摘要
目的了解广州市青年学生艾滋病病毒(HIV)检测情况及影响因素,为制定艾滋病健康教育策略提供依据。方法采用多阶段整群抽样的方法,对广州市大学和中职学校学生进行匿名问卷调查,调查其既往进行HIV检测的情况及相关因素。结果选取广州市3所大学和2所中职学校,对2014年级和2015年级在校学生共5 096人进行问卷调查。全部学生的HIV检测率为3.1%(156人),男生HIV检测率为4.5%,女生为1.7%(X^2=35.24,P<0.01);大学生检测率为2.6%,中职学生为3.9%(X^2=6.23,P<0.05);2015级学生检测率为3.8%,2014级学生为2.3%(X^2=9.05,P<0.01)。有感染HIV危险行为(使用毒品、危险性行为)学生的HIV检测率(21.7%、11.7%),均远高于未发生相关危险行为学生的检测率(2.5%、2.4%),P值均<0.01。156名学生主动进行HIV检测的途径,医院/社区卫生服务中心占41.0%(64人),疾病预防控制中心37.2%(58人),献血点27.6%(43人)。多因素Logistic分析显示:使用过毒品、发生过危险性行为、性别、担心自己感染艾滋病、年级、学校类型,是广州青年学生HIV检测率的影响因素。结论广州青年学生HIV检测率较低,有感染HIV危险行为学生的HIV检测率也不高。应加大HIV检测知识的宣传教育力度,增强青年学生的风险意识,尤其是有感染HIV危险行为学生的HIV检测意识,引导其到正规检测机构进行HIV检测。
Objective To study the HIV testing and associated factors among young students in Guangzhou in order to provide scientific basis for implementation of health education programs. Methods Multi-stage cluster sampiing method was used to enroll the students from colleges and secondary vocational schools in Guangzhou. An anonymous questionnaire survey was conducted among the enrolled students to collect information on HIV testing and associated factors. Results A total of 5096 students from three colleges and two secondary vocational schools in Guangzhou completed the questionnaire survey. The proportion of seeking HIV testing among young students in Guangzhou was 3.1% （156/5096）. In details, the proportion of seeking HIV testing among male students was high- er than that among female students（4.5% vs. 1.7% ; x^2 =35.24, P〈0.01） ; the proportion of seeking HIV testing among secondary vocational school students was higher than that among college students（3.9 % vs. 2.6 % ; x^2=6.23, P〈0.05）; the proportion of seeking HIV testing among 2015 grade students was higher than that among 2014 grade students（3.8% vs. 2.3% ; x^2 =6.23, P〈0. 05） ; the proportion of seeking HIV testing among students using drug and having risky sexual behaviors were much higher than that among students not having HIV risk behaviors（21.7% vs. 2.5%, 11.7% vs. 2.4%; P-values are both less than 0.01）. The students usually sought HIV testing in hospitals/CHSC （41.0%, 64/156）, CDC institutions （37.2%, 58/156）, and blood stations （27.6%, 43/156）. The factors significantly associated with seeking HIV testing were drug use, having risk sexual behaviors,fear of being infected with HIV, gender, academic year, and types of schools. Conclusion The percentage of seeking HIV testing among young students in Guangzhou was low even among those having HIV risk behaviors. Health education should be strengthened to increase the knowledge of HIV testing and the awareness of HIV infection risk in order to increase the HIV testing am
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2017年第6期517-519,528,共4页
Chinese Journal of Aids & STD
基金
中国-默沙东艾滋病合作项目~~
