福建省某医学院学生艾滋病知识现况及该省相关政策分析  

Current situation of AIDS knowledge among students in a medical college in Fujian Province and analysis of relevant policies in local area

作　　者：曾银花 孔祥然 曹望楠[3] 施正丽 史宇晖[3] 郑韵婷 ZENG Yin-hua;KONG Xiang-ran;CAO Wang-nan;SHI Zheng-li;SHI Yu-hui;IENG Yun-ting(Department of Student Affairs,Fujian Medical University,Fujian 350122,China)

机构地区：[1]福建医科大学学生工作处,福建福州350122 [2]福建医科大学卫生管理学院,福建福州350122 [3]北京大学公共卫生学院,北京100191

出　　处：《中国健康教育》2024年第11期1038-1046,共9页Chinese Journal of Health Education

基　　金：2023年度北京大学公共卫生与预防医学学科建设项目(BMU2023XY015);福建医科大学高层次人才科研启动资助项目(XRCZX2022002)。

摘　　要：目的检索福建省艾滋病健康教育相关政策,分析政策规制能力,了解该省大学生艾滋病知识知晓水平及影响因素,以期为未来的艾滋病健康教育政策制定提供参考。方法定性资料通过政策文件检索收集,国家层面从中央人民政府、国家卫生健康委员会、教育部、中国疾病预防与控制中心、中国性病艾滋病防治中心等网站检索;福建省层面从福建省卫生健康委员会、福建省人民政府网站等网站检索,对政策的规制能力进行分析。定量资料通过问卷调查收集,通过多阶段分层整群抽样,对某医科大学在校生进行问卷调查。结果检索到政策76份,纳入分析33份,政策规制能力水平较低。回收有效问卷1424份,有效回收率99.37%。艾滋病知识知晓率为72.41%,知晓率较低可能与国家层面和福建省省级层面政策规制能力低、福建省省级近6年无相关政策产出、福建省地市级政策产出较少有关。多因素分析显示,男性为低艾滋病知识水平的概率更高,OR值为3.095(95%CI:1.773~5.401);对大学期间健康教育满意度很满意、满意、一般的大学生为低艾滋病知识水平的概率更低,O R值分别为0.110(95%CI:0.058~0.209)、0.065(95%CI:0.028~0.154)、0.165(95%CI:0.072~0.379);主动寻求艾滋病信息的大学生为低艾滋病知识水平的概率更低,OR值为0.278(95%CI:0.108~0.717)。医学类专业大学生为中艾滋病知识水平的概率更低,OR值为0.661,(95%CI:0.512~0.853);大三、大四、大五大学生为中艾滋病知识水平的概率更低,OR值分别为0.530(95%CI:0.389~0.722)、0.547(95%CI:0.372~0.803)、0.215(95%CI:0.111~0.416);对大学期间健康教育满意度很满意、满意、一般的大学生为中艾滋病知识水平的概率更低,OR值分别为0.368(95%CI:0.256~0.529)、0.430(95%CI:0.297~0.623)、0.431(95%CI:0.275~0.675);主动寻求艾滋病信息的大学生为中艾滋病知识水平的概率更低,OR值为0.652(95%CI:0.494~0.859)。结论Objective To search AIDS health education policies in Fujian Province,analyze their regulatory capacities,assess college students'AIDS knowledge awareness status and its'risk factors,aiming to inform future policy formulation.Methods Qualitative data was collected through policy document search.At the national level,the search was conducted on websites such as the Central People's Government,the National Health Commission,the Ministry of Education,the Chinese Center for Disease Control and Prevention,and the Chinese Association for the Prevention and Control of Sexually Transmitted Diseases and AIDS.At the Fujian Provincial level,policies were retrieved from websites such as the Fujian Provincial Health Commission and the Fujian Provincial People's Government,and an analysis of the regulatory capacity of these policies was conducted.Quantitative data was collected through a questionnaire survey.A multi-stage stratified cluster sampling method was employed to conduct the survey among students at a medical university.Results A total of 76policies were retrieved,with 33 included in the analysis,revealing a relatively low level of policy regulatory capacity.A total of 1424 valid questionnaires were collected,with an effective response rate of 99.37%.The awareness rate of AIDS knowledge was 72.41%,which was relatively low.This low awareness rate may be related to the low policy regulatory capacity at both national and provincial levels in Fujian Province,the lack of relevant policy outputs at provincial level in Fujian in the past six years,and the relatively few policy outputs at prefecture-level cities in Fujian.Multivariate analysis revealed that males had higher probability of having low AIDS knowledge awareness,with an OR value of 3.095(95%CI:1.773-5.401).College students who expressed satisfaction levels of"very satisfied,""satisfied,"and"neutral"towards the health education received during their university years had lower probability of having low AIDS knowledge awareness,with OR values of 0.110(95%CI:0.058-0.2

关 键 词：艾滋病 政策分析 大学生 艾滋病知识 

分 类 号：R193[医药卫生—卫生事业管理]