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目的了解广东省中等职业学校学生艾滋病知识知晓情况、艾滋病相关行为发生情况及其影响因素,为制定适宜的艾滋病健康教育和行为干预措施提供依据。方法 2007、2010、2013年分别采用多阶段整群抽样的方法,在广东省21个地市中各抽取1所中等职业学校,每所学校各年级各抽取1个班级,对抽取班级的所有学生采用《广东青少年健康危险行为监测》问卷进行调查。调查内容包括一般人口学信息、艾滋病相关知识、艾滋病相关危险行为(成瘾性物质使用行为、性相关行为)发生情况。采用多因素logistic回归分析方法对性行为发生的影响因素进行分析。结果2007、2010、2013年广东省中等职业学校学生艾滋病知识知晓率分别为28.2%(1 616/5 723)、26.8%(1 349/5 034)、21.5%(1 232/5 726);过量饮酒率分别为15.2%(870/5 723)、19.4%(976/5 034)、18.1%(1 039/5 726);毒品使用率分别为3.3%(187/5 723)、1.9%(95/5 034)、1.4%(82/5 726);性行为发生率分别为8.4%(480/5 723)、7.3%(368/5 034)、7.5%(429/5 726)。多因素logistic回归分析结果显示,使用毒品(OR=7.92)、观览色情物品(OR=3.80)、过量饮酒(OR=2.66)、母亲受过高等教育(OR=1.69)、男生(OR=1.41)、高年级(OR=1.25)以及知晓艾滋病知识(OR=1.22)是中等职业学校学生发生性行为的危险因素,而在学校住宿(OR=0.76)、自评学习成绩好(OR=0.62)是保护因素。结论广东省中等职业学校学生艾滋病知识知晓率较低,艾滋病相关危险行为发生率较高;应加大中等职业学校学生艾滋病健康教育的力度,同时开展有针对性的行为干预。
Objective To understand the knowledge of HIV / AIDS, the incidence of HIV / AIDS related behaviors and its influencing factors among secondary vocational school students in Guangdong Province and provide the basis for formulating suitable HIV / AIDS health education and behavioral interventions. Methods A multi-stage cluster sampling method was adopted in 2007, 2010 and 2013 respectively to select one secondary vocational school in 21 cities of Guangdong Province. One class was selected for each grade of each school, and all students Surveys were conducted using the Questionnaire on Monitoring Health Hazard Behaviors of Adolescents in Guangdong. The survey included general demographic information, AIDS-related knowledge, HIV-related risk behaviors (use of addictive substances, and sexual-related behaviors). Multivariate logistic regression analysis was used to analyze the influencing factors of sexual behavior. Results The awareness rate of AIDS among students in secondary vocational schools in Guangdong Province in 2007, 2010 and 2013 was 28.2% (1616/5 723), 26.8% (1 349/5 034) and 21.5% (1 232/5 726), respectively The rates of alcohol consumption were 15.2% (870/5 723), 19.4% (976/5 034) and 18.1% (1039/5 726) respectively. The drug use rates were 3.3% (187/5 723) and 1.9% (95% / 5 034) and 1.4% (82/5 726) respectively. The incidence of sexual behaviors was 8.4% (480/5 723), 7.3% (368/5 034) and 7.5% (429/5 726), respectively. Multivariate logistic regression analysis showed that the number of males (OR = 1.92) and boys (OR = 1.41) were higher than those of boys (OR = 7.92) , Higher grade (OR = 1.25), and knowledge of AIDS (OR = 1.22) were risk factors for sexual activity among secondary vocational school students, while self-study scores were good at school accommodation (OR = 0.76) Protection factors. Conclusions The awareness rate of HIV / AIDS among secondary vocational school students in Guangdong Province is relatively low, and the incidence of HIV / AIDS-related risk behaviors is high. HIV / AIDS health education among secondary vocational school students should be strengthened and targeted behavioral intervention should be carried out at the same time.