A qualitative study on high risk behaviors of HIV/AIDS among young adult males in Shandong Province
-
摘要:
目的 了解山东省青年男生艾滋病病毒感染者/艾滋病患者(HIV/AIDS)艾滋病相关行为特征及感染HIV的主要因素, 为制定有针对性的艾滋病防制策略提供依据。 方法 2021年7月按照方便抽样方法招募当年1—6月山东省新报告31名青年男生HIV/AIDS进行一对一深入访谈, 了解其确诊前的行为特征。 结果 31名青年男生感染途径均为同性传播, 平均年龄(20.6±1.8)岁, 确诊时就读大专及以上者占90.3%(28/31)。访谈结果显示, 93.5%(29/31)的被访者与HIV感染状况未知的临时性伴发生同性性行为患病, 其中86.2%(25/29)通过社交软件联系临时性伴。所有青年男生均知晓艾滋病相关知识, 但发生同性性行为时, 83.9%(26/31)偶尔使用安全套, 16.1%(5/31)从未使用。74.2%(23/31)的青年男生HIV/AIDS有HIV既往检测史。 结论 与HIV感染状况未知的临时性伴发生高危性行为及艾滋病知信行分离是青年男生感染HIV的主要因素。需制定有针对性的防制策略, 控制HIV在青年男生群体的传播。 -
关键词:
- 获得性免疫缺陷综合征 /
- 人免疫缺陷病毒蛋白质类 /
- 行为 /
- 学生 /
- 男(雄)性
Abstract:Objective To identify high risk behaviors and infection-related factors among young adult males diagnosed with HIV/AIDS in Shandong Province, to provide evidence for targeted AIDS prevention and control strategies. Methods By using convient sampling method, an face-to-face in-depth interview on HIV-related behaviors was conducted among young adult males newly diagnosed with HIV/AIDS in Shandong Province in July 2021. Results A total of 31 young adult males diagnosed with HIV/AIDS were interviewed. All were male and infected through homosexuality behavior. Average age was (20.6±1.8) years. Totally 90.3% (28/31) were enrolled in tertiary education at the time of diagnosis. The findings revealed that 93.5% (29/31) of participants got infection due to unprotected homosexual behavior with the temporary partner whose HIV infection status was unknown, and 86.2% (25/29) got in touch with these temporary partner by social software. The awareness rate of knowledge about AIDS among all the participants was 100%, however, 83.9% (26/31) reported occasion condom usage while having homosexual behavior, and 16.1% (5/31) never did. Totally 74.2% (23/31) of the young adult males diagnosed with HIV/AIDS had a history of HIV testing before diagnosis. Conclusion The primary high risk behavior of HIV infection in young adult students are unawareness of HIV infection status for temporary sexual partner and the separation of knowing and doing. A targeted strategy should be developed to control the spread of HIV in young adult students. -
Key words:
- Acquired immunodeficiency syndrome /
- Human immunodeficiency virus proteins /
- Behavior /
- Students /
- Male
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 山东省青年男生HIV/AIDS AIDS相关行为特征及知识来源构成(n=31)
Table 1. Behavioral characteristics and knowledge sources about AIDS for youth males HIV/AIDS in Shandong Province(n=31)
分类 人数 首个同性性伴身份 同学或校友 20(64.5) 老师 1(3.2) 社会人士 10(32.3) 感染HIV时的同性性伴身份 临时交往社会人士 19(61.3) 临时交往学生 9(29.0) 临时交往身份不详 1(3.2) 固定交往社会人士 2(6.5) 感染时性伴HIV感染状况知晓情况 未知 31(100.0) 已知 0 首次同性性行为至确诊时性伴数/个 1 2(6.5) 2~ < 10 24(77.4) 10~ < 20 3(9.7) 20~50 1(3.2) > 50 1(3.2) 交友方式 线上 21(67.7) 线上和线下 10(32.3) 线下 0 安全套使用情况 从未使用 5(16.1) 偶尔使用 26(83.9) 既往HIV检测史 有 23(74.2) 无 8(25.8) 此次确诊HIV检测情况 同性性行为后直接VCT 8(25.8) 同性性行为且出现感冒皮疹等疑似症状VCT 2(6.5) 性伴确诊阳性后VCT 1(3.2) 同性性行为后医疗机构 6(19.4) 自检阳性 7(22.6) 无偿献血 4(12.9) 术前检测 3(9.7) AIDS相关知识来源 线上 24(77.4) 线上和线下 7(22.6) 线下 0 注：()内数字为构成比/%。 
下载: 导出CSV
-
[1] 郑建东, 庞琳, 徐杰, 等. 北京市大学生男男性行为者同性性行为特征分析[J]. 疾病监测, 2011, 26(6): 450-453, 457. doi: 10.3784/j.issn.1003-9961.2011.06.010ZHENG J D, PANG L, XU J, et al. Study on the characteristics of male-to-male sexual behaviors among male university students who have sex with men in Beijing, China[J]. Dis Surveill, 2011, 26(6): 450-453, 457. (in Chinese) doi: 10.3784/j.issn.1003-9961.2011.06.010 [2] 教育部办公厅国家卫生健康委办公厅切实加强新时代学校预防艾滋病教育工作的通知[A/OL]. (2019-12-25)[2021-12-06]. http://jyt.jiangsu.gov.cn/module/download/downfile.jsp?classid=0&filename=639f2ec55717452d8af88dccfd14e136.pdf.Notice of the General Office of the Ministry of Education and the General Office of the National Health Commission on strengthening AIDS prevention education in schools[A/OL]. (2019-12-25)[2021-12-06]. http://jyt.jiangsu.gov.cn/module/download/downfile.jsp?classid=0&filename=639f2ec55717452d8af88dccfd14e136.pdf. (in Chinese) [3] 李玲, 杨兴光, 张娜, 等. 山东省2010-2019年学生艾滋病流行状况[J]. 中国学校卫生, 2021, 42(10): 1568-1570. doi: 10.16835/j.cnki.1000-9817.2021.10.030LI L, YANG X G, ZHANG N, et al. Epidemiology of HIV/AIDS among students in Shandong Province from 2010 to 2019[J]. Chin J Sch Health, 2021, 42(10): 1568-1570. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.10.030 [4] ALCOCER-BRUNO C, FERRER-CASCALES R, RUIZ-ROBLEDILLO N, et al. Personal and lifestyle determinants of HIV transmission risk in Spanish university students[J]. Int J Environ Res Public Health, 2020, 17(22): 8332-8349. [5] 陈韵聪, 徐慧芳, 罗业飞, 等. 基于Andersen模型探讨自评HIV感染风险高的学生接受检测服务的影响因素[J]. 中华流行病学杂志, 2021, 42(11): 1930-1936. doi: 10.3760/cma.j.cn112338-20210317-00214CHEN Y C, XU H F, LUO Y F, et al. Analysis on influencing factors of HIV testing services utilization in students with self-assessed high risk of HIV infection based on Andersen's model[J]. Chin J Epidemiol, 2021, 42(11): 1930-1936. (in Chinese) doi: 10.3760/cma.j.cn112338-20210317-00214 [6] MARIJA M, TATJANA G, JASMINA S, et al. Patterns of condom use in a university student population residing in a high-risk area for HIV infection[J]. Eur J Contracept Reprod Health Care, 2020, 25(4): 269-278. [7] 孙丽, 周建波, 王金塔. 江苏省常州市自愿咨询检测门诊学生男男性行为者HIV感染状况及相关因素[J]. 中华预防医学杂志, 2019, 53(3): 293-297. doi: 10.3760/cma.j.issn.0253-9624.2019.03.011SUN L, ZHOU J B, WANG J T. Analysis of HIV infection status and the related factors among male students who have sex with men from voluntary counseling and testing clinics by classification tree model in Changzhou City, Jiangsu Province[J]. Chin J Prev Med, 2019, 53(3): 293-297. (in Chinese) doi: 10.3760/cma.j.issn.0253-9624.2019.03.011 [8] 中国疾病预防控制中心性病艾滋病预防控制中心. 青年学生艾滋病流行病学调查指导方案[EB/OL]. (2020-03-24)[2021-04-12]. https://www.chinaaids.cn/qsnazbfk/xzzx/.National Center for AIDS/STD Control and Prevention, China CDC. The guideline for epidemiology investigation for youth students[EB/OL]. (2020-03-24)[2021-04-12]. https://www.chinaaids.cn/qsnazbfk/xzzx/. (in Chinese). [9] CRESWELL J W. Qualitative inquiry and research design: choosing among five approaches[M]. Thousand Oaks, CA: Sage, 1998. [10] 韩晶, 毛宇嵘, 汤后林, 等. 2013-2017年中国新报告青年学生HIV感染者首次随访及CD4+T淋巴细胞检测情况分析[J]. 中华预防医学杂志, 2018, 52(12): 1254-1258. doi: 10.3760/cma.j.issn.0253-9624.2018.12.012HAN J, MAO Y R, TANG H L, et al. Initial follow-up and CD4+T cell count test of newly reported students HIV cases in China, 2013-2017[J]. Chin J Prev Med, 2018, 52(12): 1254-1258. (in Chinese) doi: 10.3760/cma.j.issn.0253-9624.2018.12.012 [11] US CDC. Sexually transmitted disease surveillance, 2019[EB/OL]. (2021-04-01)[2021-12-02]. https://www.cdc.gov/std/statistics/2019/default.htm. [12] 张冬, 周宁, 盖青, 等. 某高校大学生网约性行为发生情况及影响因素分析[J]. 中国艾滋病性病, 2021, 27(4): 378-381. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA202104017.htmZHANG D, ZHOU N, GAI Q, et al. Occurrence and influencing factors of hookup on APP among college students[J]. Chin J AIDS STD, 2021, 27(4): 378-381. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA202104017.htm [13] BEYMER M R, WEISS R E, BOLAN R K, et al. Sex on demand: geosocial networking phone apps and risk of sexually transmitted infections among a cross-sectional sample of men who have sex with men in Los angeles County[J]. Sex Transm Infect, 2014, 90(7): 567-572. https://sti.bmj.com/content/90/7/567 [14] 豆正东, 方艳姣, 芮蓓, 等. 2011—2015年芜湖市男男性行为人群安全套使用状况及影响因素分析[J]. 中华疾病控制杂志, 2018, 22(3): 254-257, 286. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201803010.htmDOU Z D, FANG Y J, RUI B, et al. Status of condom use and influencing factors among men who have sex with men in Wuhu City from 2011 to 2015[J]. Chin J Dis Control Prev, 2018, 22(3): 254-257, 286. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201803010.htm [15] 中国疾病预防控制中心. 男男性行为人群预防艾滋病干预工作指南[A/OL]. (2016-09-13)[2021-12-02]. http://ncaids.chinacdc.cn/sjb/tzgg_10325/201609/W020160913346815395954.pdf.Chinese Center for Disease Control and Prevention. Guidelines for HIV prevention interventions among men who have sex with men[A/OL]. (2016-09-13)[2021-12-02]. http://ncaids.chinacdc.cn/sjb/tzgg_10325/201609/W020160913346815395954.pdf. (in Chinese) [16] 唐卫国, 吴国辉, 黄霞, 等. 重庆市无偿献血人群中HIV感染者的流行病学特征分析[J]. 中国输血杂志, 2011, 24(7): 562-565. https://www.cnki.com.cn/Article/CJFDTOTAL-BLOO201107010.htmTANG W G, WU G H, HUANG X, et al. Epidemiological characteristics of HIV infections among voluntary blood donors in Chongqing[J]. Chin J Blood Transfus, 2011, 24(7): 562-565. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-BLOO201107010.htm [17] 陈江天, 王翠娥, 潘晓红, 等. 杭州市2008—2017年无偿献血者HIV感染状况及特征分析[J]. 中华流行病学杂志, 2019, 40(3): 322-326.CHEN J T, WANG C E, PAN X H, et al. HIV infection status and characteristics of non-remunerated blood donors in Hangzhou, 2008-2017[J]. Chin J Epidemiol, 2019, 40(3): 322-326. (in Chinese) [18] 赵聪, 王圣然, 刘光耀, 等. 武汉市男男性行为大学生艾滋病知信行现状[J]. 中国学校卫生, 2019, 40(9): 1399-1401. doi: 10.16835/j.cnki.1000-9817.2019.09.034ZHAO C, WANG S R, LIU G Y, et al. Current status of HIV knowledge and beliefs among men who have sex with men college students in Wuhan[J]. Chin J Sch Health, 2019, 40(9): 1399-1401. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.09.034 -
点击查看大图
表(1)
计量
- 文章访问数: 371
- HTML全文浏览量: 164
- PDF下载量: 21
- 被引次数: 0
