目的 了解男男性行为者(MSM)艾滋病病毒(HIV)意愿检测地点,分析影响因素.方法 采用滚雪球抽样法,对四川省绵阳市MSM进行自行填写问卷的匿名行为学调查及血清学检测.结果 合格调查1 173例,调查对象HIV意愿检测地点为社区组织占84.7％(993/1 173)、CDC占13.5％(158/1 173)、医疗机构占1.0％(12/1 173)、网上购买试纸自查占0.9％(10/1 173)(后3者合称为CDC).意愿检测地点为CDC等者HIV确证阳性率11.1％(20/180),高于社区组织的5.4％(54/993) (P=0.004).多因素分析:年龄、文化程度、本地居住时间、认识当地MSM朋友数、需要层次、艾滋病知识、怕泄密影响HIV检查、近1年家庭型性伴、近6个月肛交保护性是HIV检测地点意愿的独立影响因素(P均＜0.05).结论 MSM HIV检测地点意愿以社区组织为主,检测地点意愿与人口学特征、知识知晓和高危行为相关,CDC为检测地点意愿者更具风险性.应促进社区组织检测服务,加强CDC检测的行为干预.“,”Objective To investigate the intention of men who have sex with men (MSM) for HIV testing locations and analyze the influencing factors in Mianyang City.Methods MSM were recruited by the snowball sampling method,investigated by the anonymous questionnaires,and their serum samples were detected.Results Totally 1 173 qualified people were investigated,84.7％ of them (993/1 173) preferred to do HIV testing in communities,13.5％ of them (158/1 173) preferred in CDC,1.0％ of them (12/1 173) preferred in hospitals,and 0.9％ of them (10/1 173) preferred to buy the test paper online and do HIV testing by themselves.The latter three parts were collectively called CDC in the following description.The HIV positive rate among the people who preferred to do HIV testing in CDC was 11.1％ (20/180),which was higher than that among the people who preferred to do HIV testing in communities (5.4％,54/993) (P=0.004).The multivariate analysis showed that the age,education level,local living time,number of friends of local MSM,hierarchy of needs,knowledge of HIV,fear of leaking the information,family sexual partners in past one year,and protective anal sexual behavior in past six months were the independent influencing factors of HIV testing location.(P ＜ 0.05).Conclusions MSM mainly prefer to do HIV testing in communities.The intention of them for HIV testing location is connected with demographic characteristics,knowledge and risky behaviors.The people who prefer to do HIV testing in CDC have higher risk.So it is necessary to promote HIV testing in communities and enhance the behavior intervention for people who do HIV testing in CDC.