HIV/AIDS抗病毒治疗病例安全套使用情况调查  

Condom use among HIV/AIDS patients receiving antiretroviral therapy

作　　者：刘丹丹 汪一展 陆晓春 雷梦婷 LIU Dandan;WANG Yizhan;LU Xiaochun;LEI Mengting(Administration Office,Fuyang District Center for Disease Control and Prevention,Hangzhou,Zhejiang 311400,China;Fuyang District Center for Disease Control and Prevention,Hangzhou,Zhejiang 311400,China)

机构地区：[1]杭州市富阳区疾病预防控制中心办公室,浙江杭州311400 [2]杭州市富阳区疾病预防控制中心,浙江杭州311400

出　　处：《预防医学》2023年第12期1058-1061,1066,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：富阳区科技局项目(2021SK026)。

摘　　要：目的了解杭州市富阳区接受抗病毒治疗的艾滋病病毒感染者和艾滋病患者(HIV/AIDS)安全套使用情况及影响因素,为指导HIV/AIDS病例坚持使用安全套、控制HIV传播提供参考。方法于2022年5—12月,通过面对面问卷调查收集富阳区接受抗病毒治疗的HIV/AIDS病例的人口学信息、近6个月性行为和安全套使用情况等资料。描述性分析HIV/AIDS抗病毒治疗病例坚持使用安全套比例,采用多因素logistic回归模型分析坚持使用安全套的影响因素。结果调查近6个月发生过性行为的HIV/AIDS抗病毒治疗病例111例,年龄M(QR)为43.00(19.00)岁;男性82例,占73.87%;在婚/同居63例,占56.76%;发生同性性行为52例,占46.85%。认为接受抗病毒治疗仍要坚持使用安全套110例,占99.10%。坚持使用安全套101例,占90.99%。了解全部性伴HIV感染情况93例,其中坚持使用安全套占93.55%。未接受过性病诊断治疗105例,坚持使用安全套占94.29%。多因素logistic回归分析结果显示,了解全部性伴HIV感染情况(OR=0.046,95%CI:0.004~0.560)、未接受过性病诊断治疗(OR=0.060,95%CI:0.004~0.890)是HIV/AIDS抗病毒治疗病例坚持使用安全套的促进因素。结论HIV/AIDS抗病毒治疗病例坚持使用安全套的比例较高;了解全部性伴HIV感染情况、未接受过性病诊断治疗的病例更有可能坚持使用安全套。Objective To investigate condom use and associated factors among HIV/AIDS patients receiving antiretrovi-ral therapy(ART)in Fuyang District,Hangzhou City,so as to provide insights into instructing the correct use of con-doms and controlling the spread of HIV/AIDS patients.Methods A face-to-face questionnaire survey was conducted to collect demographic information,sexual behaviors during recent 6 months and condom use of HIV/AIDS patients re-ceiving ART in Fuyang District from May to December,2022.Descriptive analysis was employed on the proportion of participants who insisted on using condoms at each sexual contact,and a multivariable logistic regression model was used to identify factors affecting condom use at each sexual contact.Results Totally 111 HIV/AIDS patients who re-ceived ART and had sexual contacts during recent 6 months were investigated,with a median age of 43.00(interquar-tile range,19.00)years.There were 82 males(73.87%),63 married cases(56.76%),52 cases with homosexual behav-iors(46.85%),110 cases insisting on using condom after ART(99.10%),101 cases insisting on using condoms at each sexual contact(90.99%).Among 93 patients being aware of HIV infection status of all sexual partners,93.55%of the patients insisted on using condoms at each sexual contact.Among 105 patients without sexually transmitted diseases(STD)diagnosis and treatment,94.29%of the patients insisted on using condoms at each sexual contact.Multivariable logistic regression analysis identified aware of HIV infection status of sexual partners(OR=0.046,95%CI:0.004-0.560),no STD diagnosis and treatment(OR=0.060,95%CI:0.004-0.890)as promoting factors for condom use at each sexual contact among HIV/AIDS patients receiving ART.Conclusions There is a high proportion of condom use at each sexu-al contact among HIV/AIDS patients receiving ART in Fuyang District.Patients who are aware of sexual partners'HIV infection and have not received STD diagnosis and treatment are more likely to insist on using condoms at each sexual contact.

关 键 词：艾滋病 抗病毒治疗 安全套使用 

分 类 号：R512.91[医药卫生—内科学]