摘要
目的调查成都地区大学生男男性行为人群(men who have sex with men,MSM)的艾滋病知识知晓率、高危性行为、商业性行为等行为特征,分析该人群HIV/AIDS的健康危险因素,为制定该人群艾滋病防控干预措施提供理论依据。方法2017—2018年采用滚雪球抽样在成都地区大学和男同组织抽取521名大学生男男性行为者进行问卷调查,使用SPSS 21.0软件对相关健康危险因素进行χ^(2)检验和二元Logistic回归统计分析。结果2018年成都地区大学生男男性行为者艾滋病知晓率为74.80%,近6个月发生同性性行为时,仅7.50%的调查对象每次均使用了安全套;58.30%的调查对象发生首次同性插入式性行为时年龄小于20岁,寻找性伴方式呈现多样化;此外,3.70%(19/520)的调查对象购买过商业性性服务,4.40%(23/520)提供过同性商业性服务。HIV报告阳性率在首次发生同性插入式性行为年龄、与同性肛交次数、最近6个月安全套使用频率、是否购买同性性服务以及是否提供同性商业性服务等变量水平间的差异有统计学意义。二元Logistic回归分析结果显示,最近6个月发生性行为时不使用安全套是感染HIV的危险因素(OR=51.174,95%CI:10.441~251.536,P=0.003),有多性伴行为(OR=8.409,95%CI:3.098~22.825,P<0.001)和提供(OR=32.970,95%CI:8.647~125.712)、购买商业性服务(OR=20.531,95%CI:3.956~106.498)是感染HIV的危险因素(P<0.001)。结论成都地区大学生MSM人群中艾滋病防治知识水平还需进一步提高,存在商业性行为等高危行为并且具有明显的知行分离现象,提示高校和相关机构应进一步优化艾滋病宣传教育的方式,积极动员大学生MSM进行HIV检测,并帮助其树立对艾滋病风险的正确认知。
Objective To investigate the awareness rate of AIDS(acquired immure deficiency syndrome)knowledge,and the characteristics of high-risk sexual,commercial sexual and other behaviors among MSM(men who have sex with men)college students in Chengdu,to analyze the health risk factors of HIV/AIDS,and to provide theoretical basis for the development of AIDS prevention and control interventions in this population.Methods A total of 521 male college students who had sex with men were selected through snowball sampling and investigated by a questionnaire from universities and organizations in Chengdu from 2017 to 2018.SPSS 21.0 software was used to conduct chi-square test and binary logistic regression analysis for related health risk factors.Results The awareness rate of AIDS among college students who had sex with men in Chengdu in 2018 was74.80%.Only 7.50%of the respondents used condoms every time when they had sex in the latest six months.58.30%of the subjects were younger than 20 years old when they had first homosexual insertional sex,and their ways of seeking sexual partners were diversified.3.70%(19/520)of the respondents had purchased and 4.40%(23/520)had provided commercial sexual services.There were significant differences in the HIV reported positive rate among the following variable levels:the age of first homosexual insertional sex,the number of anal intercourses with the same sex,the frequency of condom use in the latest six months,and whether they purchased or provided homosexual services.The results of the multivariate logistic regression analysis showed that Non-condom use during sex in the last 6 months is a risk factor for HIV infection(OR=51.174,95%CI:10.411~251.536,P=0.003),multi-sexual companion behavior(OR=8.409,95%CI:3.098~22.825)and provision(OR=32.970,95%CI:8.647~125.712)、purchase of commercial services(OR=20.531,95%CI:3.956~106.498)are risk factors for HIV infection(P<0.001).Conclusion The knowledge level of AIDS prevention and control among MSM college students in Chengdu should be further improved.There exist high-risk behaviors such as commercial sex and an obvious separation between knowledge and practice.It is suggested that colleges and relevant institutions should further optimize the way of AIDS publicity and education,actively mobilize MSM college students to take HIV test,and help them establish a correct understanding of the risk of AIDS.
作者
钟诗雨
唐嘉阳
叶苏葶
张国婧
梁宏宇
贾梦龙
张丽云
辛军国
杨晓虹
ZHONG Shiyu;TANG Jiayang;YE Suting;ZHANG Guojing;LIANG Hongyu;JIA Menglong;ZHANG Liyun;XIN Junguo;YANG Xiaohong(School of Clinical Medicine,Chengdu Medicul College,Chengdu 610500,Sichuan Province,China;School of Public Health,Chengdu Medical College,Chengdu 610500,Sichuan Province,China)
出处
《预防医学情报杂志》
CAS
2021年第12期1680-1685,共6页
Journal of Preventive Medicine Information
基金
四川省大学生创新项目(项目编号:201613705020)
四川省应用心理学研究中心科研项目(项目编号:CSXL-122017)。
关键词
大学生男男性行为者
AIDS
危险行为
male college students who have sex with men
AIDS
risk behavior
