2016年深圳市艾滋病患者对艾滋病认知及性行为现状调查  

Investigation on AIDS cognition and sexual behavior among patients with HIV/AIDS in shenzhen in 2016

作　　者：徐六妹[1] 李莎茜[1] 陈伟梅[1] 赵方[1] 彭巧丽[1] 翁丹英 王雨瑶 王辉[1] 

机构地区：[1]深圳市第三人民医院,518112 [2]南昌大学第一临床医学院,江西330000

出　　处：《中华实验和临床病毒学杂志》2017年第3期232-236,共5页Chinese Journal of Experimental and Clinical Virology

基　　金：深圳市三名工程;深圳市科技创新基金（JCYJ20150402111430657,JCYJ20150402111430627.JCYJ20150402111430645）

摘　　要：目的 了解深圳市HIV感染者在抗病毒治疗前对艾滋病相关知识知晓情况及其与不同性伴性行为情况,为开展健康教育干预提供依据.方法 在知情同意下,随机对首次服药前体检的HIV感染者进行现场问卷调查及相关信息的收集.结果 艾滋病知识总体知晓率为91.0％,同性恋和异性知晓率分别为94.46％和80.95％,二者差异有统计学意义（Х^2=21.254,P＜0.001）;不同学历、收入、感染途径、婚姻状况、居住地等相关因素差异均有统计学差异（P＜0.05）.在同性患者中,有58.3％初次男男性行为发生在大学或更早阶段,初次对象为在校同学占44.9％,初次年龄在30岁或以下占96.8％;曾经用过Rush的男同性恋者占42.7％.同性恋和异性恋在临时性伴数和安全套使用频率方面二者差异有统计学意义（P＜0.05）.结论 不同途径感染HIV的人群对艾滋病认知存在一定差异,医护人员在患者抗病毒治疗前后开展艾滋病相关知识和性安全的健康教育,不仅提高患者对艾滋病的知晓率,也可降低艾滋病的传播风险.Objective To investigate the situations of AIDS related knowledge,sexual behavior with various partners among HIV positive patients in Shenzhen before highly active anti-retroviral therapy,and to provide evidences for health education intervention.Methods Questionnaire survey and information collection were carried out among HIV positive patients,under the informed consent,during the first physical examination before highly active anti-retroviral therapy.Results The overall awareness rate of AIDS knowledge was 91%,94.46% and 80.95% respectively for homosexual and heterosexual populations,with significant difference between the two groups （Х^2 =21.254,P 〈 0.001）.In addition,there were significant differences in the factors related to education,income,route of infection,marital status,residence and other related factors （P 〈 0.05）.In HIV positive MSM,primary sexual behavior occurred mainly at the age of less than 30 （96.8%） and in university or earlier stage （58.3%）,college students as the first sexual partner accounted for 44.9%,and once used Rush accounted for 42.7%.There were significant differences in the number of temporary sexual partners and condom use frequency between homosexual and heterosexual subjects （P 〈 0.05）.Conclusions Individuals infected with HIV via different routes are variant on AIDS cognition.Health education on AIDS related knowledge and sexual security before and after antiviral treatment can not only improve the awareness rate of HIV/AIDS infection,but also can reduce the risk of the spread of HIV/AIDS.

关 键 词：艾滋病 艾滋病相关知识 知晓率 性行为 

分 类 号：R512.91[医药卫生—内科学]