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目的了解东莞市性病门诊男性就诊者艾滋病相关知识、行为及其影响因素,为制定相应防控措施提供依据。方法随机选取东莞市2010—2012年性病门诊男性就诊者进行调查,调查内容包括人口学资料、艾滋病知识、婚外性行为、吸毒行为、同性性行为、性病史等,并采集静脉血进行HIV、梅毒检测。结果 3年共调查1 200人,艾滋病知识总知晓率为48.42%(581/1 200),31.75%(381/1 200)的调查对象最近3个月存在非婚性行为,1.00%(12/1 200)的调查对象有注射吸毒行为,0.33%(4/1 200)的调查对象有同性性行为。调查对象HIV感染率为0.58%(7/1 200),梅毒感染率为8.25%(99/1 200)。艾滋病知识知晓率与年龄(OR=0.761)、户籍(OR=2.090)、民族(OR=4.378)、最近1年性病诊断情况(OR=2.010)等因素有关,非婚性行为的发生与最近1年性病诊断情况(OR=7.208)、艾滋病知识知晓情况(OR=1.906)有关。结论东莞市性病门诊男性就诊者艾滋病知识知晓率较低,不安全性行为比较普遍,应加大对该人群的干预力度,以控制艾滋病在该人群中的传播和流行。
Objective To understand AIDS-related knowledge, behavior and influencing factors of male patients in STD clinics in Dongguan City, and to provide basis for formulating appropriate prevention and control measures. Methods A random sample of male patients from STD clinics in Dongguan from 2010 to 2012 were surveyed. The survey included demographic data, HIV / AIDS knowledge, extramarital sex, drug use behavior, same-sex sexual behavior and history of venereal diseases. Venous blood was collected for HIV, Syphilis testing. Results A total of 1 200 people were surveyed over the 3 years. The total awareness rate of AIDS knowledge was 48.42% (581/1 200). Among those surveyed with 31.75% (381/1 200), non-marital sex behaviors were found in the past 3 months and 1.00% 1 200) had an injection drug abuse behavior and 0.33% (4/1 200) had a homosexual behavior. The prevalence of HIV was 0.58% (7/1 200) and the prevalence of syphilis was 8.25% (99/1 200). The awareness rate of AIDS knowledge was related to the age (OR = 0.761), household registration (OR = 2.090), ethnicity (OR = 4.378) and the diagnosis of venereal disease in the most recent year (OR = 2.010) The diagnosis of sexually transmitted diseases (OR = 7.208) and the knowledge of AIDS (OR = 1.906) were related. Conclusion There is a low awareness rate of HIV / AIDS among male patients in STD clinics in Dongguan City, and unsafe sex is more common. Interventions should be stepped up to control the spread and prevalence of HIV / AIDS in this population.