扬州市青年学生HIV自检意愿与自检行为及影响因素研究  

HIV self-testing willingness/behavior and its influencing factors among young students in Yangzhou

作　　者：吴程 杨文彬 李锦成 许纯 杨科佼 姜艳 张倩 邱涛[2] WU Cheng;YANG Wenbin;LI Jincheng;XU Chun;YANG Kejiao;JIANG Yan;ZHANG Qian;QIU Tao(Yangzhou Center for Disease Control and Prevention,Yangzhou 225000,China;Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210009,China)

机构地区：[1]扬州市疾病预防控制中心,江苏扬州225000 [2]江苏省疾病预防控制中心,江苏南京210009

出　　处：《现代医学》2024年第9期1358-1362,共5页Modern Medical Journal

基　　金：国家科技重大专项(2018ZX10715-002);扬州市科技计划社会发展项目(YZ2023136);扬州市卫健委科研专项资金资助项目(2023-4-22)。

摘　　要：目的:了解扬州市青年学生人免疫缺陷病毒(HIV)自检意愿与自检行为现况,并分析其影响因素。方法:采用随机抽样的方法在扬州市9所中专和高校招募研究对象,通过调查问卷收集青年学生的一般人口学信息、艾滋病防治知识知晓情况、性行为史、自评HIV感染风险、艾滋病相关行为、HIV自我检测意愿、HIV自我检测史。采用多因素Logistic回归模型分别分析青年学生HIV自我检测意愿和HIV自我检测行为的影响因素。结果:4 593份问卷纳入最终分析,青年学生中愿意接受HIV自我检测的占87.7%,曾经做过HIV自我检测的占5.1%。对HIV自我检测意愿的多因素Logistic回归分析显示,女性(OR=1.26,P=0.018)、江苏省户籍(OR=1.41,P<0.001)、教育程度为本科及以上(OR=1.40,P=0.001)、接受过学校性教育(OR=1.28,P=0.008)、知晓艾滋病防治知识(OR=1.60,P<0.001)、自评有HIV感染风险(OR=1.79,P<0.001)人群具有更高的HIV自我检测意愿。对HIV自我检测行为的多因素Logistic回归分析显示,年龄越大,进行HIV自我检测的可能性越高(OR=1.16,P=0.009),江苏省户籍(OR=1.83,P<0.001)、接受过学校性教育(OR=1.37,P=0.028)、有过性经历(OR=3.14,P<0.001)人群HIV自我检测率更高,但是女性人群的HIV自我检测率比男性更低(OR=0.52,P<0.001)。结论:扬州市青年学生HIV自我检测率较低,应重点加强对低龄、女性、外地户籍学生的艾滋病宣传教育,推广学校HIV自我检测。Objective:To understand the status of human immunodeficiency virus(HIV)self-testing willingness/behavior and its influencing factors among young students in Yangzhou.Methods:The students were recruited by random sampling in 9 secondary specialized schools and colleges in Yangzhou.General demographic information,knowledge of AIDS prevention,sexual behavior history,self-rated risk of HIV infection,AIDS-related behavior,HIV self-testing willingness and behavior among young students were collected by questionnaires.The multivariate Logistic regression model was applied to analyze the HIV self-testing willingness/behavior and its influencing factors among young students.Results:A total of 4593 questionnaires were included in the final analysis.The rates of HIV self-testing willingness and behavior were 87.7%and 5.1%respectively.Multivariate Logistic regression analysis on HIV self-testing willingness showed that people who were female(OR=1.26,P=0.018),held household registration in Jiangsu province(OR=1.41,P<0.001)and bachelor s degree or above(OR=1.40,P=0.001),received sexual education in school(OR=1.28,P=0.008),had knowledge of AIDS prevention(OR=1.60,P<0.001)and self-rated risk of HIV infection(OR=1.79,P<0.001),had higher willingness of HIV self-testing.Multivariate Logistic regression on HIV self-testing behavior showed that older age was associated with higher probability of HIV self-testing(OR=1.16,P=0.009),and that people who held household registration in Jiangsu province(OR=1.83,P<0.001),received sexual education in school(OR=1.37,P=0.028)and had sexual experience(OR=3.14,P<0.001)had higher rate of HIV self-testing,while the female had lower HIV self-testing rate than the male(OR=0.52,P<0.001).Conclusion:HIV self-testing rate among young students in Yangzhou is low.It is necessary to strengthen AIDS publicity for students who are female,younger or coming from other provinces,and HIV self-testing in school should be promoted.

关 键 词：青年学生 获得性免疫缺陷综合征 自我检测 影响因素 

分 类 号：R512.91[医药卫生—内科学]