在校大学生男男性行为者艾滋病相关知识和行为调查

Study on AIDS-related knowledge and behavior between male-male in college students

目的了解在校大学生男男性行为者艾滋病认知情况和性行为特征,为制定防控策略提供依据。方法采用整群随机抽样方法,对北京市房山区8所大学在校男大学生进行问卷调查,调查采用自行编制的《房山区在校男大学生性行为与艾滋病相关情况调查》问卷,内容包括基本情况、男男性行为者对艾滋病的认知情况、性行为及安全套的使用情况和艾滋病咨询检测等4个方面。结果共调查在校男大学生2 444例,检出男男性行为者138例,检出率5.65%。大一、大二和大三男男性行为者检出率分别为4.28%(73/1 704)、6.52%(39/598)、18.31%(26/142),大三高于大一、大二年级(P<0.017)。138例男男性行为者4项艾滋病相关知识知晓率分别为25.36%、15.22%、9.42%、13.77%。44.93%的男男性行为者第1次发生性行为时年龄<18岁,大一男男性行为者第1次发生性行为时年龄<18岁者比例(58.90%)高于大二、大三年级(30.77%、26.92%)。男男性行为者中双性性行为发生率43.48%,多性伴者占73.91%,安全套正确使用率31.16%,艾滋病咨询检测率27.54%。结论大学生男男性行为者检出率高、艾滋病相关知识知晓率偏低、多种高危性行为普遍存在,需要对大学生加强艾滋病相关知识教育和艾滋病高危行为干预。

Objective To understand the cognitive and behavioral characteristics of AIDS between male-male in college students, and to provide evidence for the prevention and control strategies. Methods Using cluster random sampling method, the questionnaire survey including basic situation, the perception of HIV/AIDS of male male actors, sexual behavior and condom use and HIV/AIDS counseling detection, was used to investigate in male students of 8 universities at Beijing fangshan distric. Results A total of 2444 male college students were surveyed, 138 cases with male-male behavior were detected, and the detection rate was 5.65%. The detection rate （18.31%） of the junior college students was statistically higher than that of first-year college students （4.28%） and sophomores （6.52%, P〈0.017）. The awareness rates of four relevant knowledge about HIV/AIDS for 138 students were 25.36%, 15.22%, 9.42%and 13.77%respectively. The 44.93%male-male in college students had first sexual intercourse were younger than 18 years old. The proportion of students with first time male-male behavior and age 〈18 years was higher in the first-year college students （58.9%） than that of sophomores and junior college students （30.77%, 26.92%）. The incidence rate of bisexuality was 43.48% in male-male behavior, and 73.91% was polysexual partners. The correct usage rate of condom was 31.16%. AIDS counseling detection rate was 27.54%. Conclusion The detection rate is higher in students with male-male behavior, and the awareness rate of AIDS-related knowledge is lower. A variety of high risk sexual behaviors are prevalent, so it is necessary to strengthen HIV/AIDS education and HIV/AIDS related knowledge for college students.