广州市某两区居民社会支持状况对高危性行为影响分析

发布时间：2018-12-27 18:08

【摘要】：目的了解广州市某两区居民高危性行为的现状,并探讨社会支持对该人群高危性行为的影响。方法采用横断面调查的方法,在广州市越秀区和天河区采用基于人群概率的空间抽样方法随机抽取调查地点,每个调查地点在居民楼内随机选取1名18~59岁的居民进行问卷调查。调查内容包括社会人口学特征、生理和心理健康状况、健康行为及高危性行为,并采用《社会支持评定量表》评估其社会支持状况。结果采用空间随机抽样抽取调查地点1 215个,实际参与调查调查765人,应答率为62.96%。调查人群自报的多性伴和非保护性行为发生率为18.25%和52.51%。多因素Logistic回归分析显示,社会支持中的主观支持(OR=0.901,95%CI:0.847~0.958)是降低多性伴行为发生的保护因素,而对支持利用度(OR=0.844,95%CI:0.740~0.962)是减少非保护性行为的保护因素。研究结果显示年龄、性别、婚姻状况及酒精滥用情况同样影响该人群高危性行为的发生。结论在高危人群比例较高的地区,应重视高危性行为等健康行为方面的教育和指导,尤其年龄较大、女性及酒精滥用人群,改善其社会支持状况,以降低高危性行为的发生,进而有利于性传播疾病的预防控制。
[Abstract]:Objective to investigate the current situation of high risk sexual behavior of residents in two districts of Guangzhou and to explore the influence of social support on high risk sexual behavior. Methods A cross-sectional survey was carried out in Yuexiu District and Tianhe District of Guangzhou City. A random sampling method based on population probability was used to select the survey sites. A 1859 year-old resident was randomly selected from each site to conduct a questionnaire survey. The social demographic characteristics, physical and mental health status, health behaviors and high-risk sexual behaviors were investigated. The social support status was evaluated by the Social support rating scale (SSS). Results there were 1 215 random sampling sites and 765 participants, and the response rate was 62.96. The incidence of polysexual partners and unprotected sex was 18.25% and 52.51% respectively. Multivariate Logistic regression analysis showed that subjective support (OR=0.901,95%CI:0.847~0.958) in social support was the protective factor to reduce the occurrence of sexual partner behavior. The availability of support (OR=0.844,95%CI:0.740~0.962) is a protective factor to reduce unprotected sex. The results showed that age, sex, marital status and alcohol abuse also affected the population's risk of sexual behavior. Conclusion in the areas with a high proportion of high risk population, we should pay attention to the education and guidance of health behaviors such as high-risk sexual behaviors, especially the older, female and alcohol abusers, and improve their social support to reduce the incidence of high-risk sexual behaviors. In turn, it is beneficial to the prevention and control of sexually transmitted diseases.
【作者单位】：中山大学公共卫生学院医学统计与流行病学系;澳门大学社会科学学院心理学系;中山大学流动人口卫生政策研究中心;广东省皮肤病医院(北卡罗来纳州大学-中国项目);
【基金】：Fogarty Global Health Fellows Program Consortium comprised of the University of North Carolina,John Hopkins Bloomberg School of Public Health,Morehouse and Tulane(5R25TW009340-02,1R25TW009340-01)
【分类号】：R181.3

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