社区参与式男男性行为人群现场快速检测淋病和衣原体感染：中国广州的一项开拓性研究。

Community engagement on-site rapid test for chlamydia and gonorrhea among men who have sex with men: a pioneering study in Guangzhou, China.

机构信息

Department of Sexually Transmitted Diseases, Dermatology Hospital, Southern Medical University, Guangzhou, 510091, China.

UNC Project China, University of North Carolina at Chapel Hill, Guangzhou, China.

出版信息

BMC Public Health. 2022 May 24;22(1):1036. doi: 10.1186/s12889-022-13460-x.

DOI:10.1186/s12889-022-13460-x

PMID:35606713

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9128213/

Abstract

BACKGROUND

Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections are prevalent among men who have sex with men (MSM) in China. However, compared to syphilis and HIV, the testing rate for chlamydia and gonorrhea remains low. The purpose of this pilot study was to evaluate the feasibility for conducting rapid nucleic acid test for chlamydia and gonorrhea in MSM community-based organizations (CBO).

METHOD

We recruited our participants through an MSM CBO where free HV and syphilis testing were routinely provided. We collected data including social-demographic background, sexual history, chlamydia and gonorrhea testing history, and reasons for accepting this on-site rapid testing. Urine and/or anorectal swab samples were collected and tested for chlamydia and gonorrhea on-site and the testing results were delivered in about 1.5 h. Positive cases received on-site free treatment.

RESULTS

From August 2020 to October 2020, 634 MSM visited the CBO for syphilis and HIV testing and 158 (158/634, 24.9%) accepted the on-site chlamydia and gonorrhea rapid test, 135 were finally enrolled. The positive rate fo chlamydia was 16.3% (22/135) and 3.0% (4/135) for gonorrhea, respectively. Only 19.3% participants had previously undergone chlamydia and gonorrhea testing and 68.9% (93/135) participants reported that they had heard of gonorrhea, 47.4% (64/135) had heard of chlamydia. The main reason for testing was "free for charge" (66.2%), followed by "convenient, 'shorter waiting time" (45.2%) and "had high-risk sexual behavior recently" (16.3%).

CONCLUSIONS

This pilot study showed that the chlamydia and gonorrhea infection rate remains high among MSM, while the testing rate was low. On-site rapid testing is feasible and potentially preferred by MSM.

摘要

背景

沙眼衣原体（CT）和淋病奈瑟菌（NG）感染在男男性行为者（MSM）中较为普遍。然而，与梅毒和艾滋病相比，淋病和衣原体的检测率仍然较低。本研究旨在评估在男男性行为者社区组织（CBO）中进行衣原体和淋病快速核酸检测的可行性。

方法

我们通过一个提供免费 HIV 和梅毒检测的 MSM CBO 招募参与者。我们收集了参与者的社会人口统计学背景、性行为史、衣原体和淋病检测史以及接受现场快速检测的原因等数据。采集尿液和/或直肠拭子样本进行现场衣原体和淋病检测，大约 1.5 小时内可得出检测结果。阳性病例接受现场免费治疗。

结果

2020 年 8 月至 10 月，634 名 MSM 到 CBO 接受梅毒和 HIV 检测，其中 158 人（158/634，24.9%）接受了现场衣原体和淋病快速检测，最终有 135 人入组。衣原体的阳性率为 16.3%（22/135），淋病的阳性率为 3.0%（4/135）。仅有 19.3%的参与者之前进行过淋病和衣原体检测，68.9%（93/135）的参与者听说过淋病，47.4%（64/135）听说过衣原体。检测的主要原因是“免费”（66.2%），其次是“方便，‘等待时间短’”（45.2%）和“最近有高风险性行为”（16.3%）。