大学生不安全性行为和性取向对既往HIV检测及检测意愿的影响  

Effects of unsafe sexual behavior and sexual orientation on previous HIV testing and HIV testing willingness among college students in Harbin

作　　者：赵东辉[1,2] 惠珊 宋潇[1] 佟雪 马静[1] 张晓琳 袁丽丽 于艳玲[4] Zhao Donghui;Hui Shan;Song Xiao;Tong Xue;Ma Jing;Zhang Xiaolin;Yuan Lili;Yu Yanling(Department of STD/AIDS Prevention and Control,Heilongjiang Provincial Center for Disease Control and Prevention,Harbin 150030,China;Infectious Disease Prevention and Control Department,Hainan Provincial Center for Disease Control and Prevention,Haikou 570203,China;Institute of Tumor Treatment and Prevention,Harbin Medical University,Harbin 150081,China;Heilongjiang Provincial Center for Disease Control and Prevention,Harbin 150030,China)

机构地区：[1]黑龙江省疾病预防控制中心性病艾滋病预防控制所,哈尔滨150030 [2]海南省疾病预防控制中心传染病预防控制所,海口570203 [3]哈尔滨医科大学肿瘤防治研究所,哈尔滨150081 [4]黑龙江省疾病预防控制中心,哈尔滨150030

出　　处：《中华流行病学杂志》2022年第2期254-259,共6页Chinese Journal of Epidemiology

基　　金：黑龙江省卫生健康委员会科研课题(2018566)。

摘　　要：目的分析哈尔滨市大学生不安全性行为、性取向对既往HIV检测及检测意愿的影响,为在大学生中推广和促进HIV检测提供参考依据。方法采用横断面调查设计,2017年12月至2018年1月在哈尔滨市9所大学开展尿液HIV检测包自动售卖机投放活动,采用问卷星(https://www.wjx.cn/)自行设计调查问卷并招募大学生开展匿名的网络调查,估计样本量为6659人。采用多因素logistic回归模型分析大学生不安全性行为、性取向对既往HIV检测及检测意愿的影响。采用WPS 2016软件整理数据库,采用SPSS 21.0软件进行统计学分析。结果回收调查对象的有效问卷60849份。自我报告曾经发生性行为的大学生占19.1%(11189/58605)。最近半年发生性行为每次正确使用、有时/偶尔使用、从不使用安全套的大学生分别占58.5%(6206/10603)、25.2%(2669/10603)、16.3%(1728/10603)。性取向为异性恋、同性恋和双性恋分别占94.1%(54393/57823)、2.4%(1369/57823)和3.5%(2061/57823)。既往HIV检测的比例为10.3%(951/9241),HIV检测意愿的比例为73.3%(44572/60849)。多因素logistic回归分析结果显示,相比于最近半年发生性行为每次正确使用安全套的大学生,有时/偶尔使用、从不使用安全套的大学生,既往HIV检测比例的差异无统计学意义(OR=0.94,95%CI:0.69~1.29;OR=1.11,95%CI:0.73~1.67),HIV检测意愿较低(OR=0.79,95%CI:0.71~0.89;OR=0.48,95%CI:0.42~0.55);相比于性取向为异性恋的大学生,同性恋、双性恋大学生的既往HIV检测比例较高(OR=2.62,95%CI:1.62~4.24;OR=2.04,95%CI:1.25~3.32),HIV检测意愿比例较低(OR=0.76,95%CI:0.62~0.93;OR=0.64,95%CI:0.53~0.77)。结论哈尔滨市大学生中存在不安全性行为,且HIV预防意识较弱的大学生,检测意识也较弱,应加强行为干预和促进HIV检测。相比于性取向为异性恋者,同性恋、双性恋的大学生既往HIV检测比例较高但检测意愿较低。应在大学校园里推广隐匿性、准确性及便利�Objective To analyze the effects of unsafe sexual behavior and sexual orientation on previous HIV testing and HIV testing willingness among college students in Harbin,to provide a theoretical basis for promoting and promoting HIV testing among them.Methods A cross-sectional survey design was used to place the automatic vending machine of HIV urine test kit in 9 universities in Harbin from December 2017 to January 2018.The questionnaire star was used to design and recruit college students to carry out an anonymous online survey.The estimated sample size was 6659.A multivariate logistic regression model was used to analyze the effects of unsafe sexual behavior and sexual orientation on previous HIV testing and HIV testing willingness among college students.WPS 2016 was used to sort out the database,and SPSS 21.0 software was used for statistical analysis.Results A total of 60849 valid questionnaires were collected.19.1%(11189/58605)of college students reported having sex.College students who used condoms correctly every time,occasionally or never during sex in the past six months 58.5%(6206/10603),25.2%(2669/10603)and 16.3%(1728/10603),respectively.Heterosexuality,homosexuality and bisexuality accounted for 94.1%(54393/57823),2.4%(1369/57823)and 3.5%(2061/57823),respectively.The HIV testing willingness of college students was 73.3%(44572/60849).The proportion of previous HIV testing was 10.3%(951/9241).Results of the multivariate logistic analysis showed that compared with the college students who used condoms correctly whenever they had sex in the past six months,there was no significant difference in the proportion of previous HIV testing among college students who sometimes/occasionally used or never used condoms(OR=0.94,95%CI:0.69-1.29;OR=1.11,95%CI:0.73-1.67),but their willingness to HIV testing was lower(OR=0.79,95%CI:0.71-0.89;OR=0.48,95%CI:0.42-0.55);Compared with heterosexual college students,homosexual or bisexual college students have a higher proportion of previous HIV testing(OR=2.62,95%CI:1.62-4.24;OR

关 键 词：艾滋病病毒 大学生 性行为 检测 意愿 

分 类 号：R512.91[医药卫生—内科学]