长沙市大学生艾滋病相关高危行为现状调查
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摘要
目的了解长沙市大学生艾滋病感染相关高危行为发生现状、既往接受艾滋病预防服务情况,分析有关影响因素,为制定高校艾滋病防控策略提供依据。方法在长沙市选取三所综合性高校,于2015年11月-2016年1月对校内在读大学生(含研究生)进行问卷调查(个人基本情况、性行为、毒品使用等),使用SPSS 21.0软件进行数据整理和统计学分析。结果 962名调查对象中有5名男生使用过毒品,83.8%(806/962)最近一年接受过艾滋病预防服务,最近6个月性行为发生率为11.6%(112/962),其中异性性行为、商业性性行为、男男同性性行为发生率分别为10.3%(99/962)、2.1%(20/962)、4.7%(26/552)。除商业性性行为在性别上无差异外,男性、少数民族、大年龄组、非一本学校、高年级组、文科专业的学生性行为发生率均较高(P<0.05)。最近一次性行为使用安全套的比例为55.4%(62/112),非商业和商业性行为之间以及男女之间安全套使用率差异均无统计学意义(P>0.05)。高危性性行为的发生率为7.7%(74/962),与性别(男性高于女性,OR=4.163,95%CI:1.752~9.893,P=0.001)、民族(少数民族高于汉族,OR=4.203,95%CI:4.563~11.301,P=0.004)、学校(一本高于非一本,OR=11.187,95%CI:5.371~23.298,P<0.001)、年级(大学3~5年级高于大学1~2年级,OR=2.285,95%CI:1.109~4.708,P=0.025)、近一年接受艾滋病预防服务(接受过低于未接受过,OR=0.339,95%CI:0.158~0.729,P=0.006)有关。结论长沙市大学生中存在艾滋病感染风险较高的行为,接受艾滋病预防服务的比例还不高,应特别重视大学生高危行为状况,采取针对性宣传和行为干预措施。
Objective To investigate the current situation of HIV/AIDS-related high-risk behavior and the history of receiving HIV/AIDS prevention services among college students in Changsha City,and to provide a basis for developing HIV/AIDS prevention and control strategies based on college students. Methods We conducted a questionnaire survey of individual general information,sexual behavior and drug use among undergraduates and postgraduates selected from three comprehensive universities in Changsha City from November,2015 to January,2016. SPSS21.0 software was used to process and analyze the data. Results Among 962 participants surveyed,5 male students used drugs,and 83.8%( 806/962) received HIV/AIDS prevention services in recent one year. 11.6%( 112/962) had sexual behavior in recent 6 months,10.3%( 99/962) heterosexual sex,2.1%( 20/962)commercial sex,and 4.7%( 26/552) of the male students homosexual behavior. The prevalence rate of sexual behavior was found to be higher in male group,minority group,elder age group,non-key university group,senior group and liberal arts group( all P<0.05),but the commercial sex showed no difference in gender. The proportion of condom use in the last sexual behavior was 55. 4%( 62/112),and no statistically significant difference was observed in the rate of condom use between males and females as well as between non-commercial and commercial sexual behavior( both P>0.05). The prevalence rate of high-risk sexual behavior was 7. 7%( 74/962),and it correlated with the gender( male vs. female,OR = 4.163,95%CI: 1.752-9.893,P = 0.001),ethnic origin( minorities vs. the Han nationality,OR = 4.203,95%CI: 4.563-11.301,P = 0.004),university level( first-tier vs. others,OR = 11.187,95%CI: 5.371-23.298,P<0.001),grade( grades III-V vs. grades I-II,OR = 2.285,95% CI: 1.109-4.708,P =0. 025) and receiving HIV/AIDS prevention services in recent one year( yes vs. no,OR = 0. 339,95% CI: 0. 158-0. 729,P =0. 006). Conclusions The college students in Changsha City have high-risk behavior related to HIV infection,and the proportion of receiving HIV/AIDS prevention services is not high. It is necessary to pay special attention to the college students' high-risk behavior and take targeted publicity and behavioral intervention measures.
Objective To investigate the current situation of HIV/AIDS-related high-risk behavior and the history of receiving HIV/AIDS prevention services among college students in Changsha City,and to provide a basis for developing HIV/AIDS prevention and control strategies based on college students. Methods We conducted a questionnaire survey of individual general information,sexual behavior and drug use among undergraduates and postgraduates selected from three comprehensive universities in Changsha City from November,2015 to January,2016. SPSS21.0 software was used to process and analyze the data. Results Among 962 participants surveyed,5 male students used drugs,and 83.8%( 806/962) received HIV/AIDS prevention services in recent one year. 11.6%( 112/962) had sexual behavior in recent 6 months,10.3%( 99/962) heterosexual sex,2.1%( 20/962)commercial sex,and 4.7%( 26/552) of the male students homosexual behavior. The prevalence rate of sexual behavior was found to be higher in male group,minority group,elder age group,non-key university group,senior group and liberal arts group( all P<0.05),but the commercial sex showed no difference in gender. The proportion of condom use in the last sexual behavior was 55. 4%( 62/112),and no statistically significant difference was observed in the rate of condom use between males and females as well as between non-commercial and commercial sexual behavior( both P>0.05). The prevalence rate of high-risk sexual behavior was 7. 7%( 74/962),and it correlated with the gender( male vs. female,OR = 4.163,95%CI: 1.752-9.893,P = 0.001),ethnic origin( minorities vs. the Han nationality,OR = 4.203,95%CI: 4.563-11.301,P = 0.004),university level( first-tier vs. others,OR = 11.187,95%CI: 5.371-23.298,P<0.001),grade( grades III-V vs. grades I-II,OR = 2.285,95% CI: 1.109-4.708,P =0. 025) and receiving HIV/AIDS prevention services in recent one year( yes vs. no,OR = 0. 339,95% CI: 0. 158-0. 729,P =0. 006). Conclusions The college students in Changsha City have high-risk behavior related to HIV infection,and the proportion of receiving HIV/AIDS prevention services is not high. It is necessary to pay special attention to the college students' high-risk behavior and take targeted publicity and behavioral intervention measures.
引文
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[13]杨茜.新型毒品在我国蔓延的特点及在艾滋病传播中的风险[J].现代预防医学,2010,36(13):2494-2495.
[14]赵俊仕,陈曦,贺健梅,等.湖南省新型毒品吸食者行为特征分析[J].实用预防医学,2016,23(5):526-528.
[2]刘娅,杨迪,汤君,等.医学院校学生性行为现状及其影响因素研究[J].黑龙江医学,2016,59(2):169-171.
[3]常春,孙昕霙,史宇晖,等.中国大学生与艾滋病相关的性安全研究[J].中国艾滋病性病,2009,15(2):170-172.
[4]马瞧勤,丛黎明,潘晓红,等.大学生性病艾滋病关联性行为研究[J].中国公共卫生,2005,21(2):57-58.
[5]段爱旭,赵富玺,刘润花,等.大学生艾滋病知识、态度和高危行为调查及健康干预需求评价[J].现代预防医学,2011,37(6):1050-1051.
[6]孔庆滨,王云,张晓璐,等.大学生对艾滋病认知及性行为调查[J].中国公共卫生,2016,32(9):1252-1254.
[7]潘绥铭,黄盈盈.性之变:21世纪中国人的性生活[M].北京:中国人民大学出版社,2013:178.
[8]黄艺娜,张铭清,江剑平.大学生婚前性行为和性态度调查分析[J].中国性科学,2012,21(1):19-21.
[9]邢利芳,黄辛.大学生性行为价值观调查分析[J].中国性科学,2010,19(1):43-45.
[10]陆卫群,朱江,严易平,等.在校大学生婚前性行为及避孕行为研究[J].生殖与避孕,2006,28(7):426-432.
[11]刘晓梅.中国青少年“嗨K”:时尚还是犯罪?[J].当代青年研究,2009,21(9):76-80.
[12]丁盈盈,何纳.新型毒品与艾滋病性病感染:中国新的公共卫生关切(英文)[J].复旦学报(医学版),2012,57(6):551-557.
[13]杨茜.新型毒品在我国蔓延的特点及在艾滋病传播中的风险[J].现代预防医学,2010,36(13):2494-2495.
[14]赵俊仕,陈曦,贺健梅,等.湖南省新型毒品吸食者行为特征分析[J].实用预防医学,2016,23(5):526-528.