云南省老年男性感染HIV风险调查

Investigation of the risk of HIV infection in elderly men in Yunnan

目的了解云南省老年男性感染艾滋病病毒（HIV）的相关风险,为推广针对老年男性防治艾滋病干预工作提供依据。方法对210名老年男性进行问卷调查和血清学检测,对20名老年男性、20名低档暗娼进行定性访谈。结果接受问卷调查者年龄50~85岁,平均为62岁。最近3个月,寻找过暗娼的71人（33.8%）,仅24人（33.8%）能坚持每次使用安全套;艾滋病知识知晓率为80.5%;HIV抗体阳性18人,阳性率为8.6%,均为性途径感染。结论老年男性中部分人存在商业性行为,艾滋病健康意识淡薄,安全套使用率低,自我保护能力差,有较高的感染HIV风险。针对老年男性的行为特点,应开发针对性的干预方法或模式,降低老年男性感染HIV风险,保护老年人健康。

Objective To understand the risk of HIV infection among elderly men, and provide an evidence for intervention. Methods Questionnaire survey and serological testing were conducted in 210 elderly men. Qualitative interviews were conducnted in 20 elderly men and 20 low-level sex workers. Results Respondents were aged 50~85 years, with the mean age of 62 years. In the last 3 months, 33.8% （71/210） of responders had sex with sex work- ers, and only 33.8% （24/71） used condom every time. The awareness rate of knowledge about AIDS was 80.5% and the positive rate of HIV was 8.6% （18/210）. All of them were infected by heterosexual transmission. Conclusion Some elderly men involved in commercial sex behavior, with poor awareness of HIV knowledge and low rate of condom use. They had a poor self-protection ability, and a high risk of HIV infection. According to the behavior characteristics of elderly men, targeted interventions or modes should be developed to reduce the risk of HIV infec- tion in elderly men, and to protect their heahh.