摘要
目的了解有网约性行为青少年(网约青少年)对感染性病和艾滋病(STD/AIDS)的态度以及怀疑感染STD/AIDS时的就医意愿。方法2017年9—11月通过滚雪球法在我国部分网络社交平台调查15~24岁青少年网约性行为情况,收集一般个人资料、高危性行为及STD/AIDS就医意愿等信息。采用描述性分析、单因素和多因素logistic回归分析对调查对象就医意愿及相关因素进行分析。结果730名调查对象对可能的就医方式共进行了1119次应答,选择就医方式频次从高到低依次为:公立医院就诊或疾控中心咨询514人次(45.9%)、自己检测或治疗264人次(23.6%)、私人门诊或网络问诊217人次(19.4%)和不理会或认为不可能感染124人次(11.1%);不同特征和危险行为的调查对象中考虑选择公立医院就诊或疾控中心咨询的所占比例均为最高;多元logistic回归分析显示,网约青少年中男性选择不理会或认为不可能感染的可能性高于女性(P<0.05);网约对象为同性者选择去公立医院就诊或疾控中心咨询和自己检测或治疗比例较高(P<0.05)。结论网约青少年对STD/AIDS服务的需求高,而其就医意愿/途径复杂,需要在青少年STD/AIDS宣教工作中重视就医行为和就医技能的教育,并通过多部门合作采取多种策略拓宽青少年获得适宜的STD/AIDS服务的途径。
Objective To examine the attitude towards sexually transmitted disease and acquired immunodeficiency syndrome(STD/AID S)and the willingness to seek STD/AID S-related health service in Chinese young people having sexual behavior through online dating.Methods Using snowball sampling and 4 online social network platforms,we recruited15-24 years young people with online sex-seeking experience and conducted a voluntary survey via Sojum application from September to November,2017.A self-designed questionnaire was adopted to collected respondents’information about demographic characteristics,sexual high-risk behaviors and willingness to seek STD/AIDS-related health service.Descriptive statistics,univariate and multivariate logistic regression were used to analyze the profile of willingness and its impact factors.Results Valid information were collected from 730 respondents.Of the 1119 person-times of responses about intended options for seeking STD/AIDS-related health service,45.9%(n=514)reported the intention to visit public hospitals or center for disease control and prevention(CDC),followed by the intention to conduct self-testing or treatment(23.6%,n=264)and to visit private clinic or to have online consultation(19.4%,n=217);while,11.1%(n=124)of the responses reported the disregarding of related healthcare seeking or even the possibility of STD/AIDS infections.The proportion of reporting the intention to visit public hospital or CDC for seeking STD/AIDS-related health care or consultation was the highest among the respondents of various subgroups.Multiple logistic regression analysis revealed that the male respondents were more likely to report the disregarding of related healthcare seeking or even the possibility of STD/AIDS infections compared to the female respondents(P<0.05)and the respondents having homosexual partners were more likely to report the intention to visit public hospitals or CDC for seeking STD/AIDS-related healthcare(P<0.05).Conclusion Young people with online dating experience have a high demand for STD/AID S-related healthcare service and different willingness/approach to seek the healthcare,suggesting that targeted health education on STD/AIDS prevention and treatment needs to be promoted among young populations and strategies of multi-sectoral cooperation are necessary to increase the access to youthfriendly STD/AIDS service.
作者
潘玲
张大鹏
蔡凌萍
单多
张蕾
庞琳
刘中夫
李健
PAN Ling;ZHANG Da-peng;CAI Ling-ping(National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;不详)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2023年第2期196-200,共5页
Chinese Journal of Public Health
基金
国家自然科学基金(71774150)。
关键词
网络性行为
青少年
性病
艾滋病
就医意愿
online sex-seeking
young people
sexually transmitted disease
AIDS
willingness to seek healthcare