广州高年级大学生艾滋病知识知晓与性行为趋势  

Change trends in AIDS-related knowledge and sexual behaviors among senior university students in Guangzhou city

作　　者：罗健斌 杨燕君[2] LUO Jian-bin;YANG Yan-jun(Public Health Department,Nancun Township Community Healthcare Service Center of Panyu District,Guangzhou,Guangdong Province 511442,China)

机构地区：[1]广州市番禺区南村镇社区卫生服务中心公卫部,广东广州511442 [2]广州市番禺区疾病预防控制中心

出　　处：《中国公共卫生》2019年第5期598-602,共5页Chinese Journal of Public Health

基　　金：广东省科技计划项目(A2010517);广州市医药卫生科技一般引导项目(20121A011187);广州市番禺区科技计划项目(2012–Z–03–52)

摘　　要：目的了解高年级大学生艾滋病相关知识知晓情况与性行为流行趋势,探讨宣教、干预工作重点。方法于2014—2018年采用分层多阶段整群抽样方法,抽取广东省广州市10所大学的6202名大三、大四学生进行问卷调查。结果广州高年级大学生艾滋病相关知识点知晓率和总知晓率均呈逐年上升趋势,差异均有统计学意义(P<0.01)。有16.92%的调查对象有过异性性行为经历,且呈逐年上升趋势(χ2=78.961,P<0.001);最近1年与同性发生过肛交的男生占有性行为男生的3.3%;最近1年与固定性伴、临时性伴和商业性伴发生性行为时每次都用安全套者分别占58.1%(272/468)、62.0%(137/221)和56.4%(22/39);2014—2018年广州高年级大学生接受和参与艾滋病的宣传服务的比例呈逐年上升的趋势(χ2=324.194、32.383;P值均<0.001);多因素logistic回归分析显示,艾滋病知识知晓率的主要影响因素为最近1年是否参与过有关艾滋病的宣传服务(OR=2.062,95%CI=1.621~2.624)、其次为年龄(OR=2.045,95%CI=1.607~2.602)。结论高年级大学生艾滋病知识缺乏全面掌握,存在发生不安全性行为风险,应倡导大学生积极参与艾滋病宣传服务。Objective To describe trends in AIDS-related knowledge and the prevalence of sexual behaviors among senior university students in Guangzhou city and to explore key issues in relevant publicity, education and intervention programs.Methods We conducted a self-administered anonymous questionnaire survey among 6 202 senior students recruited with stratified multistage cluster sampling in 10 universities in Guangzhou city of Guangdong province between 2014-2018.Results During the 5-year period among the students, the awareness rates of both overall and domain AIDS-related knowledge increased year by year significantly (P < 0.01) but 16.92% of the students reported heterosexual behavior, with an annual upward trend (χ2 = 78.961, P < 0.001). Of the male students with sexual behaviors during the period, 3.3% reported having homosexual anal sex in the previous one year. Condom use in every sex was reported by 58.1%(272/468), 62%(137/221), and 56.4%(22/39) of the male students having sex with regular, occasional, and commercial sexual partner during previous one year. The proportion of the students receiving and participating in AIDS publicity service increased yearly during the period significantly (χ2 = 324.194, 32.383;P < 0.001). Multivariate logistic regression analysis revealed that main influencing factors for awareness rate of AIDS-related knowledge were whether having been involved in AIDS publicity service during previous one year (yes vs. no: odds ratio [OR]= 2.062, 95% confidence interval [95% CI]: 1.621 –2.624) and age (< 24 vs.≥ 24 years: OR = 2.045, 95% CI: 1.607-2.602).Conclusion Senior university students in Guangzhou city are lack of comprehensive AIDS-related knowledge and at a risk of having unsafe sexual behavior;the situation could be improved by promoting the students to have active participation in AIDS control publicity services.

关 键 词：艾滋病 知识 性行为 趋势 大学生 

分 类 号：R181.37[医药卫生—流行病学]