Objective:This study aimed to study the factors influencing the human immunodeficiency virus (HIV) couple testing among men who have sex with men (MSM), to provide the basis for formulating HIV couple testing strategies for MSM population.Method:①A 1:2 matching analysis was conducted among MSM who did couple testing identified at the survey on AIDS prevention and intervention in Nanjing from May to October in 2017, and the control group was among the people who did not do the couple testing in the same survey of the same period of time. Each case was matched by age (±5), sexual orientation and marital status. ②The questionnaire design was based on the information of demography and behavioristics, using network survey. ③The data was screened by Excel first, then the logistic regression model is used for univariate and multivariate analysis. Results:A total of 73 patients were tested for sexual partners, while 146 subjects were matched in the control group. Univariate analysis showed that the number of previous HIV tests (χ2=6.195, P＜0.05), the number of previous HIV self-testing (χ2=33.658, P＜0.05) and the sex role of"0" (χ2=5.223, P＜0.05) had statistical significance with the sexual partner test. Multivariate analysis showed that the number of HIV self-testing in the past (OR=8.502, 95％CI:3.474, 20.805) and the sex role of"0" (OR=0.397, 95％CI:0.163, 0.969) were statistically significant. Conclusion:The number of HIV self-testing in the past was the promoting factor of couple testing, and the sex role of"0"was the obstacle factor for the testing.

目的 评价快速胶体硒法检测指尖血梅毒螺旋体抗体法与梅毒螺旋体抗体凝集法(TPPA)检测血浆结果的一致性.方法 采集梅毒求诊者指尖和静脉血,分别采用快速胶体硒法和TPPA法进行检测,以TPAA法为标准,比较快速胶体硒法的准确性.结果 共检测269例梅毒求诊者,快速胶体硒法阳性率为32.71％,TPPA法阳性率为32.34％,两者差异无统计学意义(x2 =3.84,P＞0.05);快速胶体硒法的假阳性率和假阴性率较低,且敏感性和特异性均较理想,与TPPA法保持较高的一致性.结论 快速胶体硒法检测准确性与TPPA一致性较高,值得在梅毒螺旋体抗体检测中推广.

在全球范围内,跨性别女性(MTF)作为一个极度脆弱和边缘化的人群,遭受歧视与侮辱、社会排斥、经济边缘化等,致其从事商业性工作的比例较高.与其他性工作者相比,跨性别女性性工作者(TSWs)作为一个特殊群体,处于性工作者阶层底层,经济地位低下、受教育程度低、高物质滥用率、多性伴、流动性等一系列因素,导致TSWs人群艾滋病病毒(HIV)感染率较高.目前国内外对TSWs人群关注度较少,针对该人群HIV感染状况及影响因素的研究甚少.本文通过文献回顾,了解TSWs人群HIV感染状况及影响因素,为制定相应干预策略,降低HIV感染风险提供参考.

At present, China's AIDS testing increased rapidly, but there are still many people living with HIV do not recognize their status, thus postponing the antiviral treatment time. HIV self-testing (HST) is an effective method to expand the testing, not only simple operation, easy to get a result, effectively protect the detection privacy, expand the selection of testers, suit to the entire population, but also the premise and basis of other AIDS comprehensive prevention measures, all over the world are promoting it. Because the HST has controversies in the window period, price and before and after controversial, and our country is in the initial stage of HST, so it is not to develop related policies, but more and more countries are in accordance with their own situations are modified or developed to allow to use rapid detection of AIDS policy to regulate the field. This paper analyzed and summarized the advantage and influence factors of HST promotion, HST believes that in the long term, the advantages outweigh the disadvantages, we need to formulate relevant policies, and improve the sensitivity of the kit, shorten the window period of time, production and promotion of operation standard of video, specification and testing the operating practices, preventing and reporting the possible social harm, investigation and understanding of the needs of the people of the crowd, to maximize the advantages of HST, find more infection, so as to curb the epidemic of AIDS.