沈阳在校大学生艾滋病相关高危行为及对HIV自我检测接受意愿调查  

A survey of high risk sexual behaviors and acceptability of HI Vself-testing among college students in Shenyang

作　　者：包冉彤 张永惠 李尚曹 呼志丽 李行 楚振兴[1,2,3] 徐俊杰 BAO Rantong;ZHANG Yonghui;LI Shangcao;HU Zhili;LI Hang;CHU Zhenxing;XU Junjie(NHC Key Laboratory of AIDS Immunology(China Medical University),the First Affiliated Hospital of China Medical University,Shenyang 110001,China;Key Laboratory of AIDS Immunology of Liaoning Province,the First Affiliated Hospital of China Medical University,Shenyang 110001,China;Key Laboratory of AIDS Immunology,Chinese Academy of Medical Sciences,Shenyang 110001,China;The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin,300381)

机构地区：[1]中国医科大学附属第一医院国家卫生健康委员会艾滋病免疫学重点实验室(检验科),沈阳110001 [2]中国医科大学附属第一医院辽宁省艾滋病免疫学重点实验室,沈阳110001 [3]中国医学科学院艾滋病免疫学重点实验室,沈阳110001 [4]天津中医药大学第一附属医院,天津300381

出　　处：《中国艾滋病性病》2019年第11期1136-1139,1160,共5页Chinese Journal of Aids & STD

基　　金：国家“十三五”重大专项课题(2017ZX10201101-002-007);国家自然科学基金课题(81872674);“十三五”重大专项一带一路项目课题(2018ZX10101-001-001-003);中国医学科学院中央级公益性科研院所基本科研业务费专项资金项目(2018PT31042)~~

摘　　要：目的了解沈阳市在校大学生性行为情况、艾滋病病毒(HIV)检测经历,HIV自我检测(HIVST)意愿及影响因素,以提高大学生HIV检测率。方法采用整群抽样的方法,对沈阳市3所高校在校大学生进行现场匿名在线问卷调查,通过多变量Logistic回归分析在校大学生对HIVST的接受态度及影响因素。结果共有1 208名在校大学生调查问卷合格,34.9%(421人)的大学生认为自己有感染HIV的风险,既往接受学校性教育和检测过HIV者的比例分别为61.5%(743人)和2.2%(27人),69.4%(838人)愿意通过HIVST了解自己的感染状况。多变量Logistic回归分析显示,调查对象对HIVST持接受意愿的关联因素分别为,职业技术类专业[vs.医学专业,调整比值比(aOR)=0.5]、接受过学校性教育(aOR=1.5)、认为自己有低度HIV感染风险(vs.认为没有感染风险,aOR=1.8)、发生过性行为(aOR=1.6)、既往检测过HIV(aOR=9.5)(P均<0.05)。结论沈阳市大学生HIV相关高危行为突出,接受学校性教育比例较低,但对HIVST接受意愿较高,建议尽早对在校大学生开展学校性健康教育。Objective To understand the sexual behaviors,the experience of HIV testing,willingness of HIV self-testing(HIVST)and influencing factors among college students in Shenyang,to improve HIV testing rate of college students.Methods The students of three colleges in Shenyang were sampled by using cluster sampling and an anonymous on-site online questionnaire survey was conducted.Multivariate logistic regression analysis was used to study the influencing factors of college students’ attitude towards HIV self-testing.Results 34.9%(421/1208)thought they were at risk of HIV infection.61.5%(743/1208)and 2.2%(27/1208)had received sex education in school and HIV testing.69.4%(838/1208)expressed their willingness to know their infection through HIV self-testing(HIVST).Multivariate logistic analysis showed that factors associated with the willingness of accepting HIVST were professional majors(vs.medical majors)(aOR=0.5),sexual health education(aOR=1.5),thinking of themselves at low risk of HIV infection(aOR=1.8),sex behavior(aOR=1.6),being tested HIV previously(aOR=9.5)(P<0.05).Conclusion College students have HIV-related high-risk behavior in Shenyang,and the proportion of those receiving sex health education was low.However,they are willing to accept HIVST.It is suggested to carry out sexual health education for college students as soon as possible.

关 键 词：艾滋病 大学生 艾滋病病毒自我检测 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]