长沙市大学生艾滋病相关高危行为现状调查  

Current status of HIV/AIDS-related high-risk behavior among college students in Changsha City

作　　者：赵俊仕[1] 贺健梅[1] 陈曦[1] 郑军[1] 覃碧云[1] 陈洁 ZHAO Jun-shi, HE Jian-mei, CHEN Xi, ZHENG Jun, QIN Bi-yun, CHEN Jie(Hunan Provincial Center for Disease Control and Prevention, Changsha, Hunan 410005, Chin)

机构地区：[1]湖南省疾病预防控制中心,湖南长沙410005

出　　处：《实用预防医学》2018年第6期673-676,共4页Practical Preventive Medicine

基　　金：中美艾滋病防治合作项目第三周期(5U2GGH001153-02)

摘　　要：目的了解长沙市大学生艾滋病感染相关高危行为发生现状、既往接受艾滋病预防服务情况,分析有关影响因素,为制定高校艾滋病防控策略提供依据。方法在长沙市选取三所综合性高校,于2015年11月-2016年1月对校内在读大学生(含研究生)进行问卷调查(个人基本情况、性行为、毒品使用等),使用SPSS 21.0软件进行数据整理和统计学分析。结果 962名调查对象中有5名男生使用过毒品,83.8%(806/962)最近一年接受过艾滋病预防服务,最近6个月性行为发生率为11.6%(112/962),其中异性性行为、商业性性行为、男男同性性行为发生率分别为10.3%(99/962)、2.1%(20/962)、4.7%(26/552)。除商业性性行为在性别上无差异外,男性、少数民族、大年龄组、非一本学校、高年级组、文科专业的学生性行为发生率均较高(P<0.05)。最近一次性行为使用安全套的比例为55.4%(62/112),非商业和商业性行为之间以及男女之间安全套使用率差异均无统计学意义(P>0.05)。高危性性行为的发生率为7.7%(74/962),与性别(男性高于女性,OR=4.163,95%CI:1.752~9.893,P=0.001)、民族(少数民族高于汉族,OR=4.203,95%CI:4.563~11.301,P=0.004)、学校(一本高于非一本,OR=11.187,95%CI:5.371~23.298,P<0.001)、年级(大学3~5年级高于大学1~2年级,OR=2.285,95%CI:1.109~4.708,P=0.025)、近一年接受艾滋病预防服务(接受过低于未接受过,OR=0.339,95%CI:0.158~0.729,P=0.006)有关。结论长沙市大学生中存在艾滋病感染风险较高的行为,接受艾滋病预防服务的比例还不高,应特别重视大学生高危行为状况,采取针对性宣传和行为干预措施。Objective To investigate the current situation of HIV/AIDS-related high-risk behavior and the history of receiving HIV/AIDS prevention services among college students in Changsha City,and to provide a basis for developing HIV/AIDS prevention and control strategies based on college students. Methods We conducted a questionnaire survey of individual general information,sexual behavior and drug use among undergraduates and postgraduates selected from three comprehensive universities in Changsha City from November,2015 to January,2016. SPSS21.0 software was used to process and analyze the data. Results Among 962 participants surveyed,5 male students used drugs,and 83.8%（ 806/962） received HIV/AIDS prevention services in recent one year. 11.6%（ 112/962） had sexual behavior in recent 6 months,10.3%（ 99/962） heterosexual sex,2.1%（ 20/962）commercial sex,and 4.7%（ 26/552） of the male students homosexual behavior. The prevalence rate of sexual behavior was found to be higher in male group,minority group,elder age group,non-key university group,senior group and liberal arts group（ all P〈0.05）,but the commercial sex showed no difference in gender. The proportion of condom use in the last sexual behavior was 55. 4%（ 62/112）,and no statistically significant difference was observed in the rate of condom use between males and females as well as between non-commercial and commercial sexual behavior（ both P〈0.05）. The prevalence rate of high-risk sexual behavior was 7. 7%（ 74/962）,and it correlated with the gender（ male vs. female,OR = 4.163,95%CI： 1.752-9.893,P = 0.001）,ethnic origin（ minorities vs. the Han nationality,OR = 4.203,95%CI： 4.563-11.301,P = 0.004）,university level（ first-tier vs. others,OR = 11.187,95%CI： 5.371-23.298,P〈0.001）,grade（ grades III-V vs. grades I-II,OR = 2.285,95% CI： 1.109-4.708,P =0. 025） and receiving HIV/AIDS prevention services in recent one year（ yes vs. no,OR = 0. 339,95% CI： 0. 158-0. 729,P =0. 006）. Conclusions The college s

关 键 词：大学生 艾滋病 高危行为 

分 类 号：R512.91[医药卫生—内科学]