Objective: To understand HIV self-testing and related factors in men who have sex with men (MSM) in Shijiazhuang. Methods: From August to September 2020, convenient sampling was used to recruit MSM in Shijiazhuang. Online questionnaires were used to collect information about their demographic characteristics, sexual behaviors and HIV self-testing. logistic regression model was used to analyze the related factors associated with HIV self-testing. Results: In the 304 MSM respondents, 52.3% (159/304) had HIV self-testing in the past 6 months, and 95.0% (151/159) used fingertip blood HIV detection reagent. Self-purchase was the main way to obtain HIV testing reagents (45.9%, 73/159), followed by supply from MSM social organization (44.7%, 71/159). The reasons for having HIV self-testing were non-specific testing time (67.9%, 108/159) and privacy protection (62.9%,100/159), the reasons for having no HIV self-testing included inability of using (32.4%, 47/145), being unaware of HIV self-testing reagent (24.1%, 35/145), and worry about inaccurate self-testing results (19.3%, 28/145). Multivariate logistic regression analysis showed that being 18-29 years old (aOR=2.68, 95%CI: 1.20-5.94), obtaining free HIV self-testing kits in recent 6 months (aOR=8.61, 95%CI: 4.09-18.11) and making friends through Internet and social software (aOR=2.68, 95%CI: 1.48-4.88) were positive factors for having HIV self-testing. Conclusion: HIV self-testing is a more flexible and convenient way to detect HIV in MSM, and the promotion of HIV self-testing in MSM should be strengthened to further increase the HIV detection rate in this population.
目的： 分析石家庄市MSM HIV自我检测（自检）及相关因素。 方法： 2020年8-9月，在石家庄市采用方便抽样招募MSM，利用线上调查问卷，收集其社会人口学、行为学和HIV自检等信息，采用logistic回归分析HIV自检相关因素。 结果： 共调查MSM 304人，最近6个月HIV自检率为52.3%（159/304），其中95.0%（151/159）使用指尖血HIV检测试剂；获得HIV检测试剂的途径，以自己购买（45.9%，73/159）和通过MSM社会组织领取（44.7%，71/159）为主；选择HIV自检原因为检测时间不受限制（67.9%，108/159）和保护隐私（62.9%，100/159），不选择原因为自己不会操作（32.4%，47/145）、不知道有HIV自检试剂（24.1%，35/145）和担心自检结果不准确（19.3%，28/145）。多因素logistic回归分析结果显示，18~29岁（aOR=2.68，95%CI：1.20~5.94）、最近6个月在当地领取过HIV自检包（aOR=8.61，95%CI：4.09~18.11）和主要交友途径通过互联网/社交软件（aOR=2.68，95%CI：1.48~4.88）的MSM更倾向于选择HIV自检。 结论： HIV自检为MSM提供了一种更灵活、方便的检测途径，应加强HIV自检的推广，进一步提高MSM的HIV检测率。.