珠海市有性行为大学生HIV检测情况及相关因素  

Prevalence and factors associated with HIV testing uptake among sexual active college students in Zhuhai City

作　　者：林铠浩 周毅[2] 严瑶 戴文灿 刘亚薇[2] 李晓凤[2] 黄珊子 姚刚[2] 杜曼[2] 杨翌 江洪波 LIN Kaihao;ZHOU Yi;YAN Yao;DAI Wencan;LIU Yawei;LI Xiaofeng;HUANG Shanzi;YAO Gang;DU Man;YANG Yi;JIANG Hongbo(School of Public Health,Guangdong Pharmaceutical University,Guangzhou(510310),China)

机构地区：[1]广东药科大学公共卫生学院,广州510310 [2]珠海市疾病预防控制中心艾滋病防制所

出　　处：《中国学校卫生》2021年第8期1246-1250,共5页Chinese Journal of School Health

基　　金：广东省医学科研基金项目(A2020509);国家自然科学基金项目(81703282)。

摘　　要：目的了解珠海市有性行为大学生人类免疫缺陷病毒(HIV)检测的情况及影响因素,为制定HIV检测策略、提高大学生HIV检测率提供参考依据。方法采用多阶段抽样方法,于2019年11—12月对珠海市6所高校本科和大专12235名在校学生进行匿名电子问卷调查,筛选出有性行为史学生1789名,通过χ2检验和非条件Logistic回归模型分析有性行为大学生HIV检测的影响因素。结果1789名大学生中,HIV检测率为7.55%(135名),主要通过医院(71.85%)检测,检测原因主要为定期检测(50.37%)和了解自己的感染状况(23.70%)。多因素Logistic回归分析结果显示,在有性行为的大学生中,性取向为同性恋者(OR=4.62,95%CI=1.07~19.95)、近1年有异性商业性行为者(OR=3.77,95%CI=1.96~7.26)更有可能进行HIV检测;女生(OR=0.41,95%CI=0.24~0.69)进行HIV检测的可能性较低。结论珠海市有性行为的大学生HIV检测的比例较低,建议在加强HIV检测宣传教育、增强学生HIV检测意识时,考虑性别、性取向及商业性行为等因素的影响,开展针对性的干预措施,提高检测的覆盖率。Objective To understand the prevalence of HIV(human immunodeficiency virus)testing and associated factors among sexual active college students in Zhuhai City.Methods From November to December,2019,an anonymous electronic questionnaire was administered among 12235 students in six colleges and universities in Zhuhai City by multistage sampling.A total of 1789 college students ever had sex were selected.Pearson's Chi-square test and non-conditional Logistic regression model were applied to analyze the factors associated with uptake of HIV testing.Results Among these students ever had sex,7.55%(135/1789)had been tested for HIV mainly through hospitals(71.85%).The main reasons for testing were regular testing(50.37%)and intending to know their infection status(23.70%).Multivariable Logistic regression showed that homosexual individuals(OR=4.62,95%CI=1.07-19.95)and those who had heterosexual commercial sex in the past year(OR=3.77,95%CI=1.96-7.26)were more likely to test for HIV,while female(OR=0.41,95%CI=0.24-0.69)were less likely to test for HIV.Conclusion The proportion of HIV testing was low among sexual active college students in Zhuhai City.Interventions should be tailored including strengthening the HIV testing propaganda education and enhancing students'awareness of HIV testing,and the influencing factors such as gender,sexual orientation and commercial sexual behavior should be taken into consideration,so as to improve the HIV testing coverage of this population.

关 键 词：性行为 HIV 回归分析 学生 

分 类 号：R512.91[医药卫生—内科学] R647.9[医药卫生—临床医学]