发生性行为的男大学生HIV检测影响因素分析  

Factors affecting HIV testing among male college students with sexual behaviors

作　　者：王憓[1] 潘晓红[1] 马瞧勤[1] 陈卫永[1] 何林[1] 郑锦雷[1] 陈婉君 姜婷婷[1] WANG Hui;PAN Xiaohong;MA Qiaoqin;CHEN Weiyong;HE Lin;ZHENG Jinlei;CHEN Wanjun;JIANG Tingting(Department of HIV/AIDS and STDS Control and Prevention,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China)

机构地区：[1]浙江省疾病预防控制中心艾滋病性病预防控制所,浙江杭州310051

出　　处：《预防医学》2022年第11期1081-1085,共5页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的了解发生性行为的男大学生HIV检测情况并分析影响因素,为提高青年学生HIV检测提供依据。方法于2021年9—11月,采用立意抽样方法抽取杭州市4所本科院校和1所大专院校,选择自述发生性行为的男大学生为调查对象。通过问卷调查收集人口学信息、预防艾滋病相关知识、性行为和HIV检测资料;采用多因素logistic回归模型分析HIV检测的影响因素。结果调查发生性行为的男大学生720人,大一至研究生阶段分别为180、178、163、50和149人,占25.00%、24.72%、22.64%、6.94%和20.69%。接受过HIV检测94人,占13.06%;其中自我检测占57.45%。多因素logistic回归分析结果显示,研究生(OR=0.302,95%CI:0.127~0.719)、性取向(同性,OR=0.090,95%CI:0.028~0.294;双性/不确定,OR=0.181,95%CI:0.066~0.495)、对HIV检测的了解程度(略有了解,OR=0.411,95%CI:0.176~0.957;比较了解,OR=0.305,95%CI:0.123~0.757;非常了解,OR=0.087,95%CI:0.032~0.235)是发生性行为的男大学生HIV检测的影响因素。结论发生性行为的男大学生HIV检测与了解HIV检测的程度有关,建议加强HIV检测宣传,提升检测服务可及性。Objective To investigate the factors affecting HIV testing among male college students with sexual behav⁃iors,so as to provide the evidence for improving the detection of HIV testing among young college students.Methods Four undergraduate universities and one junior college were randomly sampled from Hangzhou City using a purposive sampling method during the period between September and November,2021,and male students with self-reported sexu⁃al behaviors were recruited as study students.Participants'demographics,AIDS-related knowledge,sexual behaviors and HIV testing were collected using questionnaires,and factors affecting HIV testing using a multivariable logistic regres⁃sion model.Results A total of 720 male college students with sexual behaviors were enrolled,including 180 freshmen(25.00%),178 sophomores(24.72%),163 juniors(22.64%),50 seniors(6.94%)and 149 postgraduates(20.69%),and 94 students received HIV testing(13.06%),including 57.45%receiving self-testing.Multivariable logistic regression analysis identified postgraduates(OR=0.302,95%CI:0.127-0.719),sexual orientation(homosexual,OR=0.090,95%CI:0.028-0.294;bisexual/uncertain,OR=0.181,95%CI:0.066-0.495),awareness of HIV testing(low awareness,OR=0.411,95%CI:0.176-0.957;moderate awareness,OR=0.305,95%CI:0.123-0.757;high awareness,OR=0.087,95%CI:0.032-0.235)as factors affecting HIV testing among male college students with sexual behaviors.Conclusions The prevalence of HIV testing correlates with awareness of HIV testing among male college students with sexual behaviors.Improvements in health education of HIV testing and accessibility of HIV testing services are recommended.

关 键 词：艾滋病 HIV检测 学生 

分 类 号：R512.91[医药卫生—内科学]