安徽省HIV/AIDS患者确诊后危险性行为状况及影响因素分析  

Occurrence of high risk sexual behaviors and influencing factors among HIV/AIDS diagnosed patients in Anhui Province

作　　者：张进[1,2] 戴色莺[1,2] 程晓莉[1,2] 刘爱文[1,2] 吴建军[1,2] 吴家兵[1,2] ZHANG Jin;DAI Seying;CHENG Xiaoli;LIU Aiwen;WU Jianjun;WU Jiabing(Department of AIDS Prevention and Treatment,Anhui Provincial Center for Disease Control and Prevention,Hefei 230601,Anhui,China;Center Laboratory of HIV Molecular and Immunology,Anhui Provincial Center for Disease Control and Prevention,Hefei 230601,Anhui,China)

机构地区：[1]安徽省疾病预防控制中心艾滋病防治科,合肥230601 [2]安徽省疾病预防控制中心艾滋病病毒分子与免疫学中心实验室,合肥230601

出　　处：《中国艾滋病性病》2024年第7期699-703,共5页Chinese Journal of Aids & STD

基　　金：安徽省卫生健康委公共卫生与预防医学项目(AHWJ2022b057)。

摘　　要：目的 了解安徽省HIV/AIDS患者确诊后的危险性行为发生状况及其影响因素。方法 采用目的抽样方法,抽取安徽省艾滋病疫情重点地区的4个市县为调查现场,对抽取的这4个市县辖区内现存活的、年龄≥18周岁的HIV/AIDS患者进行横断面调查。结果 共调查1 608名HIV/AIDS患者,其艾滋病相关知识知晓率为95.8%(1 540/1 608),54.7%(478/874)的调查对象在确诊感染HIV后与配偶或同居者在最近一年有过性行为,其中14.0%(67/478)有过危险性行为;5.2%(84/1 608)的调查对象最近一年有过商业性行为,其中22.6%(19/84)有过危险性行为;8.4%(135/1 608)的调查对象最近一年有过临时性行为(如一夜情),其中20.0%(27/135)有过危险性行为;4.6%(54/1 186)的调查对象最近一年有过同性肛交性行为,其中40.7%(22/54)有过危险性行为;HIV/AIDS患者确诊后发生危险性行为的多因素Logistic回归分析显示,调查地区为合肥市(OR=0.170,95%CI:0.075~0.385)和六安市(OR=0.226,95%CI:0.125~0.407)、文化程度低(OR=1.174,95%CI:1.039~2.834)、不知晓艾滋病防治知识(OR=2.556,95%CI:1.097~5.955)、最近6个月未获得安全套发放服务(OR=4.095,95%CI:1.435~11.683)、最近6个月未获得艾滋病宣传材料(OR=2.929,95%CI:1.004~8.544)是感染HIV后发生危险性行为的危险因素。结论 安徽省HIV/AIDS患者确诊感染HIV后仍存在一定比例的危险性行为,存在对配偶或性伴造成HIV感染的风险,应持续加强对文化程度低HIV/AIDS患者的健康教育和安全套推广使用干预,同时应定期给HIV/AIDS患者提供免费安全套和艾滋病宣传资料。Objective To understand the occurrence of high risk sexual behaviors and the influencing factors among HIV/AIDS diagnosed patients in Anhui Province.Methods Using purposive sampling,four cities/counties in major HIV/AIDS epidemic areas in Anhui Province were selected as survey sites,and a cross-sectional survey was conducted among HIV/AIDS patients aged 18 years and above who were currently living in these selected areas.Results A total of 1608 HIV/AIDS patients were surveyed,and their HIV/AIDS-related knowledge awareness rate was 95.8%(1540/1608).Among the respondents,54.7%(478/874)reported engaging in sexual activities with their spouse or cohabitant in the last year after being diagnosed with HIV,of whom 14.0%(67/478)reported engaging in high risk sexual behaviors.In the last year,5.2%(84/1608)of the respondents reported engaging in commercial sexual activities,and among them,22.6%(19/84)reported engaging in high risk sexual behaviors.Furthermore,8.4%(135/1608)of the respondents were involved in casual sexual activities(such as one-night stands),and among them,20.0%(27/135)reported engaging in high risk sexual behaviors.In addition,4.6%(54/1186)of the respondents engaged in homosexual sexual activities,and among them,40.7%(22/54)reported engaging in high risk sexual behaviors.Multivariate logistic regression analysis showed that HIV/AIDS patients living in Hefei City(OR=0.170,95%CI:0.075-0.385)and Lu'an city(OR=0.226,95%CI:0.125-0.407),had low education level(OR=1.174,95%CI:1.039-2.834),lack of awareness of HIV/AIDS prevention and control knowledge(OR=2.556,95%CI:1.097-5.955),not receiving free condom distribution services in the past 6 months(OR=4.095,95%CI:1.435-11.683),and not receiving HIV/AIDS publicity materials in the past 6 months(OR=2.929,95%CI:1.004-8.544)were risk factors for engaging in high risk sexual behaviors after HIV/AIDS diagnosis.Conclusions A certain proportion of HIV/AIDS patients in Anhui Province still engage in high risk sexual behaviors after being diagnosed with HIV,posing a risk of

关 键 词：艾滋病病毒 危险性行为 影响因素 横断面调查 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]