摘要
目的了解4城市青年学生男男性行为人群(MSM)艾滋病相关知识认知现状及感染的影响因素,为制定艾滋病防控干预提供科学依据。方法2017年4月—2018年3月采用滚雪球抽样和受试者推荐的混合抽样方法,对哈尔滨、天津、西安、重庆4城市艾滋病感染青年学生社交圈中的548名青年学生MSM进行问卷调查。结果548名青年学生MSM总体的“青八条”知晓率为89.4%,“国八条”知晓率为92.6%。青年学生MSM的艾滋病病毒(HIV)感染多因素logistic回归分析表明,性取向为同性(OR=9.050)或双性(OR=18.225)、上大学之前多性伴(OR=2.318)是HIV感染的危险性因素;学段为本科(OR=0.070)或硕士(OR=0.049),小学(OR=0.089)、初中(OR=0.128)、高中(OR=0.106)、或大学(OR=0.178)接受过预防艾滋病教育,最近3个月多临时性伴(OR=0.447),最近3个月与固定性伴(OR=0.383)、临时性伴(OR=0.245)发生性行为时每次都使用安全套是HIV感染的保护性因素。结论青年学生MSM的艾滋病知识知晓情况整体较好,应进一步加强对性取向为同性或双性、上大学之前多性伴的青年学生MSM的预防艾滋病教育,通过改变高危行为减少HIV感染风险。
Objective To evaluate current status of AIDS-related knowledge and influencing factors of human immunodeficiency virus(HIV)infection among young male students who have sex with men(MSM)in four large cities in China and to provide evidences for developing interventions on HIV/AIDS.Methods Using snow balling sampling combined with participants′referral,we conducted a questionnaire survey among 548 MSM in young students in Harbin,Tianjin,Xi′an,and Chongqing city from April 2017 to March 2018.Results Among all the respondents,the overall awareness rate was 89.4%for the eight main items of knowledge about HIV/AIDS prevention and control for Chinese adolescents and 92.6%for the eight main items of knowledge about HIV/AIDS prevention and control for Chinese citizens.Multivariate logistic regression analysis revealed that homosexual orientation(odds ratio[OR]=9.050),bisexual orientation(OR=18.225),and having multiple sexual partners before college admission(OR=2.318)were risk factors of HIV infection;while,studying for undergraduate(OR=0.070)or master(OR=0.049),having received education program on AIDS prevention in primary school(OR=0.089),junior high school(OR=0.128),senior high school(OR=0.106),or university(OR=0.178),having multiple temporary partners in the last 3 months(OR=0.447),using condoms every time when having sex with fixed partners(OR=0.383)and temporary partners(OR=0.245)in the last 3 months were protective factors against HIV infection among the respondents.Conclusion The awareness of knowledge about HIV/AIDS is at a good level generally among young student MSM but health education on HIV/AIDS still need to be promoted among some of the MSM to reduce their high-risk behaviors.
作者
张文静
黄晓玲
高迪思
陈天麒
崔闻心
郭雪儿
胡翼飞
吴静
崔岩
马迎华
ZHANG Wen-jing;HUANG Xiao-ling;GAO Di-si(School of Public Health/Institute of Child and Adolescent Health,Peking University,Beijing 100191,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2019年第12期1598-1602,共5页
Chinese Journal of Public Health
基金
国家自然科学基金(81673245)
关键词
青年学生
男男性行为人群(MSM)
知识知晓情况
HIV感染
影响因素
young students
men who have sex with men
knowledge awareness
human immunodeficiency virus infection
influencing factor
