Objective: To evaluate the effectiveness of the "Internet Plus-based AIDS Comprehensive Prevention Service System" among men who have sex with men in Guangzhou. Methods: Data through case-reporting and follow-up programs on MSM HIV/AIDS in Guangzhou was collected from the China Information System for Disease Control and Prevention, which including those from the referral and follow-up treatment compliance programs in 2008-2014 (pre-treatment) and 2017-2018 (post-treatment). According to the types of care services, three groups were set as: with "Internet Plus" service, with 'HIV counseling/testing service' or with 'routine medical service'. General Estimating Equation (GEE) was used to analyze the follow up situation of HIV/AIDS cases, annually. Cox proportional hazard regression model was used to analyze the proportions of treatment referral, within the 30 days of diagnosis. Results: Before the implementation of immediate treatment after HIV diagnosis, 90.6% (707/780) of the HIV/AIDS cases received the first follow up program including the CD(4)(+) T cells counts (CD(4)) test service within 90 days of diagnosis, in the "Internet Plus-based HIV/AIDS care service" group presented 1.19 times (95%CI: 1.14-1.25) of the routine medical service group. The implementation of immediate treatment after HIV diagnosis, compared with the routine medical service group, the "Internet Plus" service group presented 1.71 times (95%CI: 1.03- 2.83) more treatment referrals within the 30 days of diagnosis, when the first testing CD(4) was ≤200 cells/μl. Compared with the routine medical service group, the HIV counseling and testing service group showed 1.37 times (95%CI: 1.20-1.56) more of the treatment referrals within the 30 days of HIV diagnosis, after the first testing CD(4) counts as >200 cells/μl. Conclusion: Standardized care and follow-up service should be promoted as soon as the referral and treatment programs were set after the diagnosis was made, under the "Internet Plus-based AIDS Comprehensive Prevention Service System" for the MSM population, in Guangzhou.
目的： 分析广州市MSM"互联网+艾滋病综合服务体系"对HIV/AIDS关怀效果。 方法： 通过艾滋病防治基本信息系统下载广州市MSM HIV/AIDS报告及随访数据，分析2008－2014年（发现即治疗策略实施前）的HIV/AIDS随访转介情况和治疗前随访依从性、2017－2018年（发现即治疗策略实施后）的HIV/AIDS治疗转介情况。按照不同服务类型，分为互联网+服务组、艾滋病咨询检测组和医疗服务组。采用广义估计方程（General Estimating Equation，GEE）分析研究对象每年随访保持情况。采用Cox比例风险回归模型比较各组30 d治疗转介率的差异。 结果： 在发现即治疗策略实施前，互联网+服务组在确诊后90 d内，有90.6%（707/780）接受了首次随访及CD(4)(+)T淋巴细胞计数（CD(4)）检测，其随访转介率是医疗服务组的1.19倍（95%CI：1.14~1.25）。发现即治疗策略实施后，首次CD(4)≤200个/μl的研究对象30 d治疗转介率，互联网+服务组是医疗服务组的1.71倍（95%CI：1.03~2.83）；首次CD(4)>200个/μl的研究对象30 d治疗转介率，咨询检测服务组是医疗服务组的1.37倍（95%CI：1.20~1.56）。 结论： 广州市MSM"互联网+艾滋病综合服务体系"能促进HIV/AIDS确诊后尽快接入规范化随访，促进早期转介治疗。.
Keywords: Care service; HIV/AIDS; Internet; Men who have sex with men.