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目的了解凉山州农村居民艾滋病相关知识行为的影响因素,为采取有针对性地防控措施提供指导。方法采用分层整群抽样法对凉山州某县15~45岁农村居民进行面对面问卷调查。结果艾滋病知识知晓率46.14%(1 101/2 386),汉族高于彝族(χ2=245.566,P<0.01)。对婚前性行为、婚后婚外性行为持“可以”态度的调查对象分别占38.60%(921/2 386)和35.96%(858/2 386),有累计多性伴和最近一年多性伴者分别占28.14%(601/2 136)和4.96%(106/2 136)。多因素logistic回归显示,男性、有外出打工经历、对婚后婚外性行为持“可以”态度、初次性行为年龄较小者、艾滋病知识合格者最近一年更容易发生多性伴行为。结论艾滋病知识知晓率低,多性伴行为较普遍,需结合当地社会规范加强多性伴行为干预,强化对外出务工人员的艾滋病防控工作。
Objective To understand the influencing factors of HIV / AIDS-related knowledge and behaviors of rural residents in Liangshan Prefecture and provide guidance for taking targeted prevention and control measures. Methods A stratified cluster sampling method was used to conduct a face-to-face questionnaire survey on 15 to 45-year-old rural residents in a county in Liangshan Prefecture. Results The awareness rate of AIDS was 46.14% (1 101/2 386), Han was higher than Yi (χ2 = 245.566, P <0.01). The respondents who held the attitude towards premarital sex and extramarital sex at marriage accounted for 38.60% (921/2 386) and 35.96% (858/2 386), respectively, with cumulative multi-sex partners and the most recent year Polygamists accounted for 28.14% (601/2 136) and 4.96% (106/2 136), respectively. Multivariate logistic regression showed that men and migrant workers had more “postmarital” extramarital sex, and those with first-time sexual intercourse and HIV / AIDS were more likely to experience multiple sexual partners in the recent year . Conclusion There is a low awareness of HIV / AIDS and multiple sexual partners. It is necessary to strengthen the intervention of multiple sexual partners in accordance with local social norms and strengthen AIDS prevention and control work for migrant workers.