摘要
目的了解广西壮族自治区南宁市农村地区≥50岁中老年人群艾滋病相关知识知晓情况、性行为现状以及非固定性伴发生性行为和使用安全套的影响因素,为农村地区艾滋病预防和干预提供科学理论依据。方法于2020年4—9月选取南宁市农村地区≥50岁人群,开展一对一问卷调查,使用单因素χ2检验和条件二分类logistic回归模型分析非固定性伴性行为和安全套的影响因素。结果共调查1224人,艾滋病知识总体知晓率为56.05%。半年内研究对象中90.93%的人与配偶/固定性伴发生性行为,9.97%曾发生过非固定性伴性行为,9人存在商业性行为;研究对象最近一次性行为中安全套的使用率为11.52%。多因素分析结果显示,女性(OR=2.03,95%CI:1.27~3.25)、≥70岁人群(OR=1.90,95%CI:1.03~3.51)、没听说过艾滋病(OR=2.64,95%CI:1.56~4.47)和不知道性伴/配偶是否接受HIV抗体检测(OR=12.03,95%CI:1.55~93.23)的人群更倾向于与非固定性伴发生性行为;小学文化(OR=0.57,95%CI:0.35~0.91)和不知晓艾滋病知识(OR=0.52,95%CI:0.31~0.86)的人群更不容易与非固定性伴发生性行为;最近一次性行为安全套使用的影响因素分析结果显示,女性(OR=0.49,95%CI:0.33~0.74)、≥60岁人群(60~<70岁OR=0.19,95%CI:0.11~0.31;70~91岁OR=0.21,95%CI:0.12~0.35)、没听说过艾滋病(OR=0.11,95%CI:0.03~0.45)的人群在最近一次性行为中更倾向于不使用安全套。结论南宁市农村地区的中老年人仍有较高比例有性行为,但艾滋病知识知晓率和安全套使用率较低。应加强防艾宣传教育,推广商业性行为安全套的使用,同时加大HIV抗体检测和性病诊疗服务的投入,减少艾滋病的感染和传播风险。
Objective To understand the awareness of HIV/AIDS-related knowledge, sexual behaviors and associated factors among rural residents aged 50 years and over in Nanning, and to provide scientific evidence for the prevention and intervention of HIV/AIDS in the rural areas. Methods A self-designed questionnaire survey was conducted among 1 224 residents aged 50 years and over randomly selected from rural areas of Nanning during April and September 2020.Chi-square test and non-conditional binary logistic regression model was used to analyzed factors associated with sexual behaviors. Results Among 1 224 participants, the overall awareness rate of HIV/AIDS knowledge was 56.05%.In the past six months,90.93% of the participants had sex with their spouses/partners and 9.97% had sex with multiple partners.Nine subjects had commercial sex.The condom use rate was 11.52% during the most recent sexual intercourse.Multivariate logistic regression analysis showed women(OR=2.03,95%CI:1.27-3.25),older residents(≥70)(OR=1.90,95%CI:1.03-3.51),residents who never heard of HIV/AIDS(OR=2.64,95%CI:1.56-4.47)or were blind about the testing status of HIV antibody of their sexual partners/spouses(OR=12.03,95%CI:1.55-93.23)were more likely to have sex with multiple partners,while those poorly educated(OR =0.57,95%CI:0.35-0.91)or naive about HIV knowledge(OR=0.52,95%CI:0.31-0.86)were less likely to have multiple sex partners.Women(OR=0.49,95%CI:0.33-0.74),age of 60-<70(OR=0.19,95%CI:0.11-0.31),age of 70~91(OR=0.21,95%CI:0.12-0.35),single/divorced or widowed(OR=0.05,95%CI:0.00-0.53)and unaware of HIV/AIDS(OR=0.11,95%CI:0.03-0.45)were major factors significantly associated with lower condom use rate during the most recent sex intercourse. Conclusions Higher percentage of the middle aged and the elderly in rural areas of Nanning are still active in sex.However,the awareness rate for HIV/AIDS and condom use rate ae both low.Therefore,HIV/AIDS related health education should be strengthened and condom use should be encouraged among rural residents to reduce the risk of HIV infection and transmission.
作者
汤洪洋
康旖雯
岑平
叶力
廖龙玉
王青梅
韦肖婷
王玟淇
王菲菲
梁冰玉
TANG Hong-yang;KANG Yi-wen;CEN Ping;YE Li;LIAO Long-yu;WANG Qing-mei;WEI Xiao-ting;WANG Wen-qi;WANG Fei-fei;LIANG Bing-yu(Nanning City Center for Disease Control and Prevention,Nanning,Guangxi Zhuang Autonomous Region 530023,China;不详)
出处
《中国预防医学杂志》
CAS
CSCD
北大核心
2022年第6期430-435,共6页
Chinese Preventive Medicine
基金
国家自然科学青年基金项目(82103899)
广西医科大学大学生创新创业训练计划(202110598091)。
关键词
艾滋病知晓
中老年人
农村地区
影响因素
HIV/AIDS awareness
Middle-aged and the elderly
Rural areas
Associated factors
