福建省50岁及以上人群艾滋病知识知晓与非婚异性性行为情况调查  

Study on AIDS-related knowledge and non-marital heterosexual behavior among people aged 50 and above in Fujian province

作　　者：连巧龄 陈亮[1] 张明雅[1] 吴韶彬[1] LIAN Qiaoling;CHEN Liang;ZHANG Mingya;WU Shaobin(Fujian Provincial Center for Disease Control and Prevention,Fuzhou 350001,China)

机构地区：[1]福建省疾病预防控制中心,福州350001

出　　处：《中国艾滋病性病》2021年第12期1363-1368,共6页Chinese Journal of Aids & STD

基　　金：福建省卫生健康科技计划项目资助(2020QNB014)。

摘　　要：目的了解福建省50岁及以上人群艾滋病知识知晓状况与性行为特征及其影响因素。方法采用多阶段整群抽样,2020年1-10月在福建省13个县/区,对在现住址居住半年以上的50岁及以上人群进行横断面调查,收集相关信息。对艾滋病相关知识知晓率和非婚异性性行为的影响因素进行单因素和多因素非条件Logistic回归分析。结果调查对象2 789人中,103例(3.7%)发生过商业性异性性行为,68例(2.4%)与临时性伴发生过异性性行为。艾滋病相关知识总体知晓率为40.3%(1 124/2 789),50岁及以上城镇居民的艾滋病相关知识总体知晓率和10个问题中每道问题的知晓率均高于50岁及以上农村居民,差异均有统计学意义(P均<0.001)。多因素非条件Logistics回归分析显示,女性(OR=0.805,95%CI:0.675~0.960)、年龄65~79岁组(OR=0.800,95%CI:0.667~0.959)、居住地为农村(OR=0.719,95%CI:0.594~0.869)、从不参加户外活动者(OR=0.459,95%CI:0.349~0.604)、年收入≤5 000元(OR=0.384,95%CI:0.319~0.463)艾滋病相关知识知晓率较低;男性(OR=3.488,95%CI:2.103~5.785)、年龄50~64岁组(OR=6.387,95%CI:1.722~23.690)、居住地为城镇(OR=2.396,95%CI:1.530~3.752)、离异或丧偶(OR=2.530,95%CI:1.385~4.622)、对发生商业异性性行为持"赞同(OR=34.438,95%CI:4.497~257.999)或可以理解(OR=11.623,95%CI:2.558~52.810)"看法者发生非婚异性性行为的概率更高。结论目前福建省50岁及以上人群艾滋病相关知识知晓率较低,存在一定比例的高危性行为,应加强中老年人群艾滋病宣传教育工作,探索综合干预措施,同时提高该人群高危行为后的艾滋病检测意识,从而减少二代传播。Objective To understand the status of AIDS knowledge, sexual behavior, and its influencing factors among people aged 50 or above in Fujian province. Methods A cross-sectional survey was conducted among people aged 50 and over with their current address being in Fujian Province for more than half a year in 13 counties/districts from January to October 2020. Univariate and multivariate non-conditional logistic regression analysis was conducted on influencing factors of AIDS-related knowledge and heterosexual behavior. Results Among the 2789 subjects, 103 cases(3.7%) had commercial heterosexual behavior, and 68 cases(2.4%) had heterosexual behavior with temporary sexual partners. The overall awareness rate of AIDS-related knowledge was 40.3%(1 124/2 789). The overall awareness rate of AIDS-related knowledge among urban residents aged 50 and above and the awareness rate of 10 questions were higher than those of rural residents(P<0.001). Multivariate unconditional logistic regression analysis showed that women(OR=0.805, 95%CI: 0.675-0.960), 65-79 years old group(OR=0.800, 95%CI: 0.667-0.959), rural residents(OR=0.719, 95%CI:0.594-0.869), people who never participated in outdoor activities(OR=0.459, 95%CI: 0.349-0.604), and annual income ≤5000 yuan(OR=0.384, 95%CI: 0.319-0.463) had lower awareness rate of AIDS-related knowledge. Male(OR=3.488,95%CI: 2.103-5.785), 50-64 years old group(OR=6.387, 95%CI: 1.722-23.690), urban residence(OR=2.396, 95%CI:1.530-3.752), divorced or widowed(OR = 2.530, 95%CI: 1.385-4.622), and "agree with commercial heterosexual sex (OR=34.438, 95%CI: 4.497-257.999) or understandable(OR=11.623, 95%CI: 2.558-52.810)" had a higher rate of non marital heterosexual sexual behavior.Conclusion The awareness rate of AIDS-related knowledge among people aged 50 and above in Fujian was low, and there was a certain proportion of high-risk sexual behaviors. We should strengthen the AIDS education and publicity work among the middle and elderly aged people, explore comprehensive intervention measures, and

关 键 词：艾滋病 50岁及以上 知晓 非婚异性性行为 

分 类 号：R512.91[医药卫生—内科学]