2017年台州市2所大专院校学生艾滋病认知行为分析

Investigation on AIDS related knowledge and behavior of youth students in Taizhou City,2017

【目的】了解2017年浙江省台州市青年学生艾滋病(AIDS)知识知晓、性行为现状及人类免疫缺陷病毒(HIV)检测意愿及接受检测情况,为开展青年学生艾滋病健康教育工作提供线索。【方法】在浙江省台州市采用分阶段整群抽样的方法,选取1所本科院校、1所专科院校在校学生开展调查。【结果】共调查1 210名青年学生,最近一年接受过预防艾滋病的宣传服务的为52.1%;艾滋病相关知识总体知晓率为79.5%;有过性行为经历的为8.9%,男生多于女生(13.3%与6.1%,χ2=18.614,P<0.001),专科院校学生高于本科院校学生(13.4%%与6.6%,χ2=15.373,P<0.001);首次性行为平均年龄为(18.65±1.68)岁,安全套使用率为70.4%。最近一年与固定异性性伴、临时性伴、商业性伴及同性性伴(仅询问男性)发生性行为的比例分别为50.0%、14.8%、0.17%及3.2%,每次性行为均使用安全套的分别为64.8%、37.5%、100.0%及50.0%。84.7%的调查对象愿意接受艾滋病检测服务,但只有3.1%的调查对象曾经接受过艾滋病检测。本次研究中共有1 185人接受了抽血检测,HIV、梅毒均未检出。【结论】台州市青年学生人群艾滋病相关知识总体知晓率偏低,安全套使用率较低,应开展针对性的艾滋病防治健康教育活动,提高学生自我保护意识。

[Objective]To investigate the awareness of knowledge about prevention and control of acquired immunodeficiency syndrome(AIDS),sexual behavior,and willingness to accept HIV test and acceptance of test among young students in Taizhou Prefecture of Zhejiang Province in 2017,and to provide evidence for conducting effective health education on AIDS among the students.[Methods]Our survey was conducted among young students from one undergraduate college and one technical college in Taizhou Prefecture of Zhejiang Province,where multi-stage clusters sampling was implemented to collect information.[Results]A total of 1 210 young students were recruited.The proportion of them having promotion service of AIDS prevention in the recent year was 52.1%,and the awareness rate of knowledge about prevention and control of AIDS was 79.5%.The proportion of students having sexual experience was 8.9%,which was higher in male students than in female students(13.3%vs.6.1%,χ2=18.614,P<0.001),and higher in technical school students than in undergraduate students(13.4%%vs.6.6%,χ2=15.373,P<0.001).The average age of the first sexual behavior was(18.65±1.68)years,and the proportion of condom usage during the first sexual experience was 70.4%.The proportions of sexual behavior with fixed heterosexual partners,non-commercial casual sexual partners,commercial sexual partners and homosexual partners in the recent years were 50.0%,14.8%,0.17%and 3.2%,respectively,and the proportions of always using condoms during sexual behavior with these four types of sexual partners above in recent years were 64.8%,37.5%,100.0%and 50.0%,respectively.And 84.7%of the participants were willing to accept HIV test,but only 3.1%of them had been tested for HIV.A total of 1 185 participants received blood test during our study,and both HIV and syphilis were not detected.[Conclusion]The overall awareness rate of knowledge about prevention and control of AIDS and the rate of condom use are low among young students in Taizhou Prefecture.It is necessary to carry out targeted health education activities on AIDS prevention and control,so as to improve their self-care consciousness.