广州市青年学生HIV感染相关行为的风险感知情况及影响因素分析  

Perception of HIV-related behavior and influencing factors among young students in Guangzhou

作　　者：刘珺[1] 林鹏 徐慧芳 李艳[1] 付笑冰[1] 姚芷潞 谢仕兰 何思敏 黎健荣 潘丝媛 杨放[1] Liu Jun;Lin Peng;Xu Huifang;Li Yan;Fu Xiaobing;Yao Zhilu;Xie Shilan;He Simin;Li Jianrong;Pan Siyuan;Yang Fang(Department for HIV/AIDS Control and Prevention,Guangdong Center for Disease Control and Prevention,Guangzhou 511430,China;Guangdong Association of STD/AIDS Prevention and Control,Guangzhou 511430,China)

机构地区：[1]广东省疾病预防控制中心艾滋病预防控制所,广州511430 [2]广东省性病艾滋病防治协会,广州511430

出　　处：《中华流行病学杂志》2023年第12期1956-1962,共7页Chinese Journal of Epidemiology

摘　　要：目的:了解青年学生对自身HIV感染相关行为的风险感知情况,分析其影响因素。方法:2021年9-11月根据国家统一方案,采用方便抽样在广州市5所不同类型高校中,按照每个年级至少抽取1个班级,每所学校完成不少于600名青年学生的方法,开展横断面调查。无序多分类logitsic回归用于构建风险感知模型,分析不同风险感知情况及其影响因素。结果:共调查青年学生7 346名,自评HIV感染风险较低者占90.58%(6 654/7 346)。风险感知与行为相符者占89.10%(6 545/7 346)。风险感知与行为不符者占10.90%(801/7 346),其中低估风险者占19.10%(153/801),高估风险者占80.90%(648/801)。无序多分类logitsic回归分析结果显示,控制其他因素后,相比于未发生过性行为组,有性经历且首次性行为年龄<18岁是低估风险的危险因素( OR=129.39,95% CI:73.28~228.48),同时也是高估风险的危险因素( OR=1.76,95% CI:1.04~2.99);有性经历且首次性行为年龄≥18岁是低估风险的危险因素( OR=70.56,95% CI:42.72~116.53),但与高估风险无关;女性、其他学校类型、非异性恋取向、自评艾滋病相关知识知晓情况为一般或不了解是高估风险的危险因素,但与低估风险无关。 结论:广州市高校青年学生总体风险感知情况良好。个体因素、教育因素和性行为经历均是HIV感染相关行为风险感知的影响因素,提高艾滋病相关知识知晓率,推迟首次性行为的年龄,有利于提高青年学生风险感知能力,进而主动寻求健康服务措施。Objective To investigate the risk perception for risky behavior of HIV/AIDS infection among young students and to analyze the related influencing factors.Methods A cross-sectional survey was conducted in 5 different types of Guangzhou colleges from September to November 2021,in which convenience sampling and a minimum number of classes per grade and 600 samples per school were used according to the national unity program.Disordered multi-classification logistic regression was used to construct a risk perception model and analyze influencing factors in different risk perception levels.Results A total of 7346 young students were surveyed,and most rated themselves at low risk of HIV/AIDS infections(90.58%,6654/7346).A total of 89.10%(6545/7346)of subjects'perception of their HIV/AIDS infection risk was consistent with their risk behavior,while 10.90%(801/7346)was inconsistent.Among those inconsistent subjects,19.10%(153/801)showed underestimating their risk,while 80.90%(648/801)seen overestimating their risk.Disordered multi-classification logistic regression analysis showed that,after controlling for other factors,compared with the non-sexual group,respondents whose first sex age under 18 had a higher rate of underestimating their risk of infection(OR=129.39,95%CI:73.28-228.48),as well as a higher rate of overestimated their risk of infection(OR=1.76,95%CI:1.04-2.99).First sexual intercourse at age 18 or older was a risk factor for underestimating risk(OR=70.56,95%CI:42.72-116.53),but was not statistically associated with overestimating risk.Being female,other school type,non-heterosexual orientation,and self-rated HIV-related knowledge as fair or no knowledge were risk factors for overestimating risk but were not statistically associated with underestimating risk.Conclusions Overall,young students in universities of Guangzhou have a good risk perception of HIV/AIDS infection.Individual factors,education factors and sexual experience will influence students'risk perception of HIV/AIDS infection.Raising the awarenes

关 键 词：艾滋病病毒/艾滋病 风险感知 青年学生 影响因素 知晓率 

分 类 号：R512.91[医药卫生—内科学]