余姚市2016—2020年人工流产中学生艾滋病知晓和安全套使用情况

赵伟江; 缪秋月; 施月英

doi:10.16835/j.cnki.1000-9817.2022.06.015

余姚市2016—2020年人工流产中学生艾滋病知晓和安全套使用情况

doi: 10.16835/j.cnki.1000-9817.2022.06.015

1.
浙江省余姚市疾病预防控制中心办公室，315400
2.
余姚市人民医院妇产科

详细信息

作者简介:
赵伟江(1970-)，男，浙江余姚人，大学专科，副主任医师，主要从事传染性疾病控制、健康教育工作

通讯作者:
缪秋月，E-mail：mqy_1971@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 G479 R193
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- 被引次数: 0
出版历程
- 收稿日期: 2021-12-09
- 修回日期: 2022-03-11
- 网络出版日期: 2022-06-23
- 刊出日期: 2022-06-25

Awareness of AIDS and use of condom among middle school students who have induced abortion in Yuyao City, 2016-2020

1.
Yuyao Municipal Center for Disease Control and Prevention, Yuyao (315400), Zhejiang Province, China

摘要

摘要: 目的了解浙江省余姚市2016—2020年施行门诊人工流产(以下简称人流)手术的在校中学生安全套使用情况，为采取有效的干预策略提供依据。方法采用自行设计的人流人员安全套使用情况问卷，调查2016—2020年在余姚市人民医院妇科门诊手术室行人流手术的274名在校中学生艾滋病知晓和安全套使用情况，并对有关指标的组间差异进行χ²检验。结果人流学生关于“艾滋病可通过性接触传播”“正确使用安全套可降低艾滋病经性接触传播风险”的知晓率分别为93.80%(257名)和91.24%(250名)。近半年内使用安全套的占17.88%(49名)，其中每次使用者占5.47%(15名)、偶尔使用者占12.41%(34名)，82.12%(225名)的人流学生从不使用安全套。每次和偶尔使用安全套的人流学生正确使用安全套的占18.37%(9名)。不使用安全套的前3位原因依次为认为偶尔一次就怀孕不会这么凑巧(16.44%，37/225)；觉得用起来很麻烦(14.67%，33/225)；根本没想到要用，更没想到防病(14.22%，32/225)。结论余姚市人流中学生相关艾滋病知识知晓率较高，而安全套使用率、正确使用率很低。应通过有针对性的性教育和干预，提高安全套正确使用率。
- 流产，人工 /
- 获得性免疫缺陷综合征 /
- 健康教育 /
- 避孕套 /
- 学生
Abstract: Objective To understand the use of condom among middle school students after outpatient abortion operation, so as to provide a basis for safe sex education and intervention. Methods The questionnaire survey on condom use was conducted among the middle school students who had abortion operation in obstetric and gynecologic out-patient clinic of Yuyao People's Hospital from 2016 to 2020. Group differences were compared by using Chi-square test. Results A total of 274 middle school students were investigated. The awareness rates on "AIDS can be transmitted through sexual contact" and "correct use of condoms can reduce the risk of AIDS through sexual transmission" were 93.80% and 91.24% respectively. The rate of condom's usage was 17.88% in the past 6 months, 5.47% of participants used condoms every time, 12.41% used condoms occasionally, and 82.12% never used condoms. About 18.37% of participants who used condoms every time or occasionally could use correctly. The top three reasons were "I don't think it's so coincidental to get pregnant once in a while" (16.44%), "I think it's very troublesome to use it" (14.67%), "I didn't expect to use it, let alone prevent diseases" (14.22%). Conclusion Yuyao City flow of students related AIDS knowledge awareness rate is high, and the condom utilization rate, the correct utilization rate is very low. According to the main reasons of not wearing condoms, do a good job of the correct use of condom publicity, through targeted sex education and intervention, to achieve the purpose of from "knowledge" to "faith" and ultimately to "practice".
- Abortion, induced /
- Acquired immunodeficiency syndrome /
- Health education /
- Condoms /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 不同人口学特征人流中学生防艾知识知晓及安全套使用情况

Table 1. Knowledge about AIDS prevention and condom use of induced abortion middle school students with different demographic characteristics

人口统计学指标	选项	人数	统计值	防艾知识知晓情况		安全套使用情况
人口统计学指标	选项	人数	统计值	艾滋病可通过性传播	正确使用安全套可降低艾滋病经性接触传播风险	每次	偶尔	从不
年龄/岁	＜18	133		122(91.73)	119(89.47)	4(3.01)	12(9.02)	117(87.97)
	≥18	141		135(95.74)	131(92.91)	11(7.80)	22(15.60)	108(76.60)
			χ²值	1.90	1.01		6.34
			P值	0.17	0.32		0.04
学段	初中	65		59(90.77)	57(87.69)	2(3.08)	10(15.38)	53(81.54)
	普通高中	41		40(97.56)	39(95.12)	5(12.20)	10(24.39)	26(63.41)
	职业高中	168		158(94.05)	154(91.67)	8(4.76)	14(8.33)	146(86.91)
			χ²值	2.04	1.84		13.90
			P值	0.36	0.40		< 0.01
户籍地	本市	201		192(95.52)	189(94.03)	12(5.97)	27(13.43)	162(80.60)
	非本市	73		65(89.04)	61(83.56)	3(4.11)	7(9.59)	63(86.30)
			χ²值	2.83	7.34		1.19
			P值	0.09	＜0.01		0.55
学校所在地	城区	45		43(95.56)	42(93.33)	6(13.33)	11(24.44)	28(62.22)
	乡村	229		214(93.45)	208(90.83)	9(3.93)	23(10.04)	197(86.03)
			χ²值	0.04	0.07		14.96
			P值	0.84	0.80		＜0.01
注： ()内数字为知晓率或构成比/%。

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参考文献(20)

[1]	张文静, 马迎华, 高迪思, 等. 中国部分省市大学生性教育现状与性行为影响因素分析[J]. 中国学校卫生, 2018, 39(6): 814-817. doi: 10.16835/j.cnki.1000-9817.2018.06.004 ZHANG W J, MA Y H, GAO D S, et al. Sex education status and influencing factors of sexual behavior among college students in 15 provinces of China[J]. Chin J Sch Health, 2018, 39(6): 814-817. doi: 10.16835/j.cnki.1000-9817.2018.06.004
[2]	贺生, 甘启英, 范双凤, 等. 青年学生艾滋病的流行趋势与防控对策[J]. 中国艾滋病性病, 2018, 24(2): 208-210. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201802029.htm HE S, GAN Q Y, FAN S F, et al. Epidemic trend and preventive measures of AIDS among young students[J]. Chin J AIDS STD, 2018, 24(2): 208-210. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201802029.htm
[3]	吴尊友. 我国学校艾滋病防控形势及策略[J]. 中国学校卫生, 2015, 36(11): 1604-1605. http://www.cjsh.org.cn/article/id/zgxxws201511002 WU Z Y. AIDS prevention and control situation and strategy in Chinese schools[J]. Chin J Sch Health, 2015, 36(11): 1604-1605. http://www.cjsh.org.cn/article/id/zgxxws201511002
[4]	陈洁, 贺健梅, 郑军, 等. 2014—2018年长沙市青年学生艾滋病哨点监测结果分析[J]. 实用预防医学, 2019, 26(6): 675-678. doi: 10.3969/j.issn.1006-3110.2019.06.010 CHEN J, HE J M, ZHENG J, et al. Sentinel surveillance of HIV/AIDS among young students in Changsha City, 2014-2018[J]. Pract Prev Med, 2019, 26(6): 675-678. doi: 10.3969/j.issn.1006-3110.2019.06.010
[5]	高迪思, 吴静, 张文静, 等. 男男性行为青年学生艾滋病知识与行为现况[J]. 中国学校卫生, 2019, 40(3): 359-363. doi: 10.16835/j.cnki.1000-9817.2019.03.012 GAO D S, WU J, ZHANG W J, et al. HIV knowledge and high-risk sexual behaviors of men who have sex with men in college students[J]. Chin J Sch Health, 2019, 40(3): 359-363. doi: 10.16835/j.cnki.1000-9817.2019.03.012
[6]	马迎华. 中国青少年学生艾滋病防控的关键要素[J]. 中国学校卫生, 2020, 41(12): 1761-1765. doi: 10.16835/j.cnki.1000-9817.2020.12.001 MA Y H. Key elements of HIV/AIDS prevention and control for young students in China[J]. Chin J Sch Health, 2020, 41(12): 1761-1765. doi: 10.16835/j.cnki.1000-9817.2020.12.001
[7]	DING R, GUO C, SONG X, et al. Male knowledge, attitude and practice and partner pregnancy among Chinese unmarried youth[J]. PLoS One, 2019, 14(3): e0214452. doi: 10.1371/journal.pone.0214452
[8]	LIANG M, SIMELANE S, FORTUNY F G, et al. The state of adolescent sexual and reproductive health[J]. J Adolesc Health, 2019, 65(6s): 3-15.
[9]	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. Office of the State Council for the Prevention and Treatment of AIDS of the PRC. China HIV/AIDS monitoring and evaluation framework(trial)[M]. Beijing: People's Health Publishing House, 2007.
[10]	HIGHTOW L B, MACDONALD P D, PILCHER C D, et al. Theunexpected movement of the HIV epidemic in the Southeastern United States: transmission among college students[J]. J Acquir Immun Defic Syndr, 2005, 38(5): 531-537. doi: 10.1097/01.qai.0000155037.10628.cb
[11]	张践明. "知识-信念-行为"关系之研究[J]. 湘潭大学学报(哲学社会科学版), 2009, 33(5): 130-134. https://www.cnki.com.cn/Article/CJFDTOTAL-XTDX200905023.htm ZHANG J M. On the relationship of knowledge-belief-behavior[J]. J Xiangtan Univ(Philosophy Soc Sci), 2009, 33(5): 130-134. https://www.cnki.com.cn/Article/CJFDTOTAL-XTDX200905023.htm
[12]	LI G Q, JIANG Y, ZHANG L Q. HIV upsurge in China's students[J]. Science, 2019, 364(6442): 711. doi: 10.1126/science.aay0799
[13]	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. Strategies for AIDS prevention and control among young students[J]. Chin J Sch Health, 2016, 37(11): 1601-1603. doi: 10.16835/j.cnki.1000-9817.2016.11.001
[14]	张欣, 娜荷芽, 叶墨, 等. 北京大学生艾滋病相关知识、态度、行为的变化特点及影响因素[J]. 北京大学学报(医学版), 2017, 49(3): 462-468. doi: 10.3969/j.issn.1671-167X.2017.03.015 ZHANG X, NA H Y, YE M, et al. Changes of acquired immune deficiency syndrome related knowledge, attitudes, behaviors and their influencing factors among college students in Beijing[J]. J Peking Univ (Healt Sci), 2017, 49(3): 462-468. doi: 10.3969/j.issn.1671-167X.2017.03.015
[15]	MOHAPI B J, PITSOANE E M. Life skills as a behaviour change strategy in the prevention of HIV and AIDS: perceptions of students in an open and distance learning institution[J]. Sahara J, 2017, 14(1): 77-84. doi: 10.1080/17290376.2017.1374878
[16]	BAUERMEISTER J, SULLIVAN P S, GRAVENS L, et al. Reducing HIV vulnerability through a multilevel life skills intervention for adolescent men(The iREACH Project): protocol for a randomized controlled trial[J]. JMIR Res Protoc, 2018, 7(7): e10174. doi: 10.2196/10174
[17]	陈建慧. 联合国艾滋病规划署驻华代表桑爱玲: 建议推进全面性教育[EB/OL]. (2020-09-26)[2021-08-17]. https://m.thepaper.cn/newsDetail_forward_9358034. CHEN J H. UNAIDS representative in China: it is suggested to promote comprehensive sex education[EB/OL]. (2020-09-26)[2021-08-17]. https://m.thepaper.cn/newsDetail_forward_9358034.
[18]	教育部. 教育部、国家卫生健康委联合部署加强新时代学校预防艾滋病教育工作[EB/OL]. (2019-10-14)[2021-08-17]. http://www.gov.cn/xinwen/2019-10/14/content_5439614.htm. Ministry of Education of the PRC. Ministry of Education of the PRC, National Health Commission of the PRC joint deployment to strengthen AIDS prevention education in new age schools[EB/OL]. (2019-10-14)[2021-08-17]. http://www.gov.cn/xinwen/2019-10/14/content_5439614.htm.
[19]	胡莹, 刘莉, 罗映娟, 等. 四川省学生艾滋病疫情现况分析[J]. 预防医学情报杂志, 2016, 32(12): 1337-1340. https://www.cnki.com.cn/Article/CJFDTOTAL-YFYX201612024.htm HU Y, LIU L, LUO Y J, et al. The HIV epidemic situation of students in Sichuan Province[J]. J Prev Med Inf, 2016, 32(12): 1337-1340. https://www.cnki.com.cn/Article/CJFDTOTAL-YFYX201612024.htm
[20]	国家卫生健康委, 中央宣传部, 中央政法委, 等. 关于印发遏制艾滋病传播实施方案(2019—2022年)的通知国卫疾控发〔2019〕54号[EB/OL]. (2019-10-13)[2021-08-17]. http://www.gov.cn/xinwen/2019-10/13/content_5439036.htm. National Health Commission of the PRC, Central Propaganda Department of the PRC, Central political and Legal Commission of the PRC, et al. Notice on issuing the implementation plan to curb the spread of AIDS (2019-2022)[EB/OL]. (2019-10-13)[2021-08-17]. http://www.gov.cn/xinwen/2019-0/13/content_5439036.htm.