南宁市良庆区老年人艾滋病高危性行为影响因素调查及应对策略探索

Investigation on the Influencing Factors of AIDS High Risk Sexual Behavior among the Elderly in the Area of Nanning City and the Countermeasures

目的:调查分析老年人艾滋病高危性行为影响因素探索对策。方法对居住在南宁市良庆区调查时年龄≥50岁仍然存活的艾滋病感染者/患者,并以1∶3的比例随机抽取病例居住地附近人口学特征匹配的健康且年龄≥50岁的老年人,按遵循知情、自愿原则,进行面对面问卷调查。采用Excel 2003建立数据库,对资料进行描述性分析,运用spss 16.0进行统计分析。结果共完成508例调查艾滋病感染者/患者和一般老年人调查,对艾滋病患病有影响因素为婚姻(χ2=29.5,P=0.000,OR=0.04)、户籍(χ2=11.003,P=0.001,OR值=1.772)、个人每个月可支配数额(χ2=22.166,P=0.000,OR=0.525)、劳动(χ2=7.314,P=0.007,OR=0.600)、个人爱好(χ2=7.292,P=0.007,OR=1.399)。结论婚姻、户籍、劳动、个人每个月可支配金钱数额、爱好等因素对老年人高危性行为有影响。老年人艾滋病疫情防控策略:大力弘扬传统文化、强调艾滋病的危害、加强社区和村屯的文娱活动、推广避孕套(安全套)使用、以基本公共卫生服务项目慢病防治做切入口,让老年人接受防艾滋病干预时不尴尬。

Objective To investigate and analyze the influencing factors of the high risk behaviors of AIDS among the elderly.Methods For living in Nanning City,LIANG Qing district investigation age is more than or equal to 50 years old still alive in AIDS infection/patient,and to 1:3 proportion of randomly selected cases residence near demographic characteristics matching the health and age is more than or equal to 50 year old elderly,according to informed,voluntary principle,face-to-face questionnaire survey.Using Exce2003 to establish a database,the data were descriptive analysis,the use of SPSS16.0 statistical analysis.Results A total of 508 patients with HIV/AIDS and the general survey,the prevalence of AIDS factors for marriage(χ2=29.5,P=0.000,OR=0.04),household registration(χ2=11.003,P=0.001,=1.772 value OR),individual monthly disposable amount(χ2=22.166,P=0.000 OR=0.525),labor(χ2=7.314,P=0.007,OR=0.600),personal hobbies(χ2=7.292,P=0.007,OR=1.399).Conclusion marriage,household registration,labor,individuals can control the amount of money each month,hobbies and other factors have a high risk of sexual behavior in the elderly.The elderly AIDS epidemic prevention and control strategies:vigorously carry forward the traditional culture,emphasize AIDS harm,strengthen communities and villages in the recreational activities,promotion of condoms(condoms)use,to basic public health services in chronic disease prevention and control do to cut the entrance,elderly people to accept the anti AIDS intervention without embarrassment.