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目的了解重庆市主城区校外青少年艾滋病相关知识、态度、行为现状、健康知识来源,为制定校外青少年人群艾滋病防制策略提供科学依据。方法采用多阶段抽样的方法,抽取重庆市主城区年龄在15-24岁的非学生青少年806例,用自制问卷进行调查。结果重庆市主城区校外青少年艾滋病相关知识知晓率为74.8%,HIV检测率为6.0%,47.4%的调查对象有过非婚性行为,最近1年,发生非婚性行为时,每次都用安全套的比例仅为22.5%;35.7%的调查对象对艾滋病病毒感染者存在歧视;多因素logistic回归分析结果显示,文化程度越高、非流动人口、免费宣传材料、互联网是知晓艾滋病知识的保护因素(P<0.05)。结论重庆市主城区校外青少年艾滋病认知水平偏低,存在非婚性行为、安全套使用率低等感染HIV的高危行为,应制定有针对性的综合防控措施。
Objective To understand the AIDS-related knowledge, attitudes, behaviors and sources of health knowledge among out-of-school adolescents in Chongqing’s main urban area and provide a scientific basis for developing AIDS prevention and control strategies for out-of-school adolescents. Methods A multi-stage sampling method was used to select 806 non-student adolescents aged 15-24 in the main urban area of Chongqing. Results The awareness rate of HIV / AIDS related knowledge among out-of-school adolescents in main urban area of Chongqing was 74.8%, the HIV detection rate was 6.0%, 47.4% of the respondents had non-marital behavior. In the recent one year, The proportion of condoms was only 22.5%; 35.7% of the respondents were discriminated against people living with HIV; Multivariate logistic regression analysis showed that the higher the education level, the non-migrants, the free publicity materials and the Internet were the protective factors of AIDS knowledge (P <0.05). Conclusion There is a low cognitive level of HIV / AIDS among out-of-school adolescents in the main urban area of Chongqing. There is a high risk of HIV infection among non-marital males and condom use rates. Targeted comprehensive prevention and control measures should be formulated.