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

Present situation of awareness of acquired immune deficiency syndrome (AIDS) knowledge and AIDS-related behaviors among youth students in gay dating sites

目的:了解同性交友平台上青年学生的获得性免疫缺陷综合征(acquired immune deficiency syndrome,AIDS,艾滋病)知识及相关行为现状,为今后通过网络开展艾滋病宣传教育提供依据。方法:采用滚雪球抽样方法,使用自行设计的自填式问卷调查同性交友平台上青年学生的艾滋病知识及其相关行为,并采用卡方检验分析不同特征青年学生的艾滋病知识知晓水平,用Logistic回归分析人类免疫缺陷病毒(human Immunodeficiency virus,HIV)检测情况的影响因素。结果:共调查同性交友平台上的青年学生469人,问卷有效率为94.2%(442)。研究发现,同性交友平台上青年学生的"大众人群艾滋病知识"知晓率为83.9%(371),"青年学生艾滋病知识"知晓率为77.1%(341),HIV抗体检测率为52.0%(230)。不同年龄段(P=0.001)、不同婚姻状态(P<0.001)、不同性取向(P<0.001)和首次性行为对象的不同性别(P<0.001)的青年学生,"大众人群艾滋病知识"知晓率差异有统计学意义。不同年龄段(P=0.010)、不同婚姻状态(P=0.004)、不同性取向(P<0.001)和首次性行为对象的不同性别(P<0.001)的青年学生"青年学生艾滋病知识"知晓率差异有统计学意义。同性交友平台上青年学生性行为发生率为75.1%(332),多性伴发生率为41.3%(137)。相比于同性性取向的学生,性取向为异性(OR=0.282,95%CI:0.151~0.528)和性取向不确定(OR=0.175,95%CI:0.035~0.885)是HIV抗体检测的阻碍因素,多性伴(OR=2.103,95%CI:1.278~3.462)是HIV抗体检测的促进因素。结论:同性交友平台上的青年学生的高危行为发生率较高,需要关注有同性性行为倾向的异性恋男生,积极探索通过同性交友平台开展艾滋病防治教育,提高青年学生自我保护意识。

Objective: To investigate the awareness of acquired immune deficiency syndrome( AIDS)knowledge and AIDS-related behaviors among youth students in gay dating sites,and to provide evidences for AIDS prevention education through the internet. Methods: The students in gay dating sites,selected by a snowball sampling,were interviewed by questionnaires. Chi-square tests were used to analyze the awareness of AIDS knowledge among the students of different characteristics. The Logistic regression was used to analyze the factors associated with ever testing for HIV. Results: In the study,469 youth students in gay dating sites filled in the questionnaires,and a total of 442( 94. 2%) valid samples were collected. The awareness of HIV/AIDS knowledge for the public among the youth students in gay dating sites was 83. 9%( 371). The awareness of HIV/AIDS knowledge for the youth students was 77. 1%( 341),and the rate of ever testing for HIV was 52. 0%( 230). The awareness of HIV/AIDS knowledge for the public in the students were different in different age groups( P = 0. 001),different marital statuses( P < 0. 001),different sexual orientations( P < 0. 001),and different genders of the first sexual partner( P < 0. 001). The awareness of HIV/AIDS knowledge for the youth students were different in different age groups( P = 0. 010),different marital status( P = 0. 004),different sexual orientations( P <0. 001),and different genders of the first sexual partner( P < 0. 001). The rate of ever having sexual intercourse among the youth students in gay dating sites was 75. 1%( 332),and the rate of multiple sexual partnerships among the youth students was 41. 3%( 137). Compared with homosexual orientation,sexual orientation as heterosexual( OR = 0. 282,95% CI: 0. 151 to 0. 528) and not sure( OR = 0. 175,95%CI: 0. 035 to 0. 885) were risk factors of ever testing for HIV. Multiple sexual partnerships( OR =2. 103,95% CI: 1. 278 to 3. 462) were promoting factors of ever testing for HIV. Conclusion: The rate of high-risk behaviors among the youth students in gay dating sites was high. The concern should be raised to heterosexual male students who had tendency to homosexual behavior. The AIDS prevention education should be developed in gay dating sites,to improve the self-protection awareness of the youth students.