芜湖市高校在校男生艾滋病知识行为及血清学调查分析  

Survey and analysis on AIDS knowledge,sexual behaviors and serological results in male undergraduates in Wuhu City

作　　者：豆正东[1] 芮蓓[2] 方艳姣[1] 方艳 

机构地区：[1]芜湖市疾病预防控制中心,安徽芜湖241000 [2]皖南医学院,安徽芜湖2410033 [3]芜湖市弋江区疾病预防控制中心,安徽芜湖241000

出　　处：《中国热带医学》2016年第10期998-1002,共5页China Tropical Medicine

摘　　要：目的了解芜湖市男性青年学生的艾滋病相关知识行为状况和艾滋病、梅毒、丙肝感染状况,为该人群开展有针对性的宣传教育和行为干预提供参考。方法采取整群抽样的方法从芜湖市4所不同类型的高校中随机选取班级,对选定班级的男生在知情同意下全部进行艾滋病知晓率和性行为状况调查;采集3～5 mL血样,按照《全国艾滋病哨点监测方案》检测要求,进行艾滋病、梅毒和丙肝检测。结果 828名学生艾滋病知识知晓率为90.8%;其中有过性行为的占到23.0%,首次性行为的年龄平均（19.32±1.77）岁,最近一年中与固定性伴发生性行为的占11.4%（94/828）,与临时性伴有性行为的占6.0%（50/828）,发生商业性性行为的占1.1%（9/828）,发生同性性行为占1.1%（9/828）,最近一次与固定性伴、临时性伴、商业性伴、同性性伴发生性行为时安全套使用率分别为70.2%、68.0%、55.6%、77.8%;接受过艾滋病宣传的学生占45.4%,参与过宣传的占19.0%;Logistic多因素回归分析得出低年级相对高年级发生性行为的可能性较低,而对艾滋病知识越知晓的发生性行为可能性越低;接受过艾滋病宣传服务的学生艾滋病知晓较高;828名学生检测梅毒、丙肝均为阴性,艾滋病检测1例阳性,阳性率0.12%。结论芜湖市高校男生存在感染艾滋病的风险,当地要重视和切实做好高校内的艾滋病宣传干预工作,特别是发生男男性行为的高校学生的行为干预工作。Objective To understand the awareness of HIV- related knowledge and behaviors,and investigate theprevalence of HIV, syphilis, and hepatitis C among the male undergraduates in Wuhu City in order to provide scientificevidence of proposing health education and effective intervention for them. Methods Cluster-sampling was performed torandomly select some classes from 4 different types of colleges and universities. The male students in the selected classes weresurveyed about their awareness of AIDS and sexual behavior under the informed consent.According to the requirements of theNational AIDS Sentinel Surveillance Scheme, the 3-5 mL blood samples were taken for the detection of HIV, syphilis, andhepatitis C virus. Results Among the 828 participants, the total rate of AIDS awareness was 90.8%, and the percentage ofthose had sex behaviors was 23.0%, at an average age of first- time sex of（19.32 ± 1.77） years. During the last year,theincidences of the students having regular sexual behavior, casual sex, commercial sexual behavior and male sexual behaviorwas 11.4%（94/828）, 6.0%（50/828）, 1.1%（9/828）, and 1.1%（9/828）, respectively. The corresponding rate of using condomswas 70.2%, 68.0%, 55.6% and 77.8% respectively with the different sexual behaviors. The proportion of the college boysreceiving AIDS campaign accounted for 45.4%, and that who participating for 19.0%.Multivariate Logistic regression analysisshowed that the students from the lower grades had less possibility of sexual behavior,and those with well awareness of AIDSeither. The students who had received AIDS campaign had well awareness of AIDS. All the 828 participants were negative tosyphilis and hepatitis C, but only 1 was positive to HIV, with a positive rate of 0.12%. Conclusion HIV infected risk existsamong the undergraduates in Wuhu City. Special attentions and actual AIDS education and intervention should be paid andcarried out in the colleges and universities, especially the intervention for the men who have sex with men.

关 键 词：高校男生 艾滋病 知晓率 感染状况 

分 类 号：R181.8[医药卫生—流行病学]