四川省大众人群感觉寻求与易感染艾滋病风险行为的关联  

Relationship Between Sensation Seeking and Risk Behaviors for HIV Sexual Transmission in Sichuan Province

作　　者：王秋实 龚毅[1] 李恬[1] 黄惋莉[1] 卓玛拉措 冯燎[1] WANG Qiushi;GONG Yi;LI Tian;HUANG Wanli;ZHUOMA Lacuo;FENG Liao(Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China)

机构地区：[1]四川省疾病预防控制中心,成都610041

出　　处：《预防医学情报杂志》2021年第11期1528-1534,共7页Journal of Preventive Medicine Information

摘　　要：目的描述四川省大众人群中高感觉寻求者的特征分布,探讨感觉寻求与易感染艾滋病风险行为的相关性,为开展预防艾滋病健康教育提供参考依据。方法2020年8月面向四川省大众人群开展问卷星线上匿名调查,其中感觉寻求用四项简要感觉寻求量表(BSSS-4)测量,采用卡方检验比较高低感觉寻求组(n=7311)在社会人口学特征和性行为特征方面的差异,采用非条件Logistic回归模型分析感觉寻求水平与不安全性行为、"一夜情"的关联,检验水准α=0.05。结果高低感觉寻求组在社会人口学特征、性取向和初次性行为年龄等方面有显著差异(P<0.01)。非条件Logistic回归分析结果显示高感觉寻求者报告发生过无保护性行为(配偶除外)(OR=1.73,95%CI:1.46~2.03,P<0.001)和"一夜情"(OR=2.89,95%CI:2.26~3.70,P<0.001)的风险高于低性感觉寻求者。结论高低感觉寻求组在社会人口学特征,以及性取向、初次性行为年龄的分布上存在显著差异,高感觉寻求是大众人群发生"一夜情"和与除配偶外的人发生无保护性行为的危险因素。在对大众人群进行预防艾滋病宣传干预时,可以把感觉寻求作为细分干预目标人群的维度之一,重点关注高感觉寻求者。Objective To describe the characteristic distribution of high sensation seekers in Sichuan population,and to explore the correlation between sensation seeking and risky behaviors for HIV sexual transmission so as to provide reference for AIDS preventive education and behavior intervention.Methods During August 2020,anonymous online survey(via wjx.cn)was conducted among the general population of Sichuan Province.Sensation seeking was measured by Four-item Brief Sensation Seeking Scale(BSSS-4).Chi-square tests were used to compare the differences between the high and low sensation seekers(n=7311)in socio-demographic characteristics and sexual behavior characteristics.Non-conditional Logistic regression model was used to analyze the relationship between sensation seeking and unsafe sex and one-night stands.Results There were significant differences in socio-demographic characteristics,sexual orientation and age of first sexual behavior between high and low sensation seekers(P<0.01).Non-conditional Logistic regression analysis showed that the risk of high sensation seekers reporting unprotected sex(except spouses)(OR=1.73,95%CI:1.46~2.03,P<0.001)and one-night stands(OR=2.89,95%CI:2.26~3.70,P<0.001)was higher than that of low sensation seekers.Conclusion There were significant differences in the socio-demographic characteristics,sexual orientation and age of first sexual activity between the high and low sensation seekers.Sensation seeking is a risk factor for casual sex in the general population and unprotected sex with someone other than a spouse.In the AIDS preventive education among general population,sensation seeking should be considered as one of the dimensions to subdivide the target population.Focus should be on high sensation-seekers.

关 键 词：感觉寻求 艾滋病 不安全性行为 宣传干预 

分 类 号：R512.91[医药卫生—内科学]