山东省青年男生HIV/AIDS相关行为特征的定性研究  

A qualitative study on high risk behaviors of HIV/AIDS among young adult males in Shandong Province

作　　者：张娜[1] 李金海[1] 李玲 朱晓艳[1] 杨兴光[1] 赵帅 郝连正[1] 王国永[1] 康殿民[1] ZHANG Na;LI Jinhai;LI Ling;ZHU Xiaoyan;YANG Xingguang;ZHAO Shuai;HAO Lianzheng;WANG Guoyong;KANG Dianmin(Department of AIDS Prevention and Control,Shandong Center for Disease Control and Prevention,Jinan(250014),China)

机构地区：[1]山东省疾病预防控制中心艾滋病防制所,济南250014

出　　处：《中国学校卫生》2023年第1期131-134,138,共5页Chinese Journal of School Health

基　　金：山东省医药卫生科技发展计划项目(2019WS438)。

摘　　要：目的了解山东省青年男生艾滋病病毒感染者/艾滋病患者(HIV/AIDS)艾滋病相关行为特征及感染HIV的主要因素,为制定有针对性的艾滋病防制策略提供依据。方法2021年7月按照方便抽样方法招募当年1—6月山东省新报告31名青年男生HIV/AIDS进行一对一深入访谈,了解其确诊前的行为特征。结果31名青年男生感染途径均为同性传播,平均年龄(20.6±1.8)岁,确诊时就读大专及以上者占90.3%(28/31)。访谈结果显示,93.5%(29/31)的被访者与HIV感染状况未知的临时性伴发生同性性行为患病,其中86.2%(25/29)通过社交软件联系临时性伴。所有青年男生均知晓艾滋病相关知识,但发生同性性行为时,83.9%(26/31)偶尔使用安全套,16.1%(5/31)从未使用。74.2%(23/31)的青年男生HIV/AIDS有HIV既往检测史。结论与HIV感染状况未知的临时性伴发生高危性行为及艾滋病知信行分离是青年男生感染HIV的主要因素。需制定有针对性的防制策略,控制HIV在青年男生群体的传播。Objective To identify high risk behaviors and infection-related factors among young adult males diagnosed with HIV/AIDS in Shandong Province,to provide evidence for targeted AIDS prevention and control strategies.Methods By using convient sampling method,an face-to-face in-depth interview on HIV-related behaviors was conducted among young adult males newly diagnosed with HIV/AIDS in Shandong Province in July 2021.Results A total of 31 young adult males diagnosed with HIV/AIDS were interviewed.All were male and infected through homosexuality behavior.Average age was(20.6±1.8)years.Totally 90.3%(28/31)were enrolled in tertiary education at the time of diagnosis.The findings revealed that 93.5%(29/31)of participants got infection due to unprotected homosexual behavior with the temporary partner whose HIV infection status was unknown,and 86.2%(25/29)got in touch with these temporary partner by social software.The awareness rate of knowledge about AIDS among all the participants was 100%,however,83.9%(26/31)reported occasion condom usage while having homosexual behavior,and 16.1%(5/31)never did.Totally 74.2%(23/31)of the young adult males diagnosed with HIV/AIDS had a history of HIV testing before diagnosis.Conclusion The primary high risk behavior of HIV infection in young adult students are unawareness of HIV infection status for temporary sexual partner and the separation of knowing and doing.A targeted strategy should be developed to control the spread of HIV in young adult students.

关 键 词：获得性免疫缺陷综合征 人免疫缺陷病毒蛋白质类 行为 学生 男(雄)性 

分 类 号：R512.91[医药卫生—内科学] G478[医药卫生—临床医学] R179[文化科学—教育学]