温州市农村地区≥60岁老年男性嫖客艾滋病知识及性行为特征调查

HIV/AIDS-related knowledge and sexual behavior characteristics among elderly male clients aged 60 years and above in rural areas of Wenzhou city

目的了解温州市农村地区60岁及以上老年男性嫖客艾滋病知识知晓、性行为、HIV检测行为和社会心理等特征,为制定针对性的干预措施提供科学依据。方法于2018年7-9月对居住在温州农村地区,过去1年有过商业性行为的60岁及以上男性老年人进行问卷调查,并采集静脉血进行HIV抗体、梅毒抗体检测。结果共调查60岁及以上老年男性嫖客77名,平均年龄为(69.57±6.53)岁,已婚有配偶占64.94%,文盲占51.95%,艾滋病知识知晓率偏低,最近1年性欲得到满足的占27.27%,最近半年发生性行为占76.62%,与暗娼、临时性伴发生性行为比例分别为63.64%、70.13%,每次安全套使用率分别为20.41%、18.52%,不使用安全套的最主要原因为不舒服不用,占65.31%,寻找暗娼主要场所是路边店,占34.69%,发生性行为前使用壮阳药者占11.86%。15.58%曾经做过HIV抗体检测,愿意接受HIV抗体检测的占89.61%。未检出HIV抗体阳性者,梅毒抗体阳性检出率为9.09%。结论温州市农村地区老年男性嫖客艾滋病知识知晓率和安全套使用率均偏低,梅毒感染率较高,存在感染艾滋病的风险,需根据该人群特点开展针对性的艾滋病宣传教育工作。

Objective To investigate the characteristics of HIV/AIDS knowledge awareness,sexual behavior,HIV detection behavior and psychosociology among elderly male clients aged 60 years and above in rural areas of Wenzhou city,and to provide a scientific basis for developing targeted intervention measures.Methods In July-September,2018,a questionnaire survey was conducted among elderly men aged 60 years and above,who lived in rural areas of Wenzhou city and had had commercial sex in the past year.Venous blood samples were collected to detect antibodies against HIV and syphilis.Results A total of 77 elderly male clients aged 60 years and above were investigated,with the average age of(69.57±6.53)years.64.94%of the elderly male clients were married with spouse,and 51.95%were illiteracies.The awareness rate of HIV/AIDS-related knowledge was relatively low.27.27%of the elderly male clients were satisfied with sexual desire in the past year,and 76.62%had sexual behavior in the last six months.The proportions of having sex with commercial and temporary sexual partners were 63.64%and 70.13%,respectively,and the rates of self-reported condom use every time were 20.41%and 18.52%,respectively.The main reason for not using condom was uncomfortable,accounting for 65.31%.The main place to find commercial sexual partners was roadside stores,accounting for 34.69%.11.86%of the elderly male clients used aphrodisiac before sexual activity.15.58%of the elderly male clients had been tested for antibody to HIV,and 89.61%were willing to accept HIV antibody test.Among the elderly male clients with negative HIV antibody results,the positive rate of syphilis antibody was 9.09%.Conclusions The rates of HIV/AIDS-related knowledge awareness and condom use are relatively low among the elderly male clients in rural areas of Wenzhou city,but their infection rate of syphilis is high,indicating that there is a risk of HIV infection.It is necessary to conduct targeted HIV/AIDS publicity and education according to the characteristics of this population.