中老年男性性病门诊患者接受艾滋病自愿咨询检测的现状调查及影响因素研究  

The status quo and influencing factors of acquired immune deficiency syndrome voluntary counseling and testing in middle-aged and elderly male sexually transmitted disease outpatients

作　　者：冷雪 毛依芬 肖桂林 陈卫永 LENG Xue;MAO Yifen;XIAO Guilin;CHEN Weiyong(Department of Public Health,Zhoushan Hospital,Zhoushan 316021,Zhejiang,China)

机构地区：[1]舟山医院公共卫生处,浙江舟山316021

出　　处：《中国性科学》2024年第1期144-148,共5页Chinese Journal of Human Sexuality

基　　金：2020年省医药卫生科技计划项目(创新人才支持项目)(2020RC051)。

摘　　要：目的调查分析中老年男性性病门诊患者接受艾滋病自愿咨询检测(VCT)的现状及影响因素,以期为提高VCT使用率提供参考。方法选取2020年1月至2021年12月舟山医院性病门诊收治的200例中老年男性患者作为研究对象。采用面对面交流方式询问其是否接受过VCT服务,采用单因素及多因素Logistic回归分析影响性病门诊患者接受VCT服务的相关因素。结果因问卷不满足要求、资料不全等剔除4例,最终196例纳入本研究。196例性病门诊患者中接受过VCT服务118例,占60.20%,其中因有商业异性性行为史接受服务25例(21.19%)。不同婚姻状况、个人月收入、艾滋病防治知识知晓、听说过VCT服务、知道VCT免费、知道VCT服务保密、担心自己感染艾滋病、艾滋病预防与自己相关、艾滋病患者都存在不良行为、艾滋病患者应被隔离、主动获得艾滋病知识、主动帮助艾滋病患者及其家属、若感染会主动寻求帮忙患者接受过VCT服务比例比较,差异具有统计学意义(P<0.05);多因素Logistic回归分析结果显示,婚姻状况(未婚、离异或丧偶)、艾滋病患者应被隔离、知道VCT服务保密、担心自己感染艾滋病、艾滋病预防与自己相关及患者接受VCT服务具有相关性(P<0.05)。接受过VCT服务、检测的患者,人类免疫缺陷病毒阳性率为4.24%。结论中老年男性性病门诊患者接受过VCT服务比例处于中等以上水平,增强患者自身健康意识、加强VCT服务保密等宣教、消除“歧视”有利于VCT服务进程推广,降低人类免疫缺陷病毒阳性率。Objective To investigate and analyze the status quo and influencing factors of acquired immune deficiency syndrome(AIDS)voluntary counseling and testing(VCT)in middle-aged and elderly male sexually transmitted disease(STD)outpatients,in order to improve the utilization rate of VCT for reference.Methods A total of 200 middle-aged and elderly male patients admitted to the STD outpatient in Zhoushan Hospital from January 2020 to December 2021 were selected as study subjects.Face-to-face communication was conducted to ask whether they had received VCT services.Univariate and multivariate Logistic regression analysis were conducted to analyze the factors affecting the acceptance of VCT services in STD outpatients.Results A total of 4 cases were excluded due to questionnaires did not meet the requirements or/and data was incomplete,and 196 cases were finally included in this study.Among 196 STD outpatients,118 cases received VCT services,accounting for 60.20%.Among them,25 cases(21.19%)received services because of the history of commercial heterosexual sex.There were statistically significant differences in the proportion of receiving VCT in different marital status,personal monthly income,AIDS prevention knowledge,hearing of VCT services,knowing VCT free,knowing VCT service confidentiality,worrying about their own human immunodeficiency virus(HIV)infection,AIDS prevention related to their own,AIDS patients having bad behavior,AIDS patients being isolated,being active to have access to AIDS knowledge,being active to help AIDS patients and their families,and being active to seek help if infected(P<0.05).Multivariate Logistic regression analysis showed that marital status(unmarried,divorced or widowed),HIV patients being isolated,knowing VCT services confidentiality,worrying about their own HIV infection,and AIDS prevention related to their own were correlated with patients receiving VCT services(P<0.05).The positive rate of HIV in patients who received VCT services and tests was 4.24%.Conclusions The proportion of middl

关 键 词：中老年男性 人类免疫缺陷病毒 自愿咨询检测 现状 影响因素 

分 类 号：R759[医药卫生—皮肤病学与性病学]