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      Prior HIV testing and determinants among student men who have sex with men in Guangzhou

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          Abstract

          Objective To understand prevalence and determinants of prior HIV testing among male students who have sex with men (MSM) in Guangzhou, and to provide a reference for improving their HIV set.

          Methods Students who were MSM were recruited in Guangzhou from May 2017 to April 2018. Data on socio-demographic characteristics, sexual behavior, AIDS prevention service access and HIV testing history were collected. Multivariate non-conditional logistic regression was conducted to explore determinants with HIV testing.

          Results The median age of 223 students who were MSM was 22 years old (interquartile: 20-23). About 65.47% (146/223) of them had a history of HIV testing. Multivariate non-conditional logistic regression showed individuals who sought sexual partners online ( OR = 3.24, 95% CI = 1.32-7.98), had anal sex in the last 6 months ( OR = 2.73, 95%CI = 1.26 -5.93), and had received AIDS prevention services ( OR = 2.87, 95% CI = 1.51-5.34) were more likely to have a history of HIV testing.

          Conclusion Prior HIV testing among student MSM in Guangzhou was relatively low. Intervention should be tailored targeting student MSM who seek sexual partners offline, have only oral sex in the past 6 months, and receive no AIDS prevention services in the past year to expand the coverage of HIV testing.

          Abstract

          【摘要】 目的 了解广州市学生男男性行为人群 (men who have sex with men,MSM)既往HIV检测行为及影响因素, 为促进该人群人类免疫缺陷病毒 (human immunodeficiency virus, HIV)检测提供依据。 方法 2017年5月至2018年4月, 采用非概率抽样法在广州市招募职业为学生的MSM作为研究对象。收集研究对象社会人口学特征、性行为特征、艾滋病 预防服务以及HIV既往检测情况等信息。采用非条件多因素Logistic回归分析该人群既往检测行为的影响因素。 结果 223名学生MSM的年龄中位数为22 (20, 23)岁, 既往检测HIV者占65.47% (146名 )。多因素非条件Logistic回归分析结 果显示, 通过网络寻找性伴 ( OR = 3.24, 95% CI =1.32~7.98)、近6个月发生同性肛交 ( OR = 2.73, 95% CI =1.26~5.93)、近1 年接受艾滋病预防服务 ( OR = 2.87, 95% CI = 1.51~5.34)与学生MSM既往HIV检测呈正相关 ( P值均<0.05)。结论广州 市学生MSM既往检测HIV比例较低。应开展针对性的干预措施, 特别是针对通过实体场所途径寻找性伴、近6个月无同 性肛交 (仅口交) 、近1年没有接受艾滋病预防服务的群体, 以提髙该人群检测的覆盖率。

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          Author and article information

          Journal
          CJSH
          Chinese Journal of School Health
          Chinese Journal of School Health (China )
          1000-9817
          01 August 2020
          01 January 2020
          : 40
          : 8
          : 1200-1202
          Affiliations
          [1] 1School of Public Health, Guangdong Pharmaceutical University, Guangzhou (510310), China
          Author notes
          *Corresponding author: YANG Yan, E-mail: yangyigz@ 123456163.com
          Article
          j.cnki.1000-9817.2019.08.021
          10.16835/j.cnki.1000-9817.2019.08.021
          16dc4bd1-8e69-4b6c-8d68-103a2c335ba0
          © 2019 Chinese Journal of School Health

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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          Self URI (journal-page): http://www.cjsh.org.cn
          Categories
          Journal Article

          Ophthalmology & Optometry,Pediatrics,Nutrition & Dietetics,Clinical Psychology & Psychiatry,Public health
          Acquired immunodeticiency syndrome,Homosexuality, male,Students,Regression analysis

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