玉林市老年人群艾滋病、梅毒感染与防治知识知晓现况调查  

Survey on the current knowledge of AIDS,syphilis infection,and prevention and treatment among the elderly population in Yulin

作　　者：叶晓燕[1] 张德玲[1] 覃晓知[1] 王秋雯 黄庆淼 覃彦琳[1] 叶瑞国[1] 封洁兰 YE Xiaoyan;ZHANG Deling;QIN Xiaozhi;WANG Qiuwen;HUANG Qingmiao;QIN Yanlin;YE Ruiguo;FENG Jielan(Yulin Center for Disease Control and Prevention,Yulin,Guangxi 537000,China)

机构地区：[1]玉林市疾病预防控制中心,广西玉林537000

出　　处：《应用预防医学》2024年第3期161-166,171,共7页Applied Preventive Medicine

基　　金：玉林市科学研究与技术开发计划项目(玉市科20222501)。

摘　　要：目的了解玉林市老年人群艾滋病病毒(human immunodeficiency virus,HIV)、梅毒感染以及艾滋病防治知识知晓情况,探讨相关影响因素,为控制艾滋病(acquired immunodeficiency syndrome,AIDS)、梅毒等性传播疾病在老年人群中的扩散提供科学依据。方法2022年5~9月在玉林市辖区随机抽取2个乡镇,按照整群随机抽样法选择若干个行政村或社区,对符合纳入标准的居民进行调查,同时采集其血样进行HIV抗体、梅毒血清学检测。采用卡方检验和多因素logistic回归模型对老年人群HIV、梅毒阳性率以及艾滋病防治知识知晓率的影响因素进行分析。结果本次研究共调查2400人,艾滋病防治知识总体知晓率为74.83%,HIV和梅毒总体阳性率分别为0.21%和2.96%。多因素logistic回归模型分析结果显示,教育程度为初中及以上(aOR=1.857,P<0.001)、年收入≥5000元(aOR=1.608,P<0.001)是艾滋病防治知识知晓的保护因素,未在婚(aOR=0.508,P<0.001)、目前无工作(aOR=0.641,P<0.001)、未曾外出打工(aOR=0.594,P=0.002)是艾滋病防治知识知晓的危险因素;未在婚(aOR=20.707,P=0.023)、发生过商业性行为(aOR=83.425,P<0.001)是HIV阳性的危险因素;男性(aOR=3.505,P=0.005)、发生过商业性行为(aOR=756.299,P<0.001)是梅毒阳性的危险因素。结论玉林市老年人群艾滋病防治知识知晓率较低,仍存在高危行为。建议今后依据相关危险因素以及宣传对象的社会文化背景开展针对性的宣传教育,完善艾滋病、梅毒等性传播疾病的综合防治措施。Objective To understand the knowledge of HIV(human immunodeficiency virus,HIV),syphilis infection,and HIV prevention and treatment among the elderly population in Yulin,with the aim of exploring the relevant influencing factors,and to provide a scientific basis for controlling the spread of sexually transmitted diseases such as AIDS(acquired immunodeficiency syndrome,AIDS)and syphilis among the elderly.Methods This study was conducted in Yulin between May 2022 and September 2022,and the cluster random sampling method was employed to select several administrative villages or communities in 2 townships.Questionnaire surveys were conducted on residents who met the inclusion criteria,and their blood samples were collected for HIV antibody and syphilis serology testing.Chi-square test and multi-factor logistic regression model were used to analyze the influencing factors of the HIV and syphilis positivity rates,and the awareness rate of AIDS prevention and treatment among the elderly.Results A total of 2400 subjects were enrolled in this study.The overall awareness rate of AIDS prevention and treatment was 74.83%,and the overall positive rates of HIV and syphilis were 0.21%and 2.96%,respectively.Multivariable logistic regression showed that education level of middle school and above(aOR=1.857,P<0.001)and annual income≥5000 RMB(aOR=1.608,P<0.001)were protective factors for acquiring knowledge about AIDS prevention and treatment.Not being married(aOR=0.508,P<0.001),not working currently(aOR=0.641,P<0.001),and never going out to work(aOR=0.594,P=0.002)were risk factors for acquiring knowledge about AIDS prevention and treatment.Not being married(aOR=20.707,P=0.023)and had commercial sexual activity(aOR=83.425,P<0.001)were risk factors for HIV positivity.Male(aOR=3.505,P=0.005)and had commercial sexual activity(aOR=756.299,P<0.001)were risk factors for syphilis positivity.Conclusions The awareness rate of HIV/AIDS prevention and treatment among the elderly population in Yulin is relatively low,and high-risk behaviors st

关 键 词：老年人 艾滋病 梅毒 知晓率 高危行为 调查 

分 类 号：R512.911[医药卫生—内科学]