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目的了解芜湖市男性青年学生的艾滋病相关知识行为状况和艾滋病、梅毒、丙肝感染状况,为该人群开展有针对性的宣传教育和行为干预提供参考。方法采取整群抽样的方法从芜湖市4所不同类型的高校中随机选取班级,对选定班级的男生在知情同意下全部进行艾滋病知晓率和性行为状况调查;采集3~5 m L血样,按照《全国艾滋病哨点监测方案》检测要求,进行艾滋病、梅毒和丙肝检测。结果 828名学生艾滋病知识知晓率为90.8%;其中有过性行为的占到23.0%,首次性行为的年龄平均(19.32±1.77)岁,最近一年中与固定性伴发生性行为的占11.4%(94/828),与临时性伴有性行为的占6.0%(50/828),发生商业性性行为的占1.1%(9/828),发生同性性行为占1.1%(9/828),最近一次与固定性伴、临时性伴、商业性伴、同性性伴发生性行为时安全套使用率分别为70.2%、68.0%、55.6%、77.8%;接受过艾滋病宣传的学生占45.4%,参与过宣传的占19.0%;Logistic多因素回归分析得出低年级相对高年级发生性行为的可能性较低,而对艾滋病知识越知晓的发生性行为可能性越低;接受过艾滋病宣传服务的学生艾滋病知晓较高;828名学生检测梅毒、丙肝均为阴性,艾滋病检测1例阳性,阳性率0.12%。结论芜湖市高校男生存在感染艾滋病的风险,当地要重视和切实做好高校内的艾滋病宣传干预工作,特别是发生男男性行为的高校学生的行为干预工作。
Objective To understand the HIV / AIDS related knowledge and behavior, AIDS, syphilis and hepatitis C infection among young male students in Wuhu City, and provide a reference for the population to carry out targeted publicity, education and behavior intervention. Methods A cluster sampling method was used to randomly select classes from 4 different types of colleges and universities in Wuhu City. All boys in selected classes were investigated for AIDS awareness and sexual behavior with informed consent. Blood samples of 3 to 5 mL were collected, In accordance with the “national AIDS sentinel monitoring program” testing requirements for AIDS, syphilis and hepatitis C testing. Results The awareness rate of AIDS among 828 students was 90.8%. Among them, 23.0% had sexual behaviors, the average age of first sexual behavior was (19.32 ± 1.77) years old, 11.4% had sexual behavior with fixed sexual partners in the most recent year % (94/828), 6.0% (50/828) with interim sexual behavior, 1.1% (9/828) with commercial sexual behavior, and 1.1% with homosexual sexual behavior (9/828 ). The most recent condom use rates were 70.2%, 68.0%, 55.6% and 77.8%, respectively, for sexual partners with fixed partners, temporary partners, commercial partners and same-sex partners. 45.4% , And 19.0% participated in publicity. Logistic regression analysis showed that the lower grades were less likely to have sex while the lower grades were more likely to have sex; the lower the likelihood of having sex with HIV / AIDS is, Of AIDS awareness of students is higher; 828 students were tested for syphilis, hepatitis C were negative, AIDS test was positive in 1 case, the positive rate was 0.12%. Conclusion Male students in colleges and universities in Wuhu City are at risk of HIV / AIDS. Local people should pay attention to and effectively do a good job of AIDS awareness and intervention in colleges and universities, especially the behavior intervention among college students who have sex with men.