大学生男男性行为者艾滋病知识知晓率现状及高危性行为影响因素分析  

AIDS knowledge awareness and HIV detection rates among college students who have sex with men

作　　者：蔡雨涵 魏慧芳 王子凡 张湉溪 张苗苗 CAI Yuhan;WEI Huifang;WANG Zifan;ZHANG Tianxi;ZHANG Miaomiao(College of Traditional Chinese Medicine,Hebei University,Baoding 071000,Hebei,China;College of Public Health,Hebei University,Baoding 071000,Hebei,China)

机构地区：[1]河北大学中医学院中医系,河北保定071000 [2]河北大学公共卫生学院预防医学系,河北保定071000

出　　处：《中国校医》2024年第10期721-724,732,共5页Chinese Journal of School Doctor

基　　金：国家自然科学基金项目(81302897);河北省社科基金项目(HB20JY024);大学生创新项目(DC2024243)。

摘　　要：目的调查大学生男男性行为者(MSM)艾滋病知识知晓率情况,为今后有针对性地开展该人群预防艾滋病宣传模式及制订科学有效的干预措施提供依据。方法采取滚雪球和同伴推荐方式,2023年6—12月通过问卷调查165名大学生MSM,对艾滋病相关知识知晓现状和高危性行为情况,比较不同特征大学生MSM的艾滋病知识知晓水平和高危性行为差异。结果大学生MSM总体艾滋病知识知晓率偏低,仅为81.14%,对自身HIV易感性认知不足,且存在知行分离。随年级升高以及性经历增加,大学生MSM的艾滋病知识在一定程度上有所增加。对比大学生MSM安全套知识知晓及实际使用,该人群知行分离比例较高,其中最近1年未发生过同性肛交性行为者与发生过此类行为者知行分离比例(100%vs.58.42%)相比较差异有统计学意义(χ^(2)=19.449,P<0.001);最近1年曾被诊断患过性病者与未患过性病者知行分离比例(94.59%vs.59.38%)差异有统计学意义(χ^(2)=15.535,P<0.001)。结论大学生MSM对自身HIV易感性认知不足,存在知行分离,提示高校应加大对该人群的防艾宣传力度,强化安全性行为意识,帮助学生更好地将正确的性知识转化为安全的性行为,遏制艾滋病在该人群中的传播。Objective This study was aimed at investigating the awareness rate of AIDS knowledge among college men who have sex with men(MSM),to provide a basis for AIDS prevention awareness and formulation of effective scientific intervention measures in the future.Methods Through a snowball and peer recommendation approach,165 college students MSM underwent a questionnaire survey from June to December 2023 to determine their current status of HIV-related knowledge and high-risk sexual behaviors.HIV knowledge levels and differences in high-risk sexual behaviors among college students with various characteristics were compared.Results The overall AIDS knowledge awareness rate among university MSM was low,at 81.14%.Respondents had insufficient knowledge of their HIV susceptibility and showed a gap between knowledge and action.With increasing grade level and sexual experience,knowledge of AIDS among MSM increased to some extent.The dissociation rate between knowledge and practice was higher than the rate of knowledge and practical use of condoms among MSM college students.The difference between the proportion of those without vs.with homosexual anal sex in the past year(100%vs.58.42%)was statistically significant(χ^(2)=19.449,P<0.001).The difference between the proportion of those who had been or had not been diagnosed with an STD in the past year(94.59%vs.59.38%)was statistically significant(χ^(2)=15.535,P<0.001).Conclusion The lack of awareness of HIV susceptibility among college MSM,and the separation of knowledge and behavior,suggests that colleges and universities should enhance their efforts to promote HIV prevention among this group,strengthen awareness of safer sex,and help students better translate correct sexual knowledge into safer sex,to curb the spread of HIV among this group.

关 键 词：大学生 男男性行为者 艾滋病 知晓率 影响因素 

分 类 号：R512.91[医药卫生—内科学]