TY -非盟的燕,翔宇盟——苏Hexuan盟——张,博盟- Li Yongjie盟——张,玲玲AU -贾,中卫PY - 2020 DA - 2020/9/17 TI -艾滋病毒自我测试的依从性与男性发生性关系的男人在中国:纵向研究乔- J地中海互联网Res SP - e19627六世- 22 - 9千瓦-艾滋病毒自我测试KW -坚持KW -与男性发生性关系的男性KW -艾滋病毒感染千瓦使用避孕套KW - AB移动应用背景:世界卫生组织建议从事不安全性行为的个人进行艾滋病毒自我检测;然而，没有关于坚持进行艾滋病毒检测的报告。目的:在本研究中，我们试图确定男男性行为者(MSM)对hiv的依从性，以及其依从性的影响因素和潜在影响。方法:我们于2017年7月1日至2018年6月30日对中国黑龙江省哈尔滨市的MSM进行了纵向研究。利用移动应用系统提供“邮寄快速检测试剂盒”。计算每3个月坚持进行艾滋病毒检测的比例。采用Logistic回归方法探讨与hiv - st依从性相关的影响因素。使用Cox比例风险回归比较了艾滋病毒感染者和未感染者之间的艾滋病毒感染率。采用卡方检验比较两组患者安全套使用行为的变化情况。 Results: A total of 1315 MSM who received the HIVST service through the app were included in the study. Overall, 10% of the MSM adhered to HIVST, and the proportion of adhering tests was only 34.9%. Adherence of HIVST was associated with marital status (adjusted odds ratio [OR]unmarried vs married 2.31, 95% CI 1.13-4.71) and the number of HIV tests they received (adjusted OR3 times vs 2 times or below 3.36, 95% CI 2.01-5.63; adjusted OR4 times or above vs 2 times or below 7.30, 95% CI 4.67-11.42). Twenty HIV seroconversions were observed during 1-year follow up. The rate of HIV infection in the adherence group (17.10 per 100 person years, 95% CI 8.80-30.84) was significantly higher than that in the nonadherence group (4.80 per 100 person years, 95% CI 2.77-7.88; adjusted hazard ratio 3.33, 95% CI 1.35-8.20). Those who adhered to HIV testing were more likely to improve condom use behaviors, although the difference was not statistically significant. Conclusions: Regular HIV testing is necessary for early detection of HIV infection among MSM. Given the poor adherence, a new internet-based management paradigm for MSM is needed to raise their health awareness to optimize the implementation of HIVST. SN - 1438-8871 UR - //www.mybigtv.com/2020/9/e19627/ UR - https://doi.org/10.2196/19627 UR - http://www.ncbi.nlm.nih.gov/pubmed/32940619 DO - 10.2196/19627 ID - info:doi/10.2196/19627 ER -