中老年艾滋病高危人群及其高危行为影响因素分析

发布时间：2018-01-18 01:29

本文关键词：中老年艾滋病高危人群及其高危行为影响因素分析　出处：《中国皮肤性病学杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的了解低档场所中老年嫖客高危行为特征,并探讨其影响因素,为本市制定艾滋病防控策略提供科学依据。方法采用横断面研究设计,整群抽样方法,在广西南宁市B县对低档场所的中老年嫖客进行问卷调查获取一般人口学特征信息、高危行为特征和艾滋病防治相关知识,并采集静脉血3~5m L进行HIV、梅毒抗体检测。结果接受调查的368名中老年嫖客中,有94.84%(349/368)的人承认最近1年内有过商业性行为,其中,有10.32%(36/349)的人最近1年内每月发生2次及以上,38.40%(134/349)的人每月发生1次;最近1年内发生商业性行为时未坚持使用安全套的比例为73.35%(256/349);最近1次商业性行为未使用安全套的比例为57.59%(201/349);316名在婚的调查对象,最近1年内与配偶或固定性伴发生性关系时均无人使用安全套;有29.89%(110/368)的调查对象最近半年内曾与非婚非商业临时性伴发生过性关系;有1.72%(6/349)的人承认最近1年与商业性伴发生性关系时使用过壮阳药。Logistic回归分析显示,中老年嫖客发生商业性行为时不坚持使用安全套主要受年龄、文化程度、职业、平均每次嫖娼价格、最近1年每月嫖娼次数、是否做过HIV检测影响。结论应针对中老年嫖客高危性行为特征和影响因素,不断采取有针对性的综合干预措施,提高其自我保护意识和安全套使用率。
[Abstract]:Objective to understand the characteristics of high risk behavior of middle and old age clients in low-grade places and to explore its influencing factors so as to provide scientific basis for the formulation of HIV / AIDS prevention and control strategies in our city. Methods Cross-sectional study design and cluster sampling were adopted. A questionnaire survey was conducted in B County, Nanning City, Guangxi to obtain general demographic characteristics, high-risk behavior characteristics and AIDS prevention and control knowledge among middle-aged and elderly clients in low-grade places. The venous blood was collected to detect HIV and syphilis antibody. Results 368 middle and aged clients were investigated. 94.8449 / 368) admitted to having had commercial sex in the last year, of which 10.3236 / 349) occurred twice a month or more in the last year. 38.40 / 134 / 349) once a month; In the last one year, the proportion of people who did not insist on using condoms when they had commercial sex was 73.35% or 25.6%. The proportion of the last commercial sex without using condom was 57.59% or 3.49%. In the last year, none of the 316 subjects who were married had sex with their spouse or fixed partner. In the last six months, 29.89% of the respondents had had sexual relations with non-married, non-commercial temporary partners. 1.72% of them admitted to having sex with a commercial partner in the last year. Logistic regression analysis showed that they had used aphrodisiac during the last year. The middle and old age clients do not insist on the use of condoms when commercial sex occurs, mainly by age, education, occupation, the average price of each whoring, the last year monthly number of whoring. Conclusion the comprehensive intervention measures should be taken to improve the awareness of self-protection and condom use in view of the characteristics and influencing factors of high risk sexual behavior of the middle-aged and elderly clients of prostitute.Conclusion We should take comprehensive intervention measures to improve the awareness of self-protection and the rate of condom use.
【作者单位】：广西南宁市疾病预防控制中心;
【分类号】：R512.91
【正文快照】： 低档场所暗娼艾滋病知识知晓率和安全套使用率均较低,艾滋病病毒(HIV)感染率远高于中高档暗娼[1],该场所性工作者商业性行为对象主要是中老年嫖客,研究显示该类嫖客对性方式和安全套使用拥有支配权[2],提示仅对暗娼干预较难提高其安全套使用率,必须同时针对其嫖客进行干预才能

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