广东省2007―2013年中等职业学校学生艾滋病相关知识、行为及影响因素分析  

HIV/AIDS related knowledge,behaviors and associated factors among secondary vocational school students in Guangdong Province,2007-2013

作　　者：丁亮蕾 林鹏[2] 沈少君[2] 李艳[2] 付笑冰[2] 龙其穗[2] DING Liang-lei LIN Peng SHEN Shao-jun LI Yan FU Xiao-bing LONG Qi-sui(School of Medicine, Jinan University, Guangzhou 501632, China Guangdong Provincial Center for Disease Control and Prevention)

机构地区：[1]暨南大学医学院,广东广州510632 [2]广东省疾病预防控制中心

出　　处：《华南预防医学》2017年第1期7-11,共5页South China Journal of Preventive Medicine

摘　　要：目的了解广东省中等职业学校学生艾滋病知识知晓情况、艾滋病相关行为发生情况及其影响因素,为制定适宜的艾滋病健康教育和行为干预措施提供依据。方法 2007、2010、2013年分别采用多阶段整群抽样的方法,在广东省21个地市中各抽取1所中等职业学校,每所学校各年级各抽取1个班级,对抽取班级的所有学生采用《广东青少年健康危险行为监测》问卷进行调查。调查内容包括一般人口学信息、艾滋病相关知识、艾滋病相关危险行为(成瘾性物质使用行为、性相关行为)发生情况。采用多因素logistic回归分析方法对性行为发生的影响因素进行分析。结果2007、2010、2013年广东省中等职业学校学生艾滋病知识知晓率分别为28.2%(1 616/5 723)、26.8%(1 349/5 034)、21.5%(1 232/5 726);过量饮酒率分别为15.2%(870/5 723)、19.4%(976/5 034)、18.1%(1 039/5 726);毒品使用率分别为3.3%(187/5 723)、1.9%(95/5 034)、1.4%(82/5 726);性行为发生率分别为8.4%(480/5 723)、7.3%(368/5 034)、7.5%(429/5 726)。多因素logistic回归分析结果显示,使用毒品(OR=7.92)、观览色情物品(OR=3.80)、过量饮酒(OR=2.66)、母亲受过高等教育(OR=1.69)、男生(OR=1.41)、高年级(OR=1.25)以及知晓艾滋病知识(OR=1.22)是中等职业学校学生发生性行为的危险因素,而在学校住宿(OR=0.76)、自评学习成绩好(OR=0.62)是保护因素。结论广东省中等职业学校学生艾滋病知识知晓率较低,艾滋病相关危险行为发生率较高;应加大中等职业学校学生艾滋病健康教育的力度,同时开展有针对性的行为干预。Objective To study the HIV/AIDS related knowledge awareness, behaviors and asso- ciated factors among secondary vocational school students in Guangdong Province so as to provide health education and behavior intervention programs on HIV/AIDS. Methods In 2007, 2010, and 2013, multi- stage cluster sampling was used to enroll all the students from the selected classes in each grade of the selected schools from the 21 prefectures in Guangdong Province, separately. A questionnaire survey was conducted among all the enrolled students to collect information on general demographic information, related knowledge and behaviors on HIV/AIDS. Multivariate logistic regression was used to analyze the risk factors associated with having sex experience. Results The awareness rates of the HIV/AIDS knowledge were 28.2% （1 616/5 723）, 26.8% （1 349/5 034） and 21.5% （1 232/5 726） in 2007, 2010 and 2013, respectively. The proportions of binge drink in the past three years were 15.2% （ 870/5 723 ）, 19.4% （976/5 034）, and 18.1% （ 1 039/5 726）, respectively. The proportions of drug use in the past three years were 3.3% （187/5 723）, 1.9% （95/5 034）, and 1.4% （82/5 726）, respectively. The proportions of sex behaviors in the past three years were 8.4% （480/5 723） , 7.3% （368/5 034） , and 7.5% （429/5 726） , respectively. The significant risk factors associated with having sex experience were drug use （ OR = 7.92 ） , reading pornography （ OR = 3.80 ）, binge drink （ OR = 2.66 ） , mother＇s education level at junior college or above （ OR = 1.69 ） , male （ OR = 1.41 ） , senior grade （ OR = 1.25 ） and knowing HIV/AIDS related knowledge （ OR = 1.22）. Accommodation at school （ OR =0.76） and self evaluation of higher school performance scores （ OR = 0.62 ） were protective factors for having sexual experience. Conclusion The secondary vocational school students in Guangdong Province had low awareness rate of the HIV/ AIDS knowledge and high prevalence of HIV/AIDS rela

关 键 词：学生 获得性免疫缺陷综合征 知识 态度 实践 因素分析 统计学 

分 类 号：R512.91[医药卫生—内科学] R193[医药卫生—临床医学]