新疆艾滋病高发区维汉民族干部教师和医生婚姻及性态度性行为和艾滋病知识的调查分析  

Survey and analysis of marital and sexual attitudes,sex behaviors and HIV/AIDS related knowledge among cadres,teachers and doctors of ethnic Uygur and Han in HIV high prevalence districts in Xinjiang

作　　者：刘世亮[1] 谢慧玲[2] 刘恩武[1] 刘康迈[1] 郑玉建[2] 

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206 [2]新疆医科大学公共卫生学院,乌鲁木齐830011

出　　处：《中国艾滋病性病》2012年第6期408-411,415,共5页Chinese Journal of Aids & STD

基　　金：全球基金中英艾滋病项目~~

摘　　要：目的了解新疆艾滋病高发区维吾尔族和汉族的干部、教师和医生,对婚姻及性的态度、性行为和艾滋病知识知晓率的情况及差异,为该地区的艾滋病预防和干预策略的制定提供参考依据。方法选择新疆伊犁州和乌鲁木齐市艾滋病高流行区街道/社区机关、中小学和医院中,18～60岁已婚的维吾尔族和汉族的干部、教师、医生进行抽样问卷调查。结果共调查769人(维吾尔族491人、汉族278人),平均年龄为36.98岁。对待婚姻的态度,64.9%的调查对象认为婚姻是神圣的;91.7%不同意或很不同意女性为了生活而卖淫的说法;80%认为女性保持贞操很重要或重要;60.6%认为多次结婚、多次离婚是件丢人的事情;对婚前性行为,58.2%持抵制态度;对"一夜情",72.5%持抵制态度;对同性恋,88.3%持抵制态度;对以上7个问题维汉族态度差异有统计学意义(P<0.01)。93.5%的调查对象结过一次婚;对待男人找暗娼行为,80.6%认为是不光彩的行为;对待与多人有性关系,82.5%认为是一件见不得人的事情;以上3个问题维汉族态度差异无统计学意义(P>0.05)。婚前性行为(32.6%)、婚外性行为(11.6%)、每周性行为次数(34.2%的1次、31.5%的2次)和有婚外性行为时使用安全套的原因(防病占53.4%),以上4个问题维汉族差异有统计学意义(P<0.05)。初次性行为的年龄(平均为25.22岁)、发生婚外性行为的场所主要是宾馆(占63.4%)、发生婚外性行为时安全套使用情况(每次都用占55.7%)和不使用安全套原因(主要是没有快感占41.8%),此4个问题维汉族差异无统计学意义(P>0.05)。维吾尔族艾滋病知识知晓率为92.4%,汉族为93.6%,维汉族差异没有统计学意义(P>0.05);发生婚外性行为每次都用安全套者的艾滋病知识知晓率为91.83%,有时用的知晓率为91.84%,从不使用的知晓率为92.08%,三者间差异无统计学意义(P>0.05)。结论新疆艾滋病高发区维汉民族干部、教师和Objective To understand the status and difference of marital and sex attitudes, sex behaviors and awareness of HIV/AIDS related knowledge among ethnic Uygur and Han^s cadres, teachers and doctors in HIV high prevalence districits in Xinjiang and to provide references for implementing HIV/AIDS prevention and intervention in these districts. Methods A questionnaire survey was used to investigate selected 18-60 years old married ca- dres, teachers and doctors of ethnic Uygur and Han from street/community government organizations, primary or secondary schools and hospitals in HIV high prevalence districts in Yili prefecture and Urumqi city of Xinjiang. Resuits Totally, 769 people （491 Uygur and 278 Han people） were investigated. The average age of the respondents was 36.98 years old. As to the attitude to marriage 64. 9% of the respondents replied that the marriage was a sacred matter, 91.7% disagreed or extremely disagreed that the women sold sex for living, 80% replied that women＇s chastity was important or very important, 60.6% replied that it was disgraced to he married or divorced many times, 58.2% resisted premarital sexual behavior, 72.5 % resisted one night love,and 88.3 % resisted homosexuality. There were sig- nificant differences between Uygur and Han in responding to the above seven questions （P〈0.01）. 93.5% of the respondents married once, 80.6 % replied that it was a disgraceful thing for men to have sex with prostitute, 82.5 % replied that having sexual relationship with many people was a shameful thing. There were no significant differences between Uygur and Han in responding to these three questions （P〉0.05）. In responding to the four questions such as, premarital sexual behavior （32.6 %）, having sexual behavior with non-spouse（11.6 %）, frequency of having sex in one week （34.2% once, 31.5% twice） and the reasons for using condom when having sex with non-spouse （53.4% for disease prevention）, there were significant differences in the between Uygur and Han （P〉0.05

关 键 词：艾滋病高发区 维汉民族 性态度 性行为 知晓率 

分 类 号：R512.91[医药卫生—内科学]