三城市部分大学生中有性行为者对HIV非职业暴露后预防的知识知晓率及服务接受情况

Knowledge awareness and service acceptance of non-occupational post-exposure prophylaxis among college students who have sex in three cities of China

目的了解中国三城市高校大学生中有性行为者对非职业暴露后预防(non-occupational post-exposure prophylaxis,nPEP)知识知晓和服务接受情况及其影响因素。方法选取北京市、深圳市、昆明市三个城市的大学生中有性行为者为研究对象,采用网上问卷调查方式收集其基本情况、性行为特征、AIDS防治知识知晓情况、nPEP知识知晓和服务接受情况,采用Logistic回归分析模型分析nPEP知识知晓和接受nPEP服务的影响因素。结果 1 022名研究对象中,男性占70.1%;最近6个月仅有男男性行为占28.7%;近3个月,发生性行为中每次都使用安全套的占67.5%。研究对象AIDS防治知识知晓率为86.5%,nPEP知识知晓率为26.6%,11.3%的研究对象求询过nPEP,5.6%接受过nPEP服务。多因素Logistic回归分析模型分析结果显示,年龄在20岁(OR=3.155,95%CI:1.081~9.205),21岁(OR=4.666,95%CI:1.598~13.625),22~<24岁(OR=4.481,95%CI:1.548~12.971),AIDS防治知识知晓(OR=6.919,95%CI:2.720~17.598)是研究对象知晓nPEP的影响因素;男性(OR=3.928,95%CI:1.348~11.448),AIDS防治知识知晓(OR=6.205,95%CI:3.119~12.346),nPEP知识知晓(OR=2.263,95%CI:1.002~5.11)是接受nPEP服务的影响因素。结论大学生中有性行为者对于nPEP的知晓程度较低,应结合校内AIDS防治知识和性健康教育,对其进行nPEP知识和服务信息的宣传。

Objective To understand the knowledge awareness and service acceptance of non-occupational post-exposure prophylaxisn(PEP) and their influencing factors among college students who have sex in three cities of China.Methods An online survey was conducted among college students who had sex in Beijing,Shenzhen,Kunming by using the questionnaires to collect their demographic information,sexual behavior characteristics,knowledge awareness of HIV/AIDS prevention and nPEP,and service acceptance of nPEP.Logistic regression model was used to analyze the influencing factors of knowledge awareness and service acceptance of nPEP.Results Of 1 022 subjects surveyed,male accounted for 70.1%.28.7% of the subjects had sex with men only in the last 6 months.67.5% had sex using condom every time in the last 3 months.The rate of awareness of HIV/AIDS prevention,and nPEP knowledge were 86.5% and 26.6%,respectively.11.3% of them counseled nPEP,and 5.6% received nPEP services.The results of multivariate analysis showed that the age group of 20(OR=3.155,95%CI:1.081-9.205),21(OR=4.666,95%CI:1.598-13.625),22-24 years old(OR=4.481,95%CI:1.548-12.971),and the awareness of knowledge of HIV/AIDS prevention(OR=6.919,95%CI:2.720-17.598) were the influencing factors of awareness of nPEP knowledge.Male(OR=3.928,95%CI:1.348-11.448),awareness of AIDS prevention knowledge(OR=6.205,95%CI:3.119-12.346),and awareness of nPEP knowledge(OR=2.263,95%CI:1.002-5.11) were the influencing factors for acceptance of nPEP service.Conclusion Among college students who have sexual intercourse,awareness of nPEP knowledge is,at a lower level.nPEP knowledge and service information should be promoted combining with HIV/AIDS control and prevention knowledge and sexual health education in colleges.