门诊性病患者危险性性行为及其影响因素

Sexual risk behaviors and its related factors among sexually transmitted disease outpatients

目的了解综合性医疗机构门诊性病患者的艾滋病病毒(HIV)感染危险性性行为发生现况及其主要影响因素。方法连续收集于2007年4月19～6月19日期间前来研究点就诊、愿意合作的200名门诊性病患者作为样本,以面对面访谈方式,采用自编一般情况问卷、危险性性行为问卷、相关知识问卷和性态度开放程度量表进行调查。结果调查时点前1年内,200名性传播疾病患者(STD)患者样本中,192人(96.0%)有固定性伴,22.0%(44/200)有多个固定性伴;临时性性行为发生率为26.5%(53/200),商业性性行为发生率为40.5%(81/200),既有商业性又有非商业性性行为的发生率为39.5%(79/200),多性伴性行为发生率62.0%(124/200);25条目,总分为25分的相关知识中位数得分为18分(P25=15,P75=21);总分为30分的性态度开放程度中位数评分为11分(P25=8,P75=15.75)。Logistic多元回归分析发现,性别、婚姻状况、初次性行为年龄和性态度开放程度是患者样本发生危险性性行为的主要影响因素。结论研究点门诊STD患者较高比例的危险性性行为,采取措施及时干预患者的危险性性行为,对预防和控制HIV向普通人群传播和扩散具有极为重要的意义。

[Objective] To explore the characteristics of sexual risk behaviors and its related factors of sexually transmitted diseases （STD） outpatients. [Methods] 200 STD outpatients who attended clinic from 19th Apr. to 19th June in 2007 were investigated using self-designed questionnaire, which included background information, sexual risk behaviors, STD/HIV related knowledge and permissiveness of sexual behavior. [Results] Among 200 STD outpatients, 192 cases （96.0%） had regular sexual relationships, and 22.0% （44/200） of them had more than 1 regular partners. The prevalence of casual sexual behavior, commercial sexual behavior and multiple partners sexual behavior were 26.5%（53/200）,40.5% （81/200）, 62.0% （124/200） respectively. And 39.5% （79/200） had sex with both commercial and noncommercial partners. The major factors related to sexual risk behaviors were gender, marital status, the age of debut and sexual permissiveness. [Conclusion] Sexually risk behavior was relatively common seen in STD outpatients . To modify the sexually risk behavior of this groups was very important to prevent and control HIV transmitting and spreading to general population.