2019-2021年17个城市MSM社会组织开展HIV检测情况

操召兵; 江震; 赵天明; 邱延超; 刘丽花; 贾策; 吴尊友

doi:10.16462/j.cnki.zhjbkz.2023.12.001

2019-2021年17个城市MSM社会组织开展HIV检测情况

doi: 10.16462/j.cnki.zhjbkz.2023.12.001

操召兵^{1, 2},
江震²,
赵天明^{1, 2},
邱延超³,
刘丽花³,
贾策⁴,
吴尊友^{1, 2, ,}

1.
安徽医科大学公共卫生学院，合肥 230032
2.
中国疾病预防控制中心性病艾滋病预防控制中心，北京 102206
3.
石家庄市疾病预防控制中心，石家庄 050011
4.
石家庄同行工作组，石家庄 050011

基金项目:

“十三五”重大专项 2018ZX10721102

详细信息

通讯作者:
吴尊友，E-mail: wuzy@263.net

中图分类号: R12;R181
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- 文章访问数: 202
- HTML全文浏览量: 75
- PDF下载量: 34
- 被引次数: 0
出版历程
- 收稿日期: 2023-02-18
- 修回日期: 2023-08-05
- 刊出日期: 2023-12-10

Analysis of HIV testing conducted by MSM civil society organizations in 17 cities, 2019-2021

CAO Zhaobing^{1, 2},
JIANG Zhen²,
ZHAO Tianming^{1, 2},
QIU Yanchao³,
LIU Lihua³,
JIA Ce⁴,
WU Zunyou^{1, 2
, ,}

1.
School of Public Health, Anhui Medical University, Hefei 230032, China
2.
National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
3.
Shijiazhuang Municipal Center for Disease Control and Prevention, Shijiazhuang 050011, China
4.
The "Tongxing" Civil Society Organization, Shijiazhuang 050011, China

Funds:

The 13th Five Year Key Project 2018ZX10721102

More Information

Corresponding author: WU Zunyou, E-mail: wuzy@263.net

摘要

摘要: 目的了解男男性行为者(men who have sex with men, MSM)社会组织开展HIV检测情况。方法在“十三五”重大专项子课题3的17个城市中，对MSM社会组织进行线上问卷调查，内容包括社会组织的基本信息和开展HIV检测情况，采用描述性研究等方法进行分析。结果共调查20个MSM社会组织，其中14个(70%)社会组织在工商行政管理局或民政部门注册。2019-2021年20个社会组织的初筛阳性率和HIV确诊率呈下降趋势，社会组织累计检测156 119人次，注册的社会组织累计检测132 072人次，未注册的社会组织累计检测24 047人次。其中，注册的社会组织检测的MSM人群HIV感染率为2.06%，低于未注册的社会组织的2.95%(χ²=74.00, P<0.001)。注册的社会组织初筛阳性人群的转介确证率为89.90%，高于未注册社会组织的83.51%(χ²=27.36, P<0.001)。注册的社会组织检测方式为线上线下并重，而未注册的社会组织以线上为主，线上检测占78.87%(χ²=6 874.98, P<0.001)。此外，按年份分析时注册的社会组织在2021年检测的MSM人群HIV感染率为1.73%，低于未注册社会组织的2.63%(χ²=4.61, P=0.032)。结论社会组织开展的HIV检测工作量大，注册与未注册的社会组织HIV检测途径有所不同，总体上注册的社会组织检测工作效果优于未注册的社会组织。2类社会组织初筛阳性人群的转介确证率有待提高。
- 社会组织 /
- 男男性行为者 /
- HIV检测
Abstract: Objective To understand the status of HIV testing in men who have sex with men (MSM) civil society organizations. Methods An online questionnaire survey was conducted on MSM civil society organizations in 17 cities of the 13th Five Year Key Project sub-project 3, including basic information and HIV testing status of the civil society organizations. Descriptive statistical analysis and chi-square test were used. Results A total of 20 MSM civil society organizations were surveyed, of which 14 (70%) were registered with the industry and commerce or civil affairs departments. There was a decreasing trend in the rate of positive initial screening and confirmed HIV diagnosis in 20 civil society organizations from 2019-2021, with a cumulative total of 156 119 tests in civil society, 132 072 tests in registered civil society organizations, and 24 047 tests in unregistered civil society organizations. The HIV prevalence rate of MSM population tested by registered civil society organizations was 2.06%, which was lower than that of unregistered civil society organizations at 2.95% (χ²=74.00, P<0.001). The referral confirmation rate of the initial screening positive population in registered civil society organizations was 89.9%, higher than 83.51% in unregistered civil society organizations (χ²=27.36, P<0.001). Registered civil society organizations were tested both online and offline, while unregistered civil society organizations were predominantly online, with online testing accounting for 78.87% (χ²=6 874.98, P<0.001). In addition, the HIV prevalence of MSM population tested in 2021 by registered civil society organizations at the time of analysis by year was 1.73%, which was lower than that of unregistered civil society organizations at 2.63% (χ²=4.61, P=0.032). Conclusions HIV testing workloads carried out by civil society organizations are high. HIV testing pathways differ between registered and unregistered civil society organizations. Overall registered civil society organizations have better testing results than unregistered civil society organizations. The referral confirmation rate of the initial screening positive population in both types of civil society organizations needs to be improved.
- Civil society organizations /
- Men who have sex with men /
- HIV test

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表 1 20个社会组织的人员、经费及HIV检测基本情况

Table 1. Basic information on staffing, funding and HIV testing of 20 civil society organizations

基本情况Basic information	注册的社会组织 Registered civil society organizations (n=14)		未注册的社会组织 Unregistered civil society organizations (n=6)		合计Total
基本情况Basic information	均值 Average	范围 Range	均值 Average	范围 Range	均值 Average	范围 Range
核心成员数量Number of core members	9	3~18	11	2~35	9	2~35
年均经费筹集/元Average annual funding/yuan	433 932.14	34 500.00~1 720 000.00	129 438.83	10 000.00~275 000.00	342 584.18	10 000.00~1 720 000.00
年均检测量Average number of tests per year	3 144.57	0~8 600.00	1 336.00	75.00~3 100.00	2 601.98	0~8 600.00

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表 2 2019-2021年社会组织HIV检测情况

Table 2. HIV testing in civil society organizations 2019-2021

变量Variable	注册的社会组织^① Registered civil society organizations ^①	未注册的社会组织^① Unregistered civil society organizations ^①	χ²值 value	P值 value
检测人次Number of tests			6 874.98	<0.001
线上检测人次Number of online tests	65 924(49.92)	18 966(78.87)
线下检测人次Number of offline tests	66 148(50.08)	5 081(21.13)
初筛情况Initial screening			95.38	<0.001
初筛阳性Initial screening positive	3 249(2.46)	855(3.56)
初筛阴性Initial screening negative	128 823(97.54)	23 192(96.44)
初筛阳性转介Initial positive referral			27.36	<0.001
转介确证Referral for confirmation	2 921(89.90)	714(83.51)
未转介确证Unreferral for confirmation	328(10.10)	141(16.49)
HIV确诊HIV diagnosis			74.00	<0.001
确诊阳性Positive diagnosis	2 718(2.06)	705(2.95)
确诊阴性Negative diagnosis	129 026(97.94)	23 192(97.05)
注：①以[人数(占比/%)] 表示。 Note: ① [Number of people (proportion/%)].

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表 3 2019-2021年社会组织开展检测工作趋势比较

Table 3. Comparison of trends in testing work carried out by civil society organizations in 2019-2021

变量Variable	2019年year ^①	2020年year ^①	2021年year ^①	χ²值value	P值value
检测人次Number of tests				2 161.07	<0.001
线上检测人次Number of online tests	18 832(43.51)	30 007(58.24)	36 051(58.80)
线下检测人次Number of offline tests	24 449(56.49)	21 517(41.76)	25 263(41.20)
初筛情况Initial screening				82.42	<0.001
初筛阳性Initial screening positive	1 355(3.13)	1 385(2.69)	1 364(2.22)
初筛阴性Initial screening negative	41 926(96.87)	50 139(97.31)	59 950(97.78)
初筛阳性转介Initial positive referral				0.01	0.953
转介确证Referral for confirmation	1 202(88.71)	1 224(88.38)	1 209(88.64)
未转介确证Unreferral for confirmation	153(11.29)	161(11.62)	155(11.36)
HIV确诊HIV diagnosis				75.19	<0.001
确诊阳性Positive diagnosis	1 141(2.65)	1 151(2.24)	1 131(1.85)
确诊阴性Negative diagnosis	41 987(97.35)	50 212(97.76)	60 028(98.15)
注：①以[人数(占比/%)] 表示。 Note: ① [Number of people (proportion/%)].

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表 4 2019-2021年2类社会组织平均检测情况比较

Table 4. Comparison of two types of civil society organization average testing in 2019-2021

变量Variable	2019年year
变量Variable	注册的社会组织^① Registered civil society organizations ^①	未注册的社会组织^① Unregistered civil society organizations ^①	χ²值 value	P值 value
检测人次Number of tests			442.19	<0.001
线上检测人次Number of online tests	930.29(36.93)	968.00(72.50)
线下检测人次Number of offline tests	1 589.00(63.07)	367.17(27.50)
初筛情况Initial screening			2.92	0.088
初筛阳性Initial screening positive	74.07(2.94)	53.00(3.97)
初筛阴性Initial screening negative	2 445.22(97.06)	1 282.17(96.03)
初筛阳性转介Initial positive referral			1.59	0.208
转介确证Referral for confirmation	67.14(90.64)	43.67(82.40)
未转介确证Unreferral for confirmation	6.93(9.36)	9.33(17.60)
HIV确诊HIV diagnosis			2.11	0.146
确诊阳性Positive diagnosis	62.79(2.50)	43.67(3.29)
确诊阴性Negative diagnosis	2 449.57(97.49)	1 282.17(96.71)

变量Variable	2020年year
变量Variable	注册的社会组织^① Registered civil society organizations ^①	未注册的社会组织^① Unregistered civil society organizations ^①	χ²值 value	P值 value
检测人次Number of tests			327.70	<0.001
线上检测人次Number of online tests	1 689.71(53.91)	1 058.50(83.05)
线下检测人次Number of offline tests	1 444.36(46.09)	216.00(16.95)
初筛情况Initial screening			3.14	0.076
初筛阳性Initial screening positive	79.71(2.54)	44.83(3.52)
初筛阴性Initial screening negative	3 054.36(97.46)	1 229.67(96.48)
初筛阳性转介Initial positive referral			0.94	0.331
转介确证Referral for confirmation	71.14(89.25)	38.00(83.52)
未转介确证Unreferral for confirmation	8.57(10.75)	7.50(16.48)
HIV确诊HIV diagnosis			2.57	0.109
确诊阳性Positive diagnosis	66.21(2.12)	37.33(2.95)
确诊阴性Negative diagnosis	3 059.29(97.88)	1 229.67(97.05)

变量Variable	2021年year
变量Variable	注册的社会组织^① Registered civil society organizations ^①	未注册的社会组织^① Unregistered civil society organizations ^①	χ²值 value	P值 value
检测人次Number of tests			291.01	<0.001
线上检测人次Number of online tests	2 088.86(55.23)	1 134.50(81.14)
线下检测人次Number of offline tests	1 691.50(44.77)	263.67(18.86)
初筛情况Initial screening			5.86	0.016
初筛阳性Initial screening positive	78.29(2.07)	44.67(3.19)
初筛阴性Initial screening negative	3 702.07(97.93)	1 353.50(96.81)
初筛阳性转介Initial positive referral			1.43	0.232
转介确证Referral for confirmation	70.36(89.87)	37.33(82.04)
未转介确证Unreferral for confirmation	7.93(10.13)	8.17(17.96)
HIV确诊HIV diagnosis			4.61	0.032
确诊阳性Positive diagnosis	65.14(1.73)	36.50(2.63)
确诊阴性Negative diagnosis	3 707.29(98.27)	1 353.50(97.37)
注：①以[人数(占比/%)] 表示。 Note: ① [Number of people (proportion/%)].

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