天津市高校学生艾滋病知信行现状及高危性行为影响因素  

Current status of AIDS knowledge,attitudes,practices and associated factors of high-risk sexual behavior among college students in Tianjin City

作　　者：刘轶[1,2] 柳忠泉 武子明[1] 龚卉 柏建芸[1] 于茂河[1,2] LIU Yi;LIU Zhongquan;WU Ziming;GONG Hui;BAI Jianyun;YU Maohe(Institute of STD and AIDS Prevention and Control,Tianjin Center for Disease Control and Prevention,Tianjin(300011),China)

机构地区：[1]天津市疾病预防控制中心性病艾滋病预防控制所,300011 [2]天津市传染病病原微生物重点实验室

出　　处：《中国学校卫生》2024年第2期203-206,212,共5页Chinese Journal of School Health

基　　金：天津市医学重点学科项目(TJYXZDXK-050A)。

摘　　要：目的了解天津市高等院校学生艾滋病知信行现状和高危性行为的影响因素,为艾滋病精准防治提供科学依据。方法2022年11—12月,采用分层整群随机抽样方法调查天津市56所高等院校64697名学生艾滋病知信行现状,采用问卷星开展网络问卷调查。描述性分析高校学生艾滋病知信行现状,应用χ^(2)检验和多因素Logistic回归模型分析高校学生高危性行为的影响因素。结果天津市高校学生艾滋病防治知识知晓人数达到87.33%,性态度开放人数为70.73%。在最近一年发生过性行为的3463名学生中,42.13%发生过高危性行为。多因素Logistic回归分析结果显示,女性、有恋爱对象、接受过性教育以及艾滋病防治知识与高危性行为均呈负相关(OR值分别为0.66,0.59,0.81,0.59,P值均<0.05);大二年级、非异性恋(同性恋、双性恋、不知道)、对艾滋病存在认知偏见以及错误了解艾滋病检测方式与高危性行为均呈正相关(OR值分别为1.22,2.49,2.30,3.17,1.43,1.22,P值均<0.05)。结论天津市高校学生艾滋病知晓率较高,但高危性行为仍处于较高水平。需进一步有针对性开展宣传教育和行为干预,控制艾滋病传播流行。Objective To understand the current status of acquired immunodeficiency syndrome(AIDS)knowledge,attitudes,and practices of college students in Tianjin City and to further investigate the associated factors of high-risk sexual behaviors,so as to provide a scientific and theoretical basis for accurate prevention and treatment of AIDS.Methods A stratified cluster random sample of 64697 students in 56 colleges and universities in Tianjin City in November to December 2022 was investigated about the current status of AIDS knowledge,attitudes and practices.Information was collected using online survey via Questionnaire Star.Descriptive analysis was used for the current status of AIDS knowledge,attitudes and practices among college students.Chi-square test and multiple Logistic regression analysis were used to analyze the influencing factors of high-risk sexual behavior among college students.Results The AIDS awareness rate of college students in Tianjin City reached 87.33%.The sexual openness rate was 70.73%.Among the 3463 students who had sex during the past year,42.13%of students reported high-risk sexual behavior.Multivariate Logistic regression showed that female,having a romantic partner,having received sex education and prevention and treatment knowledge of AIDS were negatively associated with high-risk sexual behavior(OR=0.66,0.59,0.81,0.59,P<0.05).Being in sophomore year,non-heterosexuality(homosexuality,bisexuality,not knowing),prejudice against AIDS,and misunderstanding the testing methods for AIDS showed positive correlations with high-risk sexual behavior(OR=1.22,2.49,2.30,3.17,1.43,1.22,P<0.05).Conclusions The awareness rate of AIDS in college students in Tianjin is high,but high-risk sexual behaviors are still at a high level.Further targeted knowledge education and behavioral interventions are needed to scientifically prevent the spread of AIDS.

关 键 词：获得性免疫缺陷综合征 健康知识 态度 实践 回归分析 学生 

分 类 号：G478[文化科学—教育学] C913.5[文化科学—教育技术学] R193[经济管理]