同性交友平台上青年学生的艾滋病知识和艾滋病相关行为现状

发布时间：2018-02-16 10:31

本文关键词： 获得性免疫缺陷综合征性行为学生知识　出处：《北京大学学报(医学版)》2017年03期 　论文类型：期刊论文

【摘要】：目的:了解同性交友平台上青年学生的获得性免疫缺陷综合征(acquired immune deficiency syndrome,AIDS,艾滋病)知识及相关行为现状,为今后通过网络开展艾滋病宣传教育提供依据。方法:采用滚雪球抽样方法,使用自行设计的自填式问卷调查同性交友平台上青年学生的艾滋病知识及其相关行为,并采用卡方检验分析不同特征青年学生的艾滋病知识知晓水平,用Logistic回归分析人类免疫缺陷病毒(human Immunodeficiency virus,HIV)检测情况的影响因素。结果:共调查同性交友平台上的青年学生469人,问卷有效率为94.2%(442)。研究发现,同性交友平台上青年学生的"大众人群艾滋病知识"知晓率为83.9%(371),"青年学生艾滋病知识"知晓率为77.1%(341),HIV抗体检测率为52.0%(230)。不同年龄段(P=0.001)、不同婚姻状态(P0.001)、不同性取向(P0.001)和首次性行为对象的不同性别(P0.001)的青年学生,"大众人群艾滋病知识"知晓率差异有统计学意义。不同年龄段(P=0.010)、不同婚姻状态(P=0.004)、不同性取向(P0.001)和首次性行为对象的不同性别(P0.001)的青年学生"青年学生艾滋病知识"知晓率差异有统计学意义。同性交友平台上青年学生性行为发生率为75.1%(332),多性伴发生率为41.3%(137)。相比于同性性取向的学生,性取向为异性(OR=0.282,95%CI:0.151~0.528)和性取向不确定(OR=0.175,95%CI:0.035~0.885)是HIV抗体检测的阻碍因素,多性伴(OR=2.103,95%CI:1.278~3.462)是HIV抗体检测的促进因素。结论:同性交友平台上的青年学生的高危行为发生率较高,需要关注有同性性行为倾向的异性恋男生,积极探索通过同性交友平台开展艾滋病防治教育,提高青年学生自我保护意识。
[Abstract]:Objective: to investigate the knowledge and related behaviors of acquired immune deficiency syndrome (AIDS) in young students on the same sex dating platform. Methods: the method of snowball sampling and self-designed questionnaire survey were used to investigate the AIDS knowledge and related behaviors of young students on the platform of same-sex friends. The knowledge level of AIDS among young students with different characteristics was analyzed by chi-square test, and the influencing factors of HIV detection were analyzed by Logistic regression analysis. Results: 469 young students on the same sex dating platform were investigated. The effective rate of the questionnaire was 94.20.The study found that, The awareness rate of AIDS knowledge among young students on the same sex dating platform is 83.9% and that of "young students' AIDS knowledge" is 77.1%. The HIV antibody detection rate of young students is 52.0%. There was significant difference in the awareness rate of AIDS knowledge among the general population among young students of different genders (P0.001) for the first time. There were significant differences in the rates of awareness of HIV / AIDS among different age groups, different marital status, different sexual orientation (P0.001) and first sexual intercourse. There was significant difference in the awareness rate of "young students' AIDS knowledge" among young students of the same sex group (P0.001). The incidence of sexual behavior of young students on the same sex dating platform was 75.1 / 332, and the incidence of multiple sexual partners was 41.33 / 1370.Compared with the students of the same sex sexual orientation, Sexual orientation was 0.282 / 95CI: 0.151 / 0.528) and sexual orientation was 0.175 / 95CI: 0.035 / 0.885) which was a hindrance factor for the detection of HIV antibody, and 2.10395CI1.2783.462) was the promoting factor for HIV antibody detection. Conclusion: the incidence of high-risk behaviors of young students on the same sex dating platform is higher. It is necessary to pay attention to heterosexual male students who have the tendency of same-sex sexual behavior, actively explore AIDS prevention and control education through same-sex dating platform, and raise the awareness of self-protection of young students.
【作者单位】：北京大学儿童青少年卫生研究所;首都医科大学附属北京胸科医院;首都医科大学公共卫生学院;
【分类号】：R512.91

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