男男同性交友平台大学男生艾滋病相关知识行为分析

Knowledge and behavior about HIV/AIDS among male college students in gay dating sites

目的了解男男同性交友平台大学生艾滋病相关知识和行为现状,为高校开展针对艾滋病预防教育提供依据。方法采用滚雪球抽样方法抽取442名大学男生,在男男同性交友平台上使用自填式网络问卷调查其艾滋病相关知识和行为情况,比较不同特征大学生的艾滋病知识知晓水平和性行为差异。结果男男同性交友平台上本科低、中、高年级和研究生组中有性行为者分别占63.8%,72.1%,86.3%和83.7%,差异有统计学意义(χ~2=14.197,P=0.003)。有性行为组男大学生"新八条"知晓率(81.0%)高于无性行为组(66.4%),差异有统计学意义(χ~2=10.144,P=0.001)。有性行为者中最近6个月同性多性伴(性伴数≥2人)的发生率为41.3%(137/332),57.0%(159/279)的人表示近6个月发生同性性行为时,每次都会使用安全套。同性恋多性伴比例(44.0%)和HIV检测率(66.4%)均高于异性恋或性取向不确定者(29.0%,39.1%),差异有统计学意义(χ~2值分别为19.753,21.791,P值均<0.01)。结论男男同性交友平台上大学生艾滋病相关知识掌握不全面,高危行为发生率较高,未发生过性行为的学生主要集中在大学低年级,应及时进行全面的艾滋病预防教育。

Objective To investigate the awareness of HIV/AIDS-related knowledge and behaviors among college students in gay dating sites,and to provide evidence for HIV/AIDS prevention education among college students. Methods College students in gay dating sites,selected by a snowball sampling,were interviewed by electronic questionnaires. Chi-square test and t test were used to compare the awareness of HIV/AIDS knowledge and sexual behavior characteristics among different groups. Results Among those undergraduates from the gay dating sites,the rate of having sex was 63.8%,72.1%,86.3% and 83.7% among sophomore,junior,senior and graduate students（ χ^2= 14.197,P = 0.003）. The awareness of eight items of basic HIV/AIDS knowledge specific to young people（ referred as eight items） showed significant differences between students who had sex and who hadn＇t（ χ^2= 10.144,P = 0.001）. Multiple same-sex sexual partners（ sexual partners≥2） during the last 6 months was found in 41. 3%（ 137/332） students,and 57% of them reported consistent condom use. The rate of multiple sex partners and HIV-antibody test was of significant difference among college students with different sexual orientations（ χ^2 was 19.753,21.791,P value was 0.001 and 0.01,respectively）. Conclusion The high rate of high-risk behaviors and lack of comprehensive HIV/AIDS knowledge among college students in gay dating sites remains a significant threat to individuals. College students who have not had sex are mainly sophomore student. Improving the education of HIV/AIDS among college students has become a pressing need.