四川省5地市城区重点场所45岁及以上男性艾滋病相关高危性行为特征分析

Characteristics of high-risk sexual behaviors related to HIV/AIDS in men aged 45 and above at key public places of urban area in five prefectures of Sichuan

目的调查四川省遂宁市、自贡市、宜宾市、广元市、绵阳市城区公共场所及娱乐场所≥45岁男性艾滋病防治重点人群高危性行为特征并分析相关因素,为及早开展针对性的防控措施提供参考。方法通过横断面研究方法,调查收集研究地市城区公共场所及娱乐场所≥45岁男性艾滋病防治重点中老年人口学特征、高危性行为、安全套使用、艾滋病宣传服务可及和检测等情况。采用SPSS 19.0软件进行统计分析,主要包括统计描述、单因素和多因素非条件logistic回归分析等。结果共调查5个地市城区公共场所及娱乐场所1884名45岁及以上男性,艾滋病知识知晓率为74.84%,76.80%性功能未受年龄严重影响,42.14%最近1年性伴数≥2个,45.28%有嫖娼史,28.72%未接受发放安全套服务,47.08%未进行过艾滋病检测,853名有嫖娼史者36.46%近1年未坚持使用安全套。多因素分析显示,婚姻、居住状态、文化程度、对嫖娼态度、艾滋病知晓率、服用助性药、性行为频率、接受过发放安全套服务与嫖娼史相关(均P<0.05)。结论调查地区城区公共场所及娱乐场所≥45岁男性发生嫖娼等高危性行为比例比较高,应采取综合性艾滋病防治健康宣传教育和行为干预措施,加强情感关怀和心理沟通,引导自觉抵制卖淫嫖娼,减少婚外性行为,推广安全套并形成其正确和坚持使用的习惯。

Objective To investigate the characteristics of sexual behaviors of men aged≥45 years at key entertainment and public places of urban areas in Suining,Zigong,Yibin,Guangyuan and Mianyang prefectures of Sichuan province,and analyze the related factors.Methods Cross-sectional study was conducted to investigate the demographic characteristics,high-risk sexual behaviors,condom use,access to HIV/AIDS education services in men aged≥45 years in the five prefectures.SPSS 19.0 was used for data statistical analysis,including statistical description,univariate and multivariate logistic regression analyses.Results A total of 1884 men aged≥45 years were investigated at key entertainment and public places of urban areas in the five prefectures,in whom the awareness rate of HIV/AIDS related knowledge was 74.84%,76.80%had sexuality not seriously affected by age,42.14%had more than 2 sexual partners in the past year,45.28%had history of commercial sex,28.72%had received no free condom supply,47.08%had received no HIV tests,and in 853 men who have commercial sex,36.46%had no consistent condom use in the past year.The factors related to the history of commercial sex included marital status,residence status,education level,attitude to commercial sex,AIDS related knowledge awareness,taking sex aid,sexual behavior frequency,number of sexual partners and receiving free condom supply(all P<0.05).Conclusion The proportion of the middle-aged and old men with commercial sex was high in the five prefectures in Sichuan.It is necessary to strengthen health education and behavioral intervention in HIV/AIDS prevention and control,improve emotional care and psychological support,resist commercial sex,reduce extramarital sexual behaviors and promote consistent condom use.