某高校新生艾滋病知信行调查
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摘要
目的了解杭州市某高校新生艾滋病相关知识、态度和行为水平,为开展高校学生艾滋病预防干预提供依据。方法采用方便抽样方法选取杭州市某综合性大学2015年入学的大一新生,开展艾滋病相关知识、态度和行为问卷调查,采用Logistic回归模型分析艾滋病知识知晓水平的影响因素。结果调查2 100人,回收有效问卷1 999份,问卷有效率为95.19%。大一新生艾滋病基本知识和扩展知识知晓率分别为97.90%和30.67%,生源地为城市(OR=1.210,95%CI:1.006～1.456),家庭经济状况一般或较好(OR:1.874～3.027,95%CI:1.255～7.300),过去一年接受过预防性病、艾滋病教育培训(OR=1.717,95%CI:1.407～2.097)和过去一年接受过性病、艾滋病咨询(OR=1.786,95%CI:1.033～3.088)是大一新生艾滋病相关知识知晓水平的促进因素。48.50%的大一新生认为自己不可能感染艾滋病,47.10%认为自己感染艾滋病的可能性较小。18人有过性行为经历,占0.90%;首次性行为的对象为恋爱中的女/男朋友、同性性伴和临时性伴分别为15、2、1人;首次性行为时使用安全套9人。过去一年接受过艾滋病相关预防服务比例为2.00%～37.77%。结论该校新生对艾滋病的认识不够全面,对艾滋病感染的风险意识较薄弱,存在感染艾滋病的高危行为,接受的艾滋病预防干预措施不足。
Objective To understand the AIDS knowledge,attitudes and practices of freshmen in Hangzhou and to provide evidence for prevention and control of AIDS in university students.Methods Freshmen who enrolled in 2015 in a comprehensive university in Hangzhou were recruited by convenience sampling method and surveyed by a questionnaire about AIDS knowledge,attitudes and practices. Logistic regression model was used to analyze the influencing factors for awareness of AIDS knowledge among freshmen. Results There were 1 999 respondents recruited, with a response rate of 95.19%. The awareness rates of basic and extend AIDS knowledge were 97.90% and 30.67%,respectively. The results of multivariate logistic regression analysis showed that residence(OR=1.210,95%CI:1.006-1.456),average or good family economic status(OR:1.874-3.027,95%CI:1.255-7.300),receiving AIDS/STD related education(OR=1.717,95%CI:1.407-2.097) and receiving AIDS/STD related counselling in the past year(OR=1.786,95%CI:1.033-3.088) were the promotive factors for awareness of AIDS knowledge among freshmen. About 48.50% of freshmen thought they were impossible to be infected with AIDS,and 47.10%of them thought they were less likely to be infected with AIDS. About 0.90% of freshmen had sexual experience,fifteen,two and one of them experienced their first sex with girlfriend/boyfriend,homosexual partners and casual sex partners,respectively;nine of them used condoms in their first sex. The proportions of receiving AIDS/STD related services among freshmen ranged 2.00%from 37.77%. Conclusion The freshmen have a poor understanding of AIDS,weak awareness of HIV infection risk,high-risk behaviors for STDS/AIDS and receive insufficient AIDS prevention and intervention measures.
Objective To understand the AIDS knowledge,attitudes and practices of freshmen in Hangzhou and to provide evidence for prevention and control of AIDS in university students.Methods Freshmen who enrolled in 2015 in a comprehensive university in Hangzhou were recruited by convenience sampling method and surveyed by a questionnaire about AIDS knowledge,attitudes and practices. Logistic regression model was used to analyze the influencing factors for awareness of AIDS knowledge among freshmen. Results There were 1 999 respondents recruited, with a response rate of 95.19%. The awareness rates of basic and extend AIDS knowledge were 97.90% and 30.67%,respectively. The results of multivariate logistic regression analysis showed that residence(OR=1.210,95%CI:1.006-1.456),average or good family economic status(OR:1.874-3.027,95%CI:1.255-7.300),receiving AIDS/STD related education(OR=1.717,95%CI:1.407-2.097) and receiving AIDS/STD related counselling in the past year(OR=1.786,95%CI:1.033-3.088) were the promotive factors for awareness of AIDS knowledge among freshmen. About 48.50% of freshmen thought they were impossible to be infected with AIDS,and 47.10%of them thought they were less likely to be infected with AIDS. About 0.90% of freshmen had sexual experience,fifteen,two and one of them experienced their first sex with girlfriend/boyfriend,homosexual partners and casual sex partners,respectively;nine of them used condoms in their first sex. The proportions of receiving AIDS/STD related services among freshmen ranged 2.00%from 37.77%. Conclusion The freshmen have a poor understanding of AIDS,weak awareness of HIV infection risk,high-risk behaviors for STDS/AIDS and receive insufficient AIDS prevention and intervention measures.
引文
[1]罗艳,陈芳,张兴亮,等.杭州市青年学生艾滋病流行特征分析[J].预防医学,2018,30(3):217-220.
[2]蒋健敏,潘晓红.倾斜的世界——大学生艾滋病感染案例分析[M].杭州:浙江科学技术出版社,2017:6.
[3]张兴亮,陈芳,李西婷,等.杭州市大学生艾滋病疫情分析[J].预防医学,2017,29(2):161-164.
[4]马迎华.高校预防艾滋病教育面临的挑战与应对[J].保健医学研究与实践,2015,12(2):5-10.
[5]王更新,刘天军,张曦月.大学一年级新生艾滋病相关知识认知情况与性行为特征调查[J].职业卫生与病伤,2018,33(5):270-272.
[6]刘聪,刘普林,许骏,等.武汉市高校低年级大学生艾滋病相关知识、态度及行为研究[J].中国健康教育,2017,33(8):726-730.
[7]严瑾,龙娉,刘晔,等.上海某高校硕士研究生艾滋病知识及行为调查分析[J].中国社会医学杂志,2016,33(2):155-157.
[8]王怡欣,马迎华,李恬静,等.同性交友平台上青年学生的艾滋病知识和艾滋病相关行为现状[J].北京大学学报(医学版),2017,49(3):469-475.
[9]黄晓光,何继绥,田春辉.大学生艾滋病防治知识态度行为调查[J].中国公共卫生,2015,31(2):249-251.
[10]张毅,贾红莲,郭丽,等.重庆市大学生艾滋病知识知晓与需求调查研究[J].重庆医学,2016,45(25):3527-3530,3533.
[11]李梦龙,桑榆鉴,武泽昊,等.北京市某医科大学新生入学艾滋病知识性行为与检测意愿调查[J].中国艾滋病性病,2017,23(12):1111-1114.
[12]黄翔,陆杰灵,苏国生.医学院校低年级大学生AIDS/STD相关知识、态度及行为调查[J/CD].中华实验和临床感染病杂志(电子版),2015,9(4):44-46.
[13]谢卫卫,冯晴,冯智,等.某医学院校学生艾滋病相关知识、态度及性健康调查[J].江苏预防医学,2017,28(5):602-604.
[14]贾晓飞,刘钢,张宏,等.广州市天河区青年学生艾滋病知晓率及其影响因素[J].热带医学杂志,2018,18(11):1504-1508.
[15] MOKGATLE M M,MADIBA S. High acceptability of HIV self-testing among technical vocational education and training college students in Gauteng and North West province:what are the implications for the scale up in South Africa[J]. PLo S One, 2017, 12(1):0169765.
[16]罗艳,王旭初,陈芳,等.杭州市2010—2017年青年学生艾滋病相关流行病学特征分析[J].中国预防医学杂志,2018,19(11):808-812.
[17]凌洪习.在校大学生预防艾滋病健康教育方式和相关措施[J].中国艾滋病性病,2013,19(6):466-468.
[18]武培丽,刘振红,武书彦.北京市延庆区青年学生艾滋病检测意愿及影响因素[J].首都公共卫生,2018,12(5):273-276.
[2]蒋健敏,潘晓红.倾斜的世界——大学生艾滋病感染案例分析[M].杭州:浙江科学技术出版社,2017:6.
[3]张兴亮,陈芳,李西婷,等.杭州市大学生艾滋病疫情分析[J].预防医学,2017,29(2):161-164.
[4]马迎华.高校预防艾滋病教育面临的挑战与应对[J].保健医学研究与实践,2015,12(2):5-10.
[5]王更新,刘天军,张曦月.大学一年级新生艾滋病相关知识认知情况与性行为特征调查[J].职业卫生与病伤,2018,33(5):270-272.
[6]刘聪,刘普林,许骏,等.武汉市高校低年级大学生艾滋病相关知识、态度及行为研究[J].中国健康教育,2017,33(8):726-730.
[7]严瑾,龙娉,刘晔,等.上海某高校硕士研究生艾滋病知识及行为调查分析[J].中国社会医学杂志,2016,33(2):155-157.
[8]王怡欣,马迎华,李恬静,等.同性交友平台上青年学生的艾滋病知识和艾滋病相关行为现状[J].北京大学学报(医学版),2017,49(3):469-475.
[9]黄晓光,何继绥,田春辉.大学生艾滋病防治知识态度行为调查[J].中国公共卫生,2015,31(2):249-251.
[10]张毅,贾红莲,郭丽,等.重庆市大学生艾滋病知识知晓与需求调查研究[J].重庆医学,2016,45(25):3527-3530,3533.
[11]李梦龙,桑榆鉴,武泽昊,等.北京市某医科大学新生入学艾滋病知识性行为与检测意愿调查[J].中国艾滋病性病,2017,23(12):1111-1114.
[12]黄翔,陆杰灵,苏国生.医学院校低年级大学生AIDS/STD相关知识、态度及行为调查[J/CD].中华实验和临床感染病杂志(电子版),2015,9(4):44-46.
[13]谢卫卫,冯晴,冯智,等.某医学院校学生艾滋病相关知识、态度及性健康调查[J].江苏预防医学,2017,28(5):602-604.
[14]贾晓飞,刘钢,张宏,等.广州市天河区青年学生艾滋病知晓率及其影响因素[J].热带医学杂志,2018,18(11):1504-1508.
[15] MOKGATLE M M,MADIBA S. High acceptability of HIV self-testing among technical vocational education and training college students in Gauteng and North West province:what are the implications for the scale up in South Africa[J]. PLo S One, 2017, 12(1):0169765.
[16]罗艳,王旭初,陈芳,等.杭州市2010—2017年青年学生艾滋病相关流行病学特征分析[J].中国预防医学杂志,2018,19(11):808-812.
[17]凌洪习.在校大学生预防艾滋病健康教育方式和相关措施[J].中国艾滋病性病,2013,19(6):466-468.
[18]武培丽,刘振红,武书彦.北京市延庆区青年学生艾滋病检测意愿及影响因素[J].首都公共卫生,2018,12(5):273-276.
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