江西省低年级医学生艾滋病歧视现状及相关因素

黄铎钦; 邹薇; 郑亚楠; 万鑫; 龚茜

doi:10.16835/j.cnki.1000-9817.2024043

江西省低年级医学生艾滋病歧视现状及相关因素

doi: 10.16835/j.cnki.1000-9817.2024043

黄铎钦¹,
邹薇²,
郑亚楠^{3, 4},
万鑫¹,
龚茜^{3, 4, ,}

1.
赣南医科大学第一临床医学院，江西赣州 341000
2.
南昌大学第一附属医院感染科
3.
赣南医科大学人文社会科学学院
4.
赣南医科大学苏区卫生与健康中国建设研究中心

基金项目:

江西省科技厅自然科学基金项目 20202BAB206023

江西省高校人文社会科学研究项目 SH22105

江西省哲学社会科学重点研究基地项目 22SKJD41

详细信息

作者简介:
黄铎钦(2005-)，男，江西南昌人，在读本科

通讯作者:
龚茜，E-mail：gongxihp@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R512.91 G444 R193 R179
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- 被引次数: 0
出版历程
- 收稿日期: 2023-10-12
- 修回日期: 2023-11-19
- 网络出版日期: 2024-03-02
- 刊出日期: 2024-02-25

Current situation and related factors of AIDS discrimination among junior medical students in Jiangxi Province

HUANG Duoqin¹,
ZOU Wei²,
ZHENG Ya'nan^{3, 4},
WAN Xin¹,
GONG Xi^{3, 4
, ,}

1.
The First Clinical Medical College of Gannan Medical University, Ganzhou (341000), Jiangxi Province, China

摘要

摘要: 目的探讨高校低年级医学生对艾滋病歧视的现状及其相关因素，为医学院校开展有效的艾滋病反歧视干预提供参考依据。方法采用方便取样方法，于2023年7—8月从江西省5所高校抽取2 484名医学生，采用一般情况调查问卷、艾滋病知识知晓问卷和中文版Zelaya艾滋病歧视量表进行匿名调查。使用独立样本t检验、方差分析方法分析不同特征医学生的艾滋病歧视水平，采用多元线性逐步回归分析艾滋病歧视水平的相关因素。结果医学生艾滋病歧视总分为(2.55±0.67)分；担心感染疾病维度得分最高(2.89±1.01)分。多元线性逐步回归分析结果显示，与艾滋病歧视相关的因素包括性别(β=-0.17)、年级(β=-0.08)、是否为独生子女(β=-0.04)、是否知晓艾滋病知识(β=0.22)、性行为时使用安全套意愿(β=0.07)、参加学校性健康知识宣传活动意愿(β=0.05)、认为关注自身身心健康重要程度(β=0.11)(P值均 < 0.05)。结论江西省高校低年级医学生中艾滋病歧视普遍存在。应加大对低年级医学生的人文素质教育和相关知识宣传，降低艾滋病歧视水平。
- 获得性免疫缺陷综合征 /
- 偏见 /
- 回归分析 /
- 学生
Abstract: Objective To explore the current situation and related factors of AIDS discrimination among junior medical students in Jiangxi Province, so as to provide a reference for effective AIDS anti-discrimination intervention measures in medical colleges. Methods Using a convenience sampling approach, 2 484 medical students were selected from five universities in Jiangxi Province from July to August 2023. An anonymous survey was conducted using a general information questionnaire, a AIDS knowledge questionnaire, and the Chinese version of Zelaya's AIDS Stigma Scale. Independent sample t-tests and analysis of variance were carried out to analyze the level of AIDS discrimination among medical students with different characteristics. Multiple stepwise regression analysis was performed to identify the related factors of AIDS discrimination. Results The total score of AIDS discrimination among medical students was (2.55±0.67). The dimension with the highest score was fear of contracting the disease (2.89±1.01). The results of the multiple stepwise regression analysis showed that the factors related to AIDS discrimination included gender (β=-0.17), grade (β=-0.08), being an only child or not (β=-0.04), whether knowing about AIDS knowledge or not (β=0.22), willingness to use condoms during sexual activity (β=0.07), willingness to participate in school sexual health knowledge-based activities (β=0.05) and the perceived importance of self-health (β=0.11) (P < 0.05). Conclusions AIDS discrimination is prevalent among junior medical students in Jiangxi Province. Efforts should be undertaken to enhance humanistic education and relevant knowledge dissemination among junior medical students to reduce the level of AIDS discrimination.
- Acquired immunodeficiency syndrome /
- Ageism /
- Regression analysis /
- Students
注释:

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表 1 不同组别低年级医学生艾滋病歧视总分比较(x±s)

Table 1. Comparison of the total scores of AIDS discrimination among junior medical students in different groups(x±s)

组别	选项	人数	得分	t/F值	P值
性别	男	1 149	2.72±0.68	12.13	＜0.01
	女	1 335	2.40±0.61
年级	大一	1 353	2.61±0.67	5.35	＜0.01
	大二	1 131	2.47±0.65
生源地	城市	895	2.57±0.70	1.27	0.21
	农村	1 589	2.54±0.65
恋爱经历	有	966	2.57±0.70	1.33	0.18
	无	1 518	2.53±0.65
独生子女	是	487	2.62±0.79	2.76	0.01
	否	1 997	2.53±0.63
性行为时是否愿意使用安全套	是	2 265	2.51±0.64	-10.74	＜0.01
	否	219	3.00±0.76
父亲文化程度	高中以下	1 522	2.52±0.63	7.35	＜0.01
	高中	639	2.62±0.69
	本科	284	2.50±0.76
	硕士	23	2.83±0.59
	博士	16	3.13±0.90
母亲文化程度	高中以下	1 827	2.54±0.66	13.08	＜0.01
	高中	454	2.62±0.66
	本科	177	2.38±0.72
	硕士	7	2.31±0.75
	博士	19	3.44±0.69
知晓艾滋病知识	知晓	2 135	2.47±0.64	-16.23	＜0.01
	不知晓	349	3.06±0.62
对疾病与健康方面的知识感兴趣	是	2 118	2.49±0.65	-10.09	＜0.01
	否	366	2.87±0.69
大学教师在课上介绍性健康知识	是	1 909	2.48±0.65	-8.85	＜0.01
	否	575	2.76±0.67
认为关注自身身心健康非常重要	是	2 286	2.50±0.64	-13.41	＜0.01
	否	198	3.14±0.66
愿意参加学校性健康知识宣传活动	是	2 012	2.48±0.65	-10.73	＜0.01
	否	472	2.84±0.65
愿意拨打热线电话咨询性健康知识	是	1 719	2.48±0.66	-8.11	＜0.01
	否	765	2.71±0.67
曾接受校医院等机构发放宣传资料	是	1 675	2.50±0.65	-5.25	＜0.01
	否	809	2.65±0.70

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表 2 低年级医学生艾滋病歧视水平的多元线性逐步回归分析(n=2 484)

Table 2. Multivariate linear stepwise regression analysis of the level of HIV discrimination among junior medical students(n=2 484)

自变量	B值	标准误	β值	t值	P值
女性	-5.36	0.62	-0.17	-8.63	＜0.01
大二年级	-2.41	0.60	-0.08	-4.05	＜0.01
不知晓艾滋病知识	10.08	0.92	0.22	10.93	＜0.01
认为关注自身身心健康不重要	6.62	1.27	0.11	5.20	＜0.01
性行为时不愿意使用安全套	3.80	1.14	0.07	3.35	＜0.01
不愿意参加学校性健康知识宣传活动	2.20	0.86	0.05	2.57	0.01
非独生子女	-1.59	0.74	-0.04	-2.14	0.03
注：整体模型P＜0.01；自变量性别、年级分别以男性、大一年级为参照，是否独生子女、性行为时是否愿意使用安全套、是否知晓艾滋病知识、是否认为关注自身身心健康非常重要、是否愿意参加学校性健康知识宣传活动均以是为参照。

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参考文献(26)

[1]	张建新. 青年学生艾滋病防控策略思考[J]. 中国学校卫生, 2016, 37(11): 1601-1603. doi: 10.16835/j.cnki.1000-9817.2016.11.001 ZHANG J X. Reflections on AIDS prevention and control strategies for young students[J]. Chin J Sch Health, 2016, 37(11): 1601-1603. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2016.11.001
[2]	方娟, 姚金兰. 医学新生艾滋病反歧视健康教育效果评价[J]. 中国性科学, 2020, 29(3): 146-149. https://www.cnki.com.cn/Article/CJFDTOTAL-XKXZ202003045.htm FANG J, YAO J L. Effect evaluation on the AIDS anti-discrimination education among medical freshmen[J]. Chin J Hum Sex, 2020, 29(3): 146-149. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XKXZ202003045.htm
[3]	陆蓉, 李静, 游晶, 等. 医疗机构中艾滋病歧视的研究进展[J]. 职业与健康, 2022, 38(2): 279-283. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202202030.htm LU R, LI J, YOU J, et al. Research progress on HIV/AIDS discrimination in healthcare institutions[J]. Occup Health, 2022, 38(2): 279-283. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202202030.htm
[4]	吴大东, 陈思齐, 周洁, 等. 深圳市助产机构医务人员艾滋病歧视现状及影响因素分析[J]. 中国艾滋病性病, 2022, 28(10): 1172-1177. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA202210013.htm WU D D, CHEN S Q, ZHOU J, et al. Status and influencing factors of HIV-related discrimination among health workers of midwifery institutions in Shenzhen[J]. Chin J AIDS STD, 2022, 28(10): 1172-1177. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA202210013.htm
[5]	刘秦汐, 杨义, 李苑, 等. 基于随机森林算法的农村中老年男性艾滋病歧视现状及其影响因素分析[J]. 现代预防医学, 2023, 50(2): 354-359. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202302027.htm LIU Q X, YANG Y, LI Y, et al. The status and influencing factors of AIDS discrimination in rural middle aged and elderly men based on random forest algorithm[J]. Mod Prev Med, 2023, 50(2): 354-359. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202302027.htm
[6]	国务院防治艾滋病工作委员会办公室. 中国艾滋病防治督导与评估框架(试行)[M]. 北京: 人民卫生出版社, 2007. State Council AIDS Working Committee Office. The framework for HIV/AIDS supervision and assessment in China (Trial)[M]. Beijing: People's Medical Publishing House, 2007. (in Chinese)
[7]	邢海燕, 温多红, 陈三妹, 等. 中文版Zelaya艾滋病歧视量表的信度和效度[J]. 中华护理杂志, 2012, 47(12): 1096-1098. doi: 10.3761/j.issn.0254-1769.2012.12.016 XING H Y, WEN D H, CHEN S M, et al. Reliability and validity of Chinese version Zelaya's HIV/AIDS Stigma Scale[J]. Chin J Nurs, 2012, 47(12): 1096-1098. (in Chinese) doi: 10.3761/j.issn.0254-1769.2012.12.016
[8]	刘晓宁, 李杰, 姜天俊, 等. 大学生男男性行为者对艾滋病暴露前预防知识知晓及其影响因素[J]. 现代预防医学, 2021, 48(11): 2079-2083. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202111037.htm LIU X N, LI J, JIANG T J, et al. Status and influencing factors of knowledge awareness of HIV/AIDS pre-exposure drug prophylaxis (PrEP) of MSM among college students[J]. Mod Prev Med, 2021, 48(11): 2079-2083. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202111037.htm
[9]	袭开国, 唐亮, 袁丽丽. 不同认知风格大学生非安全性行为影响因素分析[J]. 中国学校卫生, 2023, 44(9): 1338-1341. doi: 10.16835/j.cnki.1000-9817.2023.09.013 XI K G, TANG L, YUAN L L, et al. Factors influencing unprotected sexual behavior among college students with different cognitive styles[J]. Chin J Sch Health, 2023, 44(9): 1338-1341. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.013
[10]	张涵, 纪代红, 董梁, 等. 临床医护人员对性少数就诊者歧视现状及影响因素的研究进展[J]. 中国性科学, 2021, 30(10): 148-151. https://www.cnki.com.cn/Article/CJFDTOTAL-XKXZ202110047.htm ZHANG H, JI D H, DONG L, et al. Status quo of discrimination against sexual minorities among clinical medical staff and its influencing factors[J]. Chin J Hum Sex, 2021, 30(10): 148-151. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XKXZ202110047.htm
[11]	POLLACK T M, DUONG H T, NHATVINH D T, et al. A pretest-posttest design to assess the effectiveness of an intervention to reduce HIV-related stigma and discrimination in healthcare settings in Vietnam[J]. J Int AIDS Soc, 2022, 25(Suppl 1): e25932.
[12]	赵会芳. 医学生艾滋病相关知识、态度及医疗服务意愿调查研究[J]. 中华护理教育, 2017, 14(1): 72-76. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU201701027.htm ZHAO H F. Research on AIDS-related knowledge, attitude and medical service willingness of medical students[J]. Chin J Nurs Educ, 2017, 14(1): 72-76. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU201701027.htm
[13]	张闯, 张夏梦, 曾文彤. 四川省某医学院中医学生艾滋病歧视现状及影响因素[J]. 职业与健康, 2020, 36(6): 829-832. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202006032.htm ZHANG C, ZHANG X M, ZENG W T. Status and influencing factors of AIDS discrimination among students of traditional Chinese medicine in a medical college in Sichuan Province[J]. Occup Health, 2020, 36(6): 829-832. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202006032.htm
[14]	林琴, 张先庚, 刘琴, 等. 某高职院校医学生艾滋病歧视水平现状及其影响因素分析[J]. 中国艾滋病性病, 2018, 24(4): 373-376. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201804015.htm LIN Q, ZHANG X G, LIU Q, et al. Level of AIDS discrimination and its influential factors among higher vocational medical students[J]. Chin J AIDS STD, 2018, 24(4): 373-376. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201804015.htm
[15]	杜国平, 郁轻舟, 王亚青, 等. 江苏大一新生艾滋病认知情况及其对性态度性行为的影响[J]. 中国学校卫生, 2020, 41(11): 1661-1663. doi: 10.16835/j.cnki.1000-9817.2020.11.017 DU G P, YU Q Z, WANG Y Q, et al. AIDS-related knowledge among college freshman and its influence on sexual attitudes and behaviors in Jiangsu Province[J]. Chin J Sch Health, 2020, 41(11): 1661-1663. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.11.017
[16]	朱冠仁, 曹文文, 毛圣力, 等. 大学生学业压力与课外体育锻炼的关联[J]. 中国学校卫生, 2023, 44(7): 991-994. doi: 10.16835/j.cnki.1000-9817.2023.07.007 ZHU G R, CAO W W, MAO S L, et al. Correlation between academic stress and extracurricular physical exercise among college students[J]. Chin J Sch Health, 2023, 44(7): 991-994. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.07.007
[17]	孙莹, 范叶超, 杨磊. 大学生的性别角色态度与环境关心[J]. 社会发展研究, 2020, 7(3): 227-241. https://www.cnki.com.cn/Article/CJFDTOTAL-HFYJ202003017.htm SUN Y, FAN Y C, YANG L. Gender role attitude and environmental concern among undergraduate students[J]. J Soc Dev, 2020, 7(3): 227-241. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HFYJ202003017.htm
[18]	赵媛, 刘玉芬, 单多, 等. 全国艾滋病综合防治示范区利用传统与新媒体开展艾滋病防治宣传教育现状分析[J]. 中国健康教育, 2023, 39(1): 7-11. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202301002.htm ZHAO Y, LIU Y F, SHAN D, et al. Traditional and new media application in HIV/AIDS prevention and control health education activities in China comprehensive AIDS response program[J]. Chin J Health Educ, 2023, 39(1): 7-11. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202301002.htm
[19]	张雯, 曹小华, 杜洁, 等. 少数民族流动人口艾滋病防治教育现状及影响因素分析[J]. 现代预防医学, 2022, 49(19): 3598-3602. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202219024.htm ZHANG W, CAO X H, DU J, et al. Status and influencing factors of AIDS prevention education for minorities floating population[J]. Mod Prev Med, 2022, 49(19): 3598-3602. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202219024.htm
[20]	庾泳, 肖水源. 中国社会文化背景下社会态度对同性恋人群的影响[J]. 中国健康心理学杂志, 2017, 25(3): 476-479. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201703042.htm YU Y, XIAO S Y. The influence of social attitude to homosexuality under Chinese social cultural background[J]. Chin J Health Psychol, 2017, 25(3): 476-479. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201703042.htm
[21]	蔡芸姗, 汪祝璇子, 张佳昕, 等. 上海某高校学生性别认同与性取向调查分析研究[J]. 中国男科学杂志, 2021, 35(4): 3-6. https://www.cnki.com.cn/Article/CJFDTOTAL-NXXX202104001.htm CAI Y S, WANG Z X Z, ZHANG J X, et al. A questionnaire survey on gender identity and sexual orientation of students in a university in Shanghai[J]. Chin J Androl, 2021, 35(4): 3-6. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-NXXX202104001.htm
[22]	张爱迪, 黄耳, 谭思敏, 等. 互联网对青少年同性恋身份认同发展的影响研究进展[J]. 中国艾滋病性病, 2019, 25(4): 429-431. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201904030.htm ZHANG A D, HUANG E, TAN S M, et al. Review on the Internet's impacts on adolescent's homosexual identity development[J]. Chin J AIDS STD, 2019, 25(4): 429-431. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201904030.htm
[23]	王晨, 龙艺, 胡安霞, 等. 全国高等院校医学人文教育现状与对策研究[J]. 医学与哲学, 2022, 43(5): 61-66. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZX202205012.htm WANG C, LONG Y, HU A X, et al. Research on current status and countermeasures of medical humanities education in colleges and universities of China[J]. Med Philos, 2022, 43(5): 61-66. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YXZX202205012.htm
[24]	林琴, 张夏梦, 陈雨萍, 等. 成都市2所高职院校护理专业学生艾滋病相关歧视的调查[J]. 职业与健康, 2020, 36(10): 1391-1393. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202010026.htm LIN Q, ZHANG X M, CHEN Y P, et al. Investigation on AIDS related discrimination of nursing students in two higher vocational colleges in Chengdu City[J]. Occup Health, 2020, 36(10): 1391-1393. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202010026.htm
[25]	王海又, 陈琳, 徐杰, 等. 浙江省大学生MSM安全套使用效能评价及其相关影响因素分析[J]. 中国艾滋病性病, 2023, 29(10): 1097-1101. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA202310009.htm WANG H Y, CHEN L, XU J, et al. Evaluation and related factors of the condom use efficacy among MSM college students in Zhejiang Province[J]. Chin J AIDS STD, 2023, 29(10): 1097-1101. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA202310009.htm
[26]	裴容, 余彬, 刘进平, 等. 四川大学生艾滋病知识-歧视-检测意愿及作用机制研究[J]. 中国艾滋病性病, 2021, 27(12): 1369-1373. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA202112009.htm PEI R, YU B, LIU J P, et al. Relation of AIDS knowledge-discrimination-willingness to test and mechanism among college students[J]. Chin J AIDS STD, 2021, 27(12): 1369-1373. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA202112009.htm