珠海市有性行为大学生HIV检测情况及相关因素

林铠浩; 周毅; 严瑶; 戴文灿; 刘亚薇; 李晓凤; 黄珊子; 姚刚; 杜曼; 杨翌; 江洪波

doi:10.16835/j.cnki.1000-9817.2021.08.029

珠海市有性行为大学生HIV检测情况及相关因素

doi: 10.16835/j.cnki.1000-9817.2021.08.029

1.
广东药科大学公共卫生学院，广州 510310
2.
珠海市疾病预防控制中心艾滋病防制所

基金项目:

广东省医学科研基金项目 A2020509

国家自然科学基金项目 81703282

详细信息

作者简介:
林铠浩(1994-)，男，广东汕头人，在读硕士，主要研究方向为疾病预防与控制

通讯作者:
江洪波，E-mail：hongbojiang3@163.com

中图分类号: R512.91 R647.9
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- 被引次数: 0
出版历程
- 收稿日期: 2020-12-22
- 修回日期: 2021-04-08
- 网络出版日期: 2021-08-20
- 刊出日期: 2021-08-25

Prevalence and factors associated with HIV testing uptake among sexual active college students in Zhuhai City

1.
School of Public Health, Guangdong Pharmaceutical University, Guangzhou (510310), China

摘要

摘要: 目的了解珠海市有性行为大学生人类免疫缺陷病毒(HIV)检测的情况及影响因素，为制定HIV检测策略、提高大学生HIV检测率提供参考依据。方法采用多阶段抽样方法，于2019年11—12月对珠海市6所高校本科和大专12 235名在校学生进行匿名电子问卷调查，筛选出有性行为史学生1 789名，通过χ²检验和非条件Logistic回归模型分析有性行为大学生HIV检测的影响因素。结果 1 789名大学生中，HIV检测率为7.55%(135名)，主要通过医院(71.85%)检测，检测原因主要为定期检测(50.37%)和了解自己的感染状况(23.70%)。多因素Logistic回归分析结果显示，在有性行为的大学生中，性取向为同性恋者(OR=4.62，95%CI=1.07~19.95)、近1年有异性商业性行为者(OR=3.77，95%CI=1.96~7.26)更有可能进行HIV检测；女生(OR=0.41，95%CI=0.24~0.69)进行HIV检测的可能性较低。结论珠海市有性行为的大学生HIV检测的比例较低，建议在加强HIV检测宣传教育、增强学生HIV检测意识时，考虑性别、性取向及商业性行为等因素的影响，开展针对性的干预措施，提高检测的覆盖率。
- 性行为 /
- HIV /
- 回归分析 /
- 学生
Abstract: Objective To understand the prevalence of HIV (human immunodeficiency virus) testing and associated factors among sexual active college students in Zhuhai City. Methods From November to December, 2019, an anonymous electronic questionnaire was administered among 12 235 students in six colleges and universities in Zhuhai City by multistage sampling. A total of 1 789 college students ever had sex were selected. Pearson's Chi-square test and non-conditional Logistic regression model were applied to analyze the factors associated with uptake of HIV testing. Results Among these students ever had sex, 7.55% (135/1 789) had been tested for HIV mainly through hospitals (71.85%). The main reasons for testing were regular testing (50.37%) and intending to know their infection status (23.70%). Multivariable Logistic regression showed that homosexual individuals (OR=4.62, 95%CI=1.07-19.95) and those who had heterosexual commercial sex in the past year (OR=3.77, 95%CI=1.96-7.26) were more likely to test for HIV, while female (OR=0.41, 95%CI=0.24-0.69) were less likely to test for HIV. Conclusion The proportion of HIV testing was low among sexual active college students in Zhuhai City. Interventions should be tailored including strengthening the HIV testing propaganda education and enhancing students' awareness of HIV testing, and the influencing factors such as gender, sexual orientation and commercial sexual behavior should be taken into consideration, so as to improve the HIV testing coverage of this population.
- Sexual behavior /
- HIV /
- Regression analysis /
- Students

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表 1 珠海市不同特征有过性行为的大学生HIV检测率比较

Table 1. Comparison of HIV testing among sexual active college students with different characteristics in Zhuhai City

变量	选项	人数	HIV检测人数	χ²值	P值	变量	选项	人数	HIV检测人数	χ²值	P值
性别	男	1 059	107(10.10)	24.34	< 0.01	近1年是否使用过毒品	否	1 753	125(7.13)	18.70	< 0.01
	女	730	28(3.84)				是	36	10(27.78)
年级	大一	310	21(6.77)	2.83	0.42	性取向	异性恋	1 500	96(6.40)	-	< 0.01^a
	大二	503	46(9.15)				同性恋	55	20(36.36)
	大三	633	43(6.79)				双性恋	185	16(8.65)
	大四和大五	333	23(6.91)				不确定	49	3(6.12)
专业类别	非医学类	1 758	131(7.45)	0.63	0.43	寻找性伴的途径	线上	416	47(11.30)	9.48	0.01
	医学类	31	4(12.90)				线下	579	34(5.87)
户籍	城市	1 303	102(7.83)	0.55	0.46		均有	435	38(8.74)
	农村	486	33(6.79)			首次性行为是否使用	否或记不清	467	39(8.35)	0.59	0.44
是否为住宿生	是	1 734	130(7.50)	0.03	0.86	安全套	是	1 322	96(7.26)
	否	55	5(9.09)			近1年是否有固定性伴侣	否	237	17(7.17)	0.08	0.78
每月可支配费用/元	0~1 999	488	39(7.99)	5.62	0.06		是	1 116	86(7.71)
	2 000~3 999	1 076	71(6.60)			近1年是否有临时性行为	否	1 067	61(5.72)	25.79	< 0.01
	≥4 000	225	25(11.11)				是	286	42(14.69)
是否接受过艾滋病相关知识	否	145	8(5.52)	0.93	0.34	近1年是否有异性商业性行为	否	1 265	77(6.09)	64.38	< 0.01
	是	1 644	127(7.73)				是	88	26(29.55)
是否知晓艾滋病知识	否	311	23(7.40)	0.01	0.91	近1年发生性行为前是否饮酒	否	928	69(7.44)	2.72	0.10
	是	1 478	112(7.58)				是	502	50(9.96)
近1年是否曾因喝酒太多而	否	1 284	95(7.40)	0.14	0.71	近1年发生性行为前是否使用	否	1 400	111(7.93)	11.17	< 0.01
醉酒	是	505	40(7.92)			毒品	是	30	8(26.67)
注：()内数字为检测率/%，部分数据存在缺失值，a为Fisher确切概率检验。

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表 2 珠海市有性行为大学生HIV检测多因素Logistic回归分析(n=1 789)

Table 2. Multivariable Logistic regression analysis of HIV testing among sexual active college students in Zhuhai (n=1 789)

变量	选项	P值	OR值(OR值95%CI)
性别	男		1.00
	女	0.01	0.41(0.24~0.69)
每月可支配费用/元	0~1 999		1.00
	2 000~3 999	0.74	0.92(0.56~1.50)
	≥4 000	0.58	1.21(0.62~2.35)
性取向	异性恋		1.00
	同性恋	0.04	4.62(1.07~19.95)
	双性恋	0.21	1.62 (0.77~3.39)
	不确定	0.60	1.53(0.32~7.33)
近1年是否使用过毒品	否		1.00
	是	0.29	1.84 (0.60~5.66)
寻找性伴的途径	线上		1.00
	线下	0.55	0.85(0.50~1.44)
	均有	0.38	0.79(0.47~1.34)
近1年是否有临时性行为	否		1.00
	是	0.22	1.41(0.82~2.41)
近1年是否有异性商业性行为	否		1.00
	是	< 0.01	3.77(1.96~7.26)
近1年发生性行为前是否饮酒	否		1.00
	是	0.25	1.29(0.83~2.01)
近1年发生性行为前是否使用	否		1.00
毒品	是	0.19	0.44(0.13~1.50)

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