杭州市≥50岁男性艾滋病高危性行为及其影响因素
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摘要
目的了解有非婚性行为的≥50岁中老年男性艾滋病防治知识知晓情况、性行为特点及影响因素、艾滋病病毒(HIV)及梅毒感染状况。方法由村(居委会)干部推荐,或由有非婚性行为者介绍同伴的方法招募目标人群,开展问卷调查和血液检测。结果共调查到有高危性行为的中老年男性300名,艾滋病知识知晓率为28.00%,与非婚性伴性生活中"每次均使用安全套"的比例7.67%,不使用安全套的原因多为"不喜欢用"和"觉得不需要"。本次调查无HIV抗体阳性发现,梅毒阳性率6.00%。工作单位为民营企业的人群相较于其他工作单位的人群有较高的安全套使用率[比值比(OR)=0.132, 95%可信区间(CI):0.023～0.770],在与30～39岁的临时性伴发生性行为时安全套使用率较低(OR=4.520, 95%CI:1.580～7.026)。结论应在老年男性中广泛普及艾滋病防治知识的同时,改进干预策略、增强自我保护意识、提高安全套使用率,完善该人群HIV抗体检测服务和实验室网络。
Objective To understand the AIDS knowledge, characteristics of sexual behaviors, and the related risk factors, HIV and syphilis infection among over 50 years males with non-marital sexual behavior. Methods The subjects was recruited by village cadres, or partners with non-marital sex partners. Questionnaires and blood tests were conducted. Results A total of 300 males with high-risk sexual behavior were investigated. The awareness rate of AIDS knowledge was 28.00%, and 7.67% were "condom users every time" in sex with unmarried partners. The reasons for not use condoms were various, with most of them saying they "dislike" to use condoms, and "feel unnecessary to use it". No positive HIV antibody was found in the survey and the infection rate of syphilis was 6.00%. The people working in private enterprises had higher rate of condom use than those in others(OR=0.132, 95%CI:0.023-0.770). Condom use rate was lower when they had sex with temporary sex partners aged between 30 and 39 years(OR=4.520, 95%CI:1.580-7.026). Conclusion We should improve intervention strategies, enhance self-protection awareness of those aged 50 years and above, increase condom use, and improve HIV antibody detection services and laboratory networks, while popularizing AIDS prevention and control knowledge among elderly male.
Objective To understand the AIDS knowledge, characteristics of sexual behaviors, and the related risk factors, HIV and syphilis infection among over 50 years males with non-marital sexual behavior. Methods The subjects was recruited by village cadres, or partners with non-marital sex partners. Questionnaires and blood tests were conducted. Results A total of 300 males with high-risk sexual behavior were investigated. The awareness rate of AIDS knowledge was 28.00%, and 7.67% were "condom users every time" in sex with unmarried partners. The reasons for not use condoms were various, with most of them saying they "dislike" to use condoms, and "feel unnecessary to use it". No positive HIV antibody was found in the survey and the infection rate of syphilis was 6.00%. The people working in private enterprises had higher rate of condom use than those in others(OR=0.132, 95%CI:0.023-0.770). Condom use rate was lower when they had sex with temporary sex partners aged between 30 and 39 years(OR=4.520, 95%CI:1.580-7.026). Conclusion We should improve intervention strategies, enhance self-protection awareness of those aged 50 years and above, increase condom use, and improve HIV antibody detection services and laboratory networks, while popularizing AIDS prevention and control knowledge among elderly male.
引文
[1] 黑发欣,王璐,秦倩倩,等.中国 50 岁以上人群艾滋病疫情特点及流行因素分析[J].中华流行病学杂志,2011,32(5):526-527.
[2] 覃春伟,李晓华,覃雄林,等.贵港市1996—2013年50岁以上HIV/AIDS病例流行病学特征分析[J].应用预防医学,2014,20(6):355-358.
[3] 许艳,王璐.国内外≥50岁年龄组人群艾滋病流行特征及危险因素[J].中华流行病学杂志,2011,32(11):1166-1169.
[4] 岳潇,李东民,彭苏霞,等.2014年四川省雅安市嫖客人群艾滋病相关知识、态度、行为、及关联的血清学指标调查[J].疾病监测,2015,30(7):588-591.
[5] 汪宁.中国艾滋病流行的一些新动向[J].中华流行病学杂志,2010,31(11):1205-1209.
[6] 中国疾病预防控制中心性病艾滋病预防中心.中国艾滋病防治督导与评估框架(试)[M].北京:人民卫生出版社,2007.
[7] 张金钟.中国性科学的形势和任务[J].中国性科学,2012,21(1):5-8.
[8] 陆峥,高之旭.老年人的性心理和性适应[J].老年医学与保健,2004,10(4):206-208.
[9] 陆华湘,唐振柱,沈智勇,等.广西中部地区中老年嫖客使用助性药西地那非的相关危险因素研究[J].中华流行病学杂志,2014,35(11):1218-1222.
[10] 钟坚,徐国栋,谭琳琳,等.梧州市2007—2009年网络直报系统50岁以上艾滋病感染者感染情况以及相关行为分析[J].中国药物滥用防治杂志,201l,17(5):260-262.
[11] 凌洪习.南宁市良庆区老年人艾滋病流行特点[J].中国艾滋病性病,2012,18(10):706-708.
[12] 刘勤勤,刘瑛,杨咏梅,等.上海市普陀区老年艾滋病的流行现状与干预对策研究[J].中华疾病控制杂志,2012,16(9):755-757.
[13] 郭黄吉,冯丹,周彩霞,等.遵义市50周岁及以上艾滋病病毒感染者/病人感染途径高危因素分析[J].中华疾病控制杂志,2012.16(1):80-82.
[14] 李再友,刘文骏,李州林,等.云南省瑞丽市1989—2011年≥50岁HIV/AIDS疫情特征分析[J].皮肤病与性病,2014,36(2):105-107.
[15] 高良敏.50岁以上人群HIV流行特征与相关危险因素的系统性分析[J].皮肤病与性病,2016,38(2):36-41.
[16] 李健龙,覃雄林,覃春伟,等.贵港市791名男性嫖客HIV/梅毒感染及影响因素分析[J].中国热带医学,2014,14(12):1469-1472.
[17] 李桂英,夏冬艳.2005—2008年北京嫖客人群感染艾滋病的危险行为改变研究[J].中国艾滋病性病,2010,16(3):251-254.
[2] 覃春伟,李晓华,覃雄林,等.贵港市1996—2013年50岁以上HIV/AIDS病例流行病学特征分析[J].应用预防医学,2014,20(6):355-358.
[3] 许艳,王璐.国内外≥50岁年龄组人群艾滋病流行特征及危险因素[J].中华流行病学杂志,2011,32(11):1166-1169.
[4] 岳潇,李东民,彭苏霞,等.2014年四川省雅安市嫖客人群艾滋病相关知识、态度、行为、及关联的血清学指标调查[J].疾病监测,2015,30(7):588-591.
[5] 汪宁.中国艾滋病流行的一些新动向[J].中华流行病学杂志,2010,31(11):1205-1209.
[6] 中国疾病预防控制中心性病艾滋病预防中心.中国艾滋病防治督导与评估框架(试)[M].北京:人民卫生出版社,2007.
[7] 张金钟.中国性科学的形势和任务[J].中国性科学,2012,21(1):5-8.
[8] 陆峥,高之旭.老年人的性心理和性适应[J].老年医学与保健,2004,10(4):206-208.
[9] 陆华湘,唐振柱,沈智勇,等.广西中部地区中老年嫖客使用助性药西地那非的相关危险因素研究[J].中华流行病学杂志,2014,35(11):1218-1222.
[10] 钟坚,徐国栋,谭琳琳,等.梧州市2007—2009年网络直报系统50岁以上艾滋病感染者感染情况以及相关行为分析[J].中国药物滥用防治杂志,201l,17(5):260-262.
[11] 凌洪习.南宁市良庆区老年人艾滋病流行特点[J].中国艾滋病性病,2012,18(10):706-708.
[12] 刘勤勤,刘瑛,杨咏梅,等.上海市普陀区老年艾滋病的流行现状与干预对策研究[J].中华疾病控制杂志,2012,16(9):755-757.
[13] 郭黄吉,冯丹,周彩霞,等.遵义市50周岁及以上艾滋病病毒感染者/病人感染途径高危因素分析[J].中华疾病控制杂志,2012.16(1):80-82.
[14] 李再友,刘文骏,李州林,等.云南省瑞丽市1989—2011年≥50岁HIV/AIDS疫情特征分析[J].皮肤病与性病,2014,36(2):105-107.
[15] 高良敏.50岁以上人群HIV流行特征与相关危险因素的系统性分析[J].皮肤病与性病,2016,38(2):36-41.
[16] 李健龙,覃雄林,覃春伟,等.贵港市791名男性嫖客HIV/梅毒感染及影响因素分析[J].中国热带医学,2014,14(12):1469-1472.
[17] 李桂英,夏冬艳.2005—2008年北京嫖客人群感染艾滋病的危险行为改变研究[J].中国艾滋病性病,2010,16(3):251-254.