田韦毅2, 莫金莉1, 黄海妹2, 谭素敏1, 岑平3, 4, 蓝光华5, 宁传艺2, 6
作者信息
  • 1.广西医科大学第二附属医院，广西 南宁 530007
  • 2.广西医科大学护理学院
  • 3.广西医科大学公共卫生学院
  • 4.南宁市疾病预防控制中心
  • 5.广西重大传染病防控与生物安全应急响应重点实验室 广西壮族自治区疾病预防控制中心
  • 6.广西艾滋病防治研究重点实验室

    • 王敏（1995—），女，硕士，主管护师，研究方向：艾滋病流行病学与护理教育

通讯作者:

宁传艺，E-mail：
Related factors of HIV delivery test among men who have sex with men, Guangxi
Min WANG1, 2, Yun ZHANG1, 2, Wei-yi TIAN2, Jin-li MO1, Hai-mei HUANG2, Su-min TAN1, Ping CEN3, 4, Guang-hua LAN5, Chuan-yi NING2, 6
Affiliations
  • The Second Affiliated Hospital, Guangxi Medical University, Nanning, Guangxi 530007, China
出版时间: 2025-02-25 doi: 10.20043/j.cnki.MPM.202408129
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摘要
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目的

了解广西男男性行为者（MSM）HIV传递检测现状，探讨广西MSM HIV传递检测的影响因素，为推动MSM扩大HIV检测提供参考。

方法

2021年9月至2022年2月在广西南宁市、桂林市、柳州市及北海市招募330名MSM开展前瞻性队列研究，采用广义估计方程探究MSM HIV传递检测的影响因素。

结果

随访调查的319名MSM中，63.95%（204/319）人进行HIV传递检测。广义估计方程多因素结果显示，有医疗保险（aOR=1.959，95% CI：1.047~3.664），大专及以上（aOR=1.736，95% CI：1.173~2.569），最近3个月进行HIV检测（aOR=3.565，95% CI：2.048~6.205），最近3个月使用HIV自我检测的MSM更愿意进行HIV传递检测（aOR=1.780，95% CI：1.227~2.582）。

结论

广西MSM HIV传递检测的比例为63.95%，有医疗保险、大专及以上、最近3个月进行HIV检测者及使用HIV自我检测者更愿意进行HIV传递检测，在该人群中应加强HIV传递检测的宣传及推广，鼓励其传递检测。

男男性行为者  /  艾滋病病毒  /  影响因素  /  广义估计方程
Objective

To investigate the current status and related factors of distribution of HIV delivery test among men who have sex with men (MSM) in Guangxi, aiming to provide references for promoting expanded HIV testing strategies for MSM.

Methods

From September 2021 to February 2022, 330 MSM were recruited in Nanning, Guilin, Liuzhou and Beihai, Guangxifor aprospective cohort study.Generalized Estimating Equations were used in analyses of related factors.

Results

Among the 319 MSM participants in the follow-up survey, 63.95% (204/319) underwent HIV delivery test.Multivariate generalized estimating equations showed that MSM with health insurance (aOR=1.959, 95% CI: 1.047-3.664), those with a college and above (aOR=1.736, 95% CI: 1.173-2.569), those who had undergone HIV testing in the past 3 months (aOR=3.565, 95% CI: 2.048-6.205), and those who had used HIV self-testing in the past 3 months (aOR=1.780, 95% CI: 1.227-2.582) were more willing to undergo HIV delivery test.

Conclusion

The proportion of HIV delivery test of MSM in Guangxi was63.95%.MSM with health insurance, a college or above education,had HIV test, and HIV self-testing in the past 3 months were more willing to undergo HIV delivery test.We should strengthen the publicity and promotion of HIV delivery test, encouraging individuals to participate in HIV delivery test in this population.

Men who have sex with men  /  HIV  /  Influencing factor  /  Generalized estimation equation
王敏, 张云, 田韦毅, 莫金莉, 黄海妹, 谭素敏, 岑平, 蓝光华, 宁传艺. 广西男男性行为者HIV传递检测现状及其影响因素. 现代预防医学, 2025 , 52 (4) : 720 -724 . DOI: 10.20043/j.cnki.MPM.202408129
Min WANG, Yun ZHANG, Wei-yi TIAN, Jin-li MO, Hai-mei HUANG, Su-min TAN, Ping CEN, Guang-hua LAN, Chuan-yi NING. Related factors of HIV delivery test among men who have sex with men, Guangxi[J]. Modern Preventive Medicine, 2025 , 52 (4) : 720 -724 . DOI: 10.20043/j.cnki.MPM.202408129
正文
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2023年，全球HIV新发感染人数为130万[1]，其中男男性行为者（Men Who Have Sex with Men，MSM）易发生多性伴、无保护肛交等高危性行为，是HIV感染的重点人群[2]。我国MSM HIV新发感染率为4.93/100人年，仍处于较高水平[3]。为有效控制HIV/AIDS在全球范围内的流行，联合国艾滋病规划署提出于2025年实现“95-95-95”的目标，首个“95”目标为95% HIV 感染者知晓自身感染状态[4]。2023年全球86%的HIV感染者知晓自身的感染状态[1]，我国估计仍有超过20%的HIV感染者尚未知晓自身感染状态[5]。HIV检测是发现MSM等重点人群中潜在感染者的唯一途径[6]。我国MSM中近1年里79.0%检测过HIV[7]，促进HIV检测仍是MSM艾滋病预防控制的重要措施。
社会网络是指通过各种关系（如家人、朋友）或互动（如工作、交往）而形成的一组人或群体[8]。同一社会网络的成员通常具有相似态度和HIV风险行为水平[9]，通过社会网络提供HIV预防干预措施，可降低HIV感染的风险[10-11]。2019年世界卫生组织（World Health Organization，WHO）建议，重点人群的HIV检测方法应基于社会网络进行，应向重点人群的社会网络成员提供HIV检测[12]。本研究基于前瞻性队列研究分析MSM HIV传递检测情况及其影响因素，为扩大MSM HIV检测策略提供科学依据。
1　对象与方法
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1.1　研究对象
纳入标准：①生理性别为男性；②年龄≥18周岁；③过去12个月内有过男男性行为（口交或肛交）；④HIV抗体快速检测和梅毒螺旋体抗体快速检测结果均为阴性；⑤愿意参加为期12个月的随访调查。
排除标准：①患有精神疾病不能完成调查者；②有语言表达障碍不能配合完成调查者。
本研究已获得广西医科大学伦理委员会批准（审批号：20210173）。所有研究对象均填写知情同意书。
1.2　研究方法
采用方便抽样法于2021年9月—2022年2月在广西壮族自治区南宁市、桂林市、柳州市及北海市MSM社会组织场所招募符合纳入标准的MSM建立前瞻性研究队列，并在基线和第3、6、9、12个月进行调查。随访截止时间为2023年2月28日。研究人员经统一培训后，对MSM进行一对一线下或线上访谈并填写调查问卷。基线及随访调查问卷通过查阅国内外相关文献初步设计，邀请艾滋病防治领域的专家、医护工作者与健康教育员讨论修改，并根据前期预调查意见进行修改完善。
基线调查问卷包括：①社会人口学资料：年龄、婚姻状况、职业等；②性行为情况：性向、初次与男性发生性行为年龄等；③HIV及梅毒检测情况：过去12个月检测HIV及梅毒情况等。
随访调查问卷包括：①性行为情况：最近3个月男性性伴数、最近3个月安全套使用情况等；②HIV检测情况：最近3个月是否进行HIV检测、最近3个月HIV自我检测情况等；③HIV传递情况：最近3个月是否进行HIV传递检测，社会网络成员关系等。
1.3　指标定义
①传递者：邀请社会网络成员（性伴或朋友）到卫生机构、MSM社会组织等场所检测HIV者；或将HIV自检试剂赠送给社会网络成员进行HIV检测者。②被传递者：由研究对象邀请进行HIV检测者。③多性伴：过去3个月与2个及以上男性发生性行为。
1.4　统计分析
调查问卷采用EpiData 3.1软件双人录入核对后，利用SPSS 26.0软件进行统计描述与统计推断。计数资料采用频数（n）和百分比（%）进行统计描述。采用广义估计方程（Generalized Estimating Equations，GEE）对HIV传递检测的影响因素进行分析。检验水准α=0.05，双侧检验。
2　结果
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2.1　一般情况
共招募330名MSM，未参与随访调查11名，最终纳入319名MSM。随访期间，传递者204人，被传递者680人，传递者与被传递者的比例约为1：3.33。传递者与被传递者为固定性伴的占21.32%（145/680），与被传递者为临时性伴的占19.71%（134/680），与被传递者为朋友关系的占58.97%（401/680）。传递者中，18~30岁占70.58%（144/204），36.27%（74/204）月收入在5 000以上。详见表1。
2.2　MSM HIV传递检测影响因素分析
将是否进行HIV传递检测作为因变量（1=是，0=否），以基线社会人口学、性行为特征、HIV及梅毒检测情况、随访过程性行为特征及HIV检测特征等变量作为自变量，进行广义估计方程分析。广义估计方程单因素分析结果显示，年龄、医疗保险、职业、过去12个月检测HIV、最近3个月有多性伴等的MSM传递检测差异均有统计学意义（P<0.05）。将单因素分析中P<0.05的变量纳入广义估计方程，多因素分析结果显示，与没有医疗保险的MSM相比，有医疗保险的MSM更愿意进行HIV传递检测（aOR=1.959，95% CI：1.047~3.664，P<0.05）；与高中及以下学历的MSM相比，大专及以上学历更愿意进行HIV传递检测（aOR=1.736，95% CI：1.173~2.569，P<0.01）；与最近3个月未进行HIV检测的MSM相比，最近3个月进行HIV检测的MSM更愿意进行HIV传递检测（aOR=3.565，95% CI：2.048~6.205，P<0.001）；与最近3个月未使用HIV自我检测的MSM相比，最近3个月使用HIV自我检测的MSM更愿意进行HIV传递检测（aOR=1.780，95% CI：1.227~2.582，P<0.01）。详见表2。
3　讨论
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本研究发现，63.95%（204/319）MSM邀请性伴或朋友检测HIV，高于周毅等研究[13]，可能原因是本研究传递检测的范围不仅仅是HIV自我检测试剂传递，还包括场所HIV检测传递，而周毅等研究结果仅是HIV自我检测试剂传递，之后研究可进一步探索HIV自我检测试剂传递者与场所HIV检测传递者相关特征。
本研究中MSM更倾向于邀请朋友进行HIV检测，而不是固定性伴和临时性伴，同既往研究结果一致[14]。既往研究显示，社会网络中有好朋友的研究对象与只有男朋友的研究对象相比，越多社会网络成员鼓励其做HIV检测，其未来检测的可能性越高[15]。国内佛山市的研究也显示，与没有检测推荐人的MSM相比，有检测推荐人的MSM首次HIV检测率更高，说明推荐人对动员MSM首次HIV检测具有积极影响[16]。同一社会网络中的MSM会相互传播生活态度、自我保护意识、健康信息[17]。MSM的社会网络与性网络部分重合[18]，性伴数随着社会网络大小的增加而增加，有多个同性性伴和临时性伴的可能性就越高[19-20]。一项上海的横断面研究显示，22.00%的男同性恋者报告，他们目前的性伴侣中至少一名是他们的社会网络成员[21]，且性网络越大的MSM越容易感染HIV[22]。因此，应鼓励MSM中在社会网 style="border-bottom:solid;" 络中相互传播HIV相关预防及检测知识，使社会网络成员提高HIV检测意愿，进而扩大HIV检测。此外，Wu等研究显示与MSM参与者相比，被传递者中未接受HIV检测的比例更高（40.00% versus 21.00%，P<0.001）[23]，而本研究并未收集被传递者的社会人口学、HIV检测等相关信息，被传递者的相关特征今后其它研究可进一步探讨。
本研究结果发现，有医疗保险、大专及以上、最近3个月进行HIV检测的MSM更愿意进行HIV传递检测，可能与其HIV相关知识水平和感染风险意识较高有关。此外，最近3个月使用HIV自我检测的MSM更愿意进行HIV传递检测，可能原因是HIV自我检测是一种保护隐私、减少耻辱、方便快捷的检测方式，可以被更多的HIV检测者接受。Jing等研究显示，MSM中的关键人物具有较好的传递检测能力[24]，鉴于此，今后可考虑将此类特征的MSM视为关键人物，通过加强HIV传递检测宣传教育和分发HIV自我检测试剂盒等方式，利用其社会网络进行HIV传递检测，从而扩大HIV检测。
本研究存在局限性。首先，所收集的性行为等敏感性问题由研究对象自我报告，可能存在报告偏倚；其次，本研究采用方便抽样法，仅在广西部分城市的MSM社会组织进行招募，样本选择可能存在一定的偏倚，其代表性和外推性会受到影响。
综上所述，广西MSM HIV传递检测的比例为63.95%，有医疗保险、大专及以上、最近3个月进行HIV检测者及使用HIV自我检测者更可能进行HIV传递检测，在该人群中应加强HIV传递检测的宣传及推广，鼓励其传递检测。
基金
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  • 广西自然科学基金项目杰出青年科学项目(2023GXNSFFA026007)
  • 广西重大传染病防控与生物安全应急响应重点实验室开放课题(GKLKP-KF-202202)
文献
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2025年第52卷第4期
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doi: 10.20043/j.cnki.MPM.202408129
  • 接收时间：2024-08-09
  • 首发时间：2026-03-18
  • 出版时间：2025-02-25
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  • 收稿日期：2024-08-09
基金
广西自然科学基金项目杰出青年科学项目(2023GXNSFFA026007)
广西重大传染病防控与生物安全应急响应重点实验室开放课题(GKLKP-KF-202202)
作者信息
    1.广西医科大学第二附属医院，广西 南宁 530007
    2.广西医科大学护理学院
    3.广西医科大学公共卫生学院
    4.南宁市疾病预防控制中心
    5.广西重大传染病防控与生物安全应急响应重点实验室 广西壮族自治区疾病预防控制中心
    6.广西艾滋病防治研究重点实验室

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2种不同金属材料的力学参数
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Family		 属数
Number of
genus		 种数
Number of
species		 占总种数比例
Percentage of
total species (%)		 属
Genus		 种数
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species		 占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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