2022—2023年湖南省高校学生艾滋病知识知晓率和性行为分析  

Awareness rate of knowledge about AIDS and sexual behavior among university students in Hunan Province,2022-2023

作　　者：胡敏 邹潇白[1] 贺健梅[1] 郑军[1] 陈曦[1] HU Min;ZOU Xiaobai;HE Jianmei;ZHENG Jun;CHEN Xi(Hunan Provincial Center for Disease Control and Prevention,Changsha,Hunan 410153,China;School of Public Health,University of South China,Hengyang,Hunan 421001,China)

机构地区：[1]湖南省疾病预防控制中心,湖南长沙410153 [2]南华大学公共卫生学院,湖南衡阳421001

出　　处：《实用预防医学》2024年第11期1310-1313,共4页Practical Preventive Medicine

基　　金：湖南省卫生健康高层次人才支持计划项目(2023-32)

摘　　要：目的 分析湖南省高校大学生艾滋病知识知晓现状和性生活行为学特征,为改进湖南省高校艾滋病防控工作提供数据支持。方法 采用网络问卷调查的形式,对湖南省5所高校的10 011名学生进行艾滋病知识知晓及性行为特征问卷调查,分析高校学生艾滋病知识知晓情况及影响因素。结果 回收有效问卷9 991份,有效率99.80%。艾滋病总知晓率为86.34%。其中,“中国青年学生艾滋病的主要传播方式为男性同性性行为”以及“艾滋病不可治愈”的知晓率分别为73.15%和70.36%。不同性别(χ^(2)=10.210,P=0.001)、年级(χ^(2)=109.836,P<0.001)、专业(χ^(2)=75.533,P<0.001)的学生艾滋病知晓率差异有统计学意义。多因素分析,女生知识知晓率高于男生(OR=1.16,95%CI:1.02~1.32);大二(OR=1.98,95%CI:1.70~2.31)、大三(OR=1.61,95%CI:1.33~1.95)、大四(OR=2.48,95%CI:1.70~3.63)学生知晓率高于大一;文史类(OR=2.02,95%CI:1.60~2.56)、理工类(OR=2.18,95%CI:1.73~2.75)和医学类(OR=3.35,95%CI:2.31~4.84)学生知晓率高于艺术体育类;通过其他途径获取艾滋病知识者(OR=0.70,95%CI:0.57~0.84)知晓率低于通过学校获取。暴露前与暴露后预防用药知晓率仅为55.90%和45.56%。885名大学生自报告发生过性行为(8.86%);男生(60.49%)婚前性行为安全套坚持使用率低于女生(68.26%)(χ^(2)=5.546,P=0.019),单性伴(69.17%)、异性性行为者(64.68%)安全套坚持使用率分别高于多性伴(36.84%)(χ^(2)=56.836,P<0.001)和男男性行为者(52.56%)(χ^(2)=4.514,P=0.034)。结论 湖南省高校大学生艾滋病相关知晓率有待进一步提升,高危性行为安全套的使用率低,存在明显的知行分离现象,应注重提升高校学生安全性行为的观念和意识,并加强暴露前后预防相关知识的宣传教育。Objective To analyze the current status of awareness of AIDS knowledge and sexual behavior characteristics among university students in Hunan Province,and to provide data support for improving AIDS prevention and control in universities in Hunan Province.Methods We conducted a network questionnaire survey on awareness of AIDS knowledge and sexual behavior characteristics among 10,011 students from 5 universities in Hunan Province.The awareness status of AIDS knowledge and its influencing factors among the university students were analyzed.Results A total of 9,991 valid questionnaires were retrieved,with the effective rate of 99.80%.The total awareness rate of AIDS knowledge was 86.34%.The awareness rates of male homosexual behavior as the main mode of AIDS transmission among young students in China and AIDS as an incurable disease were 73.15%and 70.36%respectively.There were statistically significant differences in the awareness rates of AIDS knowledge among university students of different genders(χ^(2)=10.210,P=0.001),grades(χ^(2)=109.836,P<0.001)and specialties(χ^(2)=75.533,P<0.001).Multivariate analysis revealed that the awareness rate of AIDS knowledge was higher in female students than in male students(OR=1.16,95%CI:1.02-1.32),higher in sophomores(OR=1.98,95%CI:1.70-2.31)and juniors(OR=1.61,95%CI:1.33-1.95)than in seniors(OR=2.48,95%CI:1.70-3.63),and higher in students majoring in literature and history(OR=2.02,95%CI:1.60-2.56),science and technology(OR=2.18,95%CI:1.73-2.75)and medicine(OR=3.35,95%CI:2.31-4.84)than in students majoring in sports and arts.The awareness rate of AIDS knowledge was lower in students acquiring AIDS knowledge through other means(OR=0.70,95%CI:0.57-0.84)than in students acquiring the knowledge through school education.The awareness rates of pre-exposure and post-exposure prophylactic drug use were 55.90%and 45.56%respectively.In this study,885 university students had sex(8.86%).The consistent condom use rate in premarital sex was lower in male students than in female ones(60.49

关 键 词：大学生 艾滋病 知晓率 性行为 

分 类 号：R512.91[医药卫生—内科学]