重庆市50岁及以上男性HIV感染者艾滋病知识知晓与非婚性行为调查  

Survey of AIDS knowledge awareness and prevalence of extramarital sex behavior in HIV-infected men aged 50 years and older in Chongqing

作　　者：谭天宇 李山 欧阳琳[1] 白重阳 周超[1] 吴国辉[1] Tan Tianyu;Li Shan;Ouyang Lin;Bai Chongyang;Zhou Chao;Wu Guohui(Institute for AIDS/STD Control and Prevention,Chongqing Center for Disease Control and Prevention,Chongqing 400042,China;Department of Epidemiology,School of Public Health,Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆市疾病预防控制中心性病艾滋病预防控制所,重庆400042 [2]重庆医科大学公共卫生学院流行病学教研室,重庆400016

出　　处：《中华流行病学杂志》2023年第11期1692-1696,共5页Chinese Journal of Epidemiology

基　　金：重庆市自然科学基金(cstc2021jcyjmsxmX1171);重庆市英才“包干制”项目(cstc2021ycjhbgzxm0097);重庆市首批公共卫生重点学科(专科)(渝卫办发〔2022〕72号);重庆市科卫联合医学科研项目(2023MSXM113)。

摘　　要：目的了解重庆市≥50岁男性HIV感染者的艾滋病知识知晓情况及非婚性行为现状,为制定疫情防控措施提供科学依据。方法采用横断面研究,于2021年7-12月,在重庆市渝北区、开州区、江津区和沙坪坝区招募≥50岁男性HIV感染者进行面对面问卷调查,样本量800例。采用logistic回归模型分析研究对象艾滋病知识知晓与最近1年非婚性行为的相关因素。使用SPSS 26.0软件进行统计学分析。结果在≥50岁男性HIV感染者698例中,年龄(62.5±8.6)岁。艾滋病知识总体知晓率为66.91%(467/698),最近1年发生非婚性行为的比例为6.73%(47/698),安全套坚持使用率为61.70%(29/47)。多因素logistics回归分析结果显示,年龄≥70岁(aOR=0.60,95%CI:0.40~0.91)、年龄≥60岁(aOR=0.61,95%CI:0.41~0.90)和丧偶/离异/未婚者(aOR=0.70,95%CI:0.50~0.98)艾滋病知识知晓率较低;初中及以上文化程度者(aOR=5.90,95%CI:3.34~10.44)艾滋病知识知晓率较高。丧偶/离异/未婚者(aOR=13.01,95%CI:6.11~27.71)和最近1年使用过助性剂者(aOR=8.72,95%CI:2.76~27.55)发生非婚性行为的比例较高。结论重庆市≥50岁男性HIV感染者艾滋病知识知晓率较低,存在一定比例的非婚性行为,安全套使用率较低。建议加强性健康知识教育,持续推广使用安全套。Objective To understand the awareness of AIDS related knowledge and prevalence of extramarital sexual behaviors in HIV-infected men aged≥50 years in Chongqing,and provide scientific evidence for the development of prevention and control measures.Methods From July to December 2021,a random sampling method was used to recruit 800 HIV-infected men aged≥50 years in Yubei,Kaizhou,Jiangjin and Shapingba Districts of Chongqing for a face-to-face questionnaire survey.The logistic regression model was used to analyze relevant factors of AIDS knowledge awareness and prevalence of extramarital sex behavior.The SPSS 26.0 software was used for statistical analysis.Results The average age were(62.5±8.6)years in 698 of HIV-infected men aged≥50 years.The overall awareness rate of AIDS related knowledge was 66.91%(467/698),the incidence of non-marital sexual behavior in last year was 6.73%(47/698),and the consistent condom use rate was 61.70%(29/47).Multivariate analysis showed that the awareness rate of AIDS related knowledge was lower in those aged≥70 years(aOR=0.60,95%CI:0.40-0.91)and those aged≥60 years(aOR=0.61,95%CI:0.41-0.90)and those with other marital status(aOR=0.70,95%CI:0.50-0.98),and the awareness rate of AIDS related knowledge was higher in those with education level of junior high school or above(aOR=5.90,95%CI:3.34-10.44).Those with widowed/divorced/unmarried marital status(aOR=13.01,95%CI:6.11-27.71)and those using sexual aids in the last year(aOR=8.72,95%CI:2.76-27.55)had higher prevalence of non-marital sexual behavior.Conclusions HIV-infected men aged≥50 years in Chongqing had lower awareness of AIDS related knowledge,a certain percentage of non-marital sex,and lower condom use rate.It is suggested to strengthen the health education about sexual health and the promotion of condom use in this population.

关 键 词：艾滋病病毒 知识知晓 非婚性行为 50岁及以上男性 

分 类 号：R512.91[医药卫生—内科学] R181.3[医药卫生—临床医学]