重庆某医科高校男生艾滋病相关知识、态度和行为调查  

Investigation on HIV/AIDS related behavior,knowledge and attitude among male students in a medical college in Chongqing

作　　者：刘城璐 朱贤 徐畅 曾艺[2] 许红 LIU Cheng-lu;ZHU Xian;XU Chang;ZENG Yi;XU Hong(School of Public Health and Management,Chongqing Medical University/Research Center for Medicine and Social Development/Innovation Center for Social Risk Prediction Governance in Health,Chongqing 400016,China;不详)

机构地区：[1]重庆医科大学公共卫生与管理学院/医学与社会发展研究中心/健康领域社会风险预测治理协同创新中心,重庆400016 [2]重庆市渝中区疾病预防控制中心,重庆400010

出　　处：《卫生软科学》2021年第3期94-97,共4页Soft Science of Health

基　　金：第三轮全国艾滋病综合防治示范区项目(国卫办疾控函〔2014〕503号)。

摘　　要：[目的]了解重庆市某医科高校男生对艾滋病相关知识的掌握情况及相应态度和行为,为艾滋病防治提供参考依据。[方法]采用整群分层抽样的方法对男性研究生271名、本科生519名进行了问卷调查。调查内容包括艾滋病相关知识的认知、态度和高危性行为等情况。[结果]在790名调查对象中,艾滋病知识总体合格率为83.8%;有34.1%发生过性行为,高危性行为发生率20.4%(其中同性性行为发生率4.8%,多性伴发生率4.6%);每次性行为时都使用安全套的比例为47.2%。多因素Logistic回归分析显示月生活费(OR=4.695,95%CI:2.944~7.488)、上大学前未接受过性教育(OR=1.824,95%CI:1.026~3.245)、父母未对其进行过性教育(OR=2.254,95%CI:1.154~4.405)和艾滋病相关知识知晓不合格(OR=1.950,95%CI:1.193~3.186)是高危性行为发生的影响因素。[结论]高校男生安全套坚持使用行为与艾滋病知识具备的情况存在分离现象;高危性行为发生率较高,这可能与青春早期和来自家庭的性安全教育不足有关,建议通过提高性安全意识,有针对性地开发安全套推广策略等措施,以加强男性艾滋防控。Objective To know mastery knowledge,corresponding attitude and behavior related AIDS among male students in a medical college in Chongqing so as to provide reference basis for preventing AIDS.Methods The cluster stratified sampling method was used to do a questionnaire survey for 271 male postgraduates and 519 undergraduates.The questionnaire contents included cognition knowledge,attitude and high-risk sexual behavior on AIDS.Results In 790 investigation objects,overall pass rate of AIDS knowledge was 83.8%;34.1%of them had sexual behavior which high-risk behavior was 20.4%(homosexual behavior was 4.8%,multi-sexual partners was 4.6%);the rate of using condom in each sexual behavior was 47.2%.The multifactorial Logistic regression analysis showed that monthly living expenses(OR=4.695,95%CI:2.944~7.488),no sexual education before going to college(OR=1.824,95%CI:1.026~3.245),no sexual education from parents(OR=2.254,95%CI:1.154~4.405)and disqualified awareness of AIDS knowledge(OR=1.950,95%CI:1.193~3.186)were influence factors of high-risk sexual behavior.Conclusions There is divergence phenomenon in male student to insist condoms usage and their AIDS knowledge.High rate of high-risk sexual behaviors related to insufficient sexual safety education in early puberty and family.It suggests that improve sexual safety consciousness,exploit condom expanding strategy with pertinence so as to reinforce AIDS prevention and control of male.

关 键 词：艾滋病 高危性行为 高校 男性 重庆市 

分 类 号：R512.91[医药卫生—内科学]