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目的对性病门诊就诊者发生艾滋病(AIDS)高危性行为的影响因素进行分析。方法采用连续采样法,对2010-2014年北京市东城区性病门诊就诊者采用统一的流行病学调查表进行行为学调查,从就诊者年龄、婚姻、户籍、民族、文化程度、性别、是否注射吸毒、是否输过血液/血液制品或者卖过血浆、近一年是否患过性病9个方面,对半年内是否发生高危性行为进行分析。结果共收集调查问卷2832份。2832人中18~39岁年龄段1985人,男性2042人,在婚1751人,外省或外籍1559人;29人有注射毒品史,40人输过血液/血液制品或者卖过血浆;近一年患过性病者730人。对本年内是否发生过高危性行为进行单因素分析,结果显示:年龄、婚姻状况、户籍、文化程度、性别、近一年是否患过性病,这些变量的差异有统计学意义(P<0.05)。采用逐步Logistic回归方法进行变量筛选和分析,其中年龄、文化程度的OR值<1,婚姻状况、户籍、性别、近一年是否患过性病的OR值>1。结论具有非婚、男性、外省户籍、低文化程度、低年龄段(特别是15~39岁性活跃年龄段)等特征的就诊者,更易发生高危性行为,感染艾滋病病毒的风险更高,应加强对上述特征人群的干预力度。
Objective To analyze the influencing factors of AIDS-related high-risk sexual behaviors among STD clinic patients. Methods Continuous sampling method was used to conduct behavioral investigation on STD clinics in Dongcheng District, Beijing from 2010 to 2014. According to the age, marriage, household registration, ethnic group, education level, sex, Drug abuse, whether to lose the blood / blood products or sold plasma, whether it has been suffering from STD in the past year, nine aspects of high-risk sexual behavior within six months to conduct an analysis. Results A total of 2832 questionnaires were collected. 2832 people 18 to 39 years of age 1985, 2042 males, 1751 marriages, 1559 other provinces or foreign; 29 have a history of drug injections, 40 lost blood / blood products or sold plasma; nearly a year 730 people have had STDs. Univariate analysis of whether or not high-risk behaviors occurred in the current year showed that age, marital status, household registration, educational level and gender, and whether or not they had STDs in the past year were statistically significant (P <0.05). The stepwise Logistic regression was used to select and analyze the variables. Among them, OR of age and education <1, marital status, household registration, sex, OR of STD in the past year> 1. Conclusions Patients who have the characteristics of non-marriage, male and other provinces, low educational level, low age group (especially sexual active age group of 15-39 years) are more likely to have high-risk sexual behaviors and are at higher risk of HIV infection. Strengthen the intervention of the above characteristics of the population.