有性经历学生HIV抗体检测现状及影响因素

Prevalence and influencing factors of HIV antibody testing among university students with sexual experience

目的描述样本人群中有性行为经历的青年学生HIV抗体检测行为探讨相关影响因素,为提高青年学生HIV抗体检测率、加强有针对性的宣传教育提供依据和建议。方法依托2015年中美艾滋病防治合作项目(GAP),采用方便抽样及滚雪球抽样方法抽取研究对象,在北京市5所高校进行网络问卷调查,将发生过性行为的355名青年学生作为研究对象纳入统计分析。结果青年学生HIV抗体检测率为10.14%(36/355)。发生过肛交的青年学生做过检测的可能性是没有发生过肛交的4.022倍,认识性伴的主要途径为娱乐场所的学生是非娱乐场所的学生的9.298倍。籍贯为城市或性伴个数≥2的青年学生中,男生和发生过肛交的学生进行检测可能性较大。结论学生的知信行分离严重,发生过肛交的男性学生更有可能进行HIV抗体检测,健康教育要尽早开展并在不同地区均衡开展,同时倡导女性进行HIV抗体检测也不容忽视。

Objective To explore human immunodeficiency virus(HIV)antibody testing behavior and its influencing factors among university students with sexual experience and provide evidences for developing relevant education programs and promoting HIV testing in the students.Methods Based on the United Sates Centers for Disease Control and Prevention Global AIDS Program–China Cooperation(GAP)conducted in 2015,we carried out an online questionnaire survey among undergraduates and graduates recruited with convenient and snowball sampling in 5 universities in Beijing city.From the participants of the survey,355 students aged 16 years and above and reporting sexual behaviors were included in the analysis.Results Of the 355 students,10.14%had HIV antibody testing.Multivariate logistic regression analysis demonstrated that the students ever having anal sex and meeting their sexual partners at public entertainment places were more likely to have HIV antibody testing compared to those never having anal sex and meeting their sexual partners at places other than entertainment places,with the adjusted odds ratio of 4.022 and 9.298.Stratified logistic regression analysis revealed that for the students with an urban birthplace and with more than two sexual partners,the male students and those ever having anal sex were more likely to have HIV antibody testing.Conclusion The HIV-related practice is not consistent with relevant knowledge and attitude and among university students with sexual experience and the male students with anal sex history are more likely to have HIV antibody testing than other students.The results suggest the importance of early education on HIV prevention among adolescents in various regions.