成都市某区男性青年学生HIV/AIDS相关行为特征定性研究

冷冰; 周建珲; 徐菁佩; 王德伟

doi:10.16835/j.cnki.1000-9817.2024241

成都市某区男性青年学生HIV/AIDS相关行为特征定性研究

doi: 10.16835/j.cnki.1000-9817.2024241

1.
四川省成都市成华区疾病预防控制中心重大疾病防制科，610051
2.
成都市疾病预防控制中心性病艾滋病防治科

详细信息

作者简介:
冷冰(1987-)，女，四川资阳人，硕士，主管医师，主要从事艾滋病预防控制工作

通讯作者:
王德伟，E-mail: 464557712@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 R512.91 G479
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- 被引次数: 0
出版历程
- 收稿日期: 2024-02-19
- 修回日期: 2024-06-28
- 网络出版日期: 2024-08-31
- 刊出日期: 2024-08-25

Qualitative study on HIV/AIDS-related behavioral characteristics in young cases of male students from a district of Chengdu

1.
Department of Critical Disease Prevention and Control, Chenghua Center for Disease Control and Prevention, Chengdu (610051), Sichuan Province, China

摘要

摘要: 目的了解成都市某区人类免疫缺陷病毒感染/艾滋病(HIV/AIDS)男性青年学生病例确诊前性行为和AIDS知识获取情况，为制定青年学生AIDS防治措施提供参考依据。方法对2021年1月—2023年12月招募的25名成都市某区新报告的HIV/AIDS男性青年学生进行定性访谈，调查内容包括AIDS感染相关高危行为、知识获取途径及感染后心理状况等。结果所有访谈者均发生过同性性行为，首次同性性行为平均年龄为(17.48±1.64)岁。从首次性行为到确诊的时长，最短为0年，最长为8年，平均为(2.72±1.41)年。所访谈者安全套使用率均较低，仅2人表示“每次都用”，且12人确诊前从未进行过HIV检测。所有访谈对象均知晓AIDS相关知识，但对风险的认知度较低，其中16人认为自己不会被感染，8人知晓有风险但存在侥幸心理，1人不知道这些知识的作用。学校和网络是主要的知识获取途径，其中3人通过微博、抖音、知乎等网络平台了解，9人通过学校的讲座、主题班会等获取知识，13人通过学校和网络了解过相关知识；所有访谈对象均未从家庭教育中获取过AIDS相关知识。在知道自己患病后，21人存在沮丧、抑郁、悲观、绝望等负面情绪(7人表示焦虑和抑郁，9人感到恐惧和害怕，5人感到悔恨)，仅4人态度较为坦然。结论首次性行为年龄较小、多性伴、网络交友普遍以及AIDS知行分离是HIV/AIDS男性青年学生感染的重要原因。需制定有针对性的防治措施，遏制AIDS在青年学生中的传播。
- 人免疫缺陷病毒蛋白质类 /
- 获得性免疫缺陷综合征 /
- 行为 /
- 学生
Abstract: Objective To investigate the sexual behaviors and acquired immunodeficiency syndrome (AIDS) knowledge acquisition of male students with human immunodeficiency virus(HIV)/AIDS before diagnosis, so as to provide reference for formulating policies and measures for AIDS prevention and control among young students. Methods Qualitative interviews were conducted among 25 newly reported HIV/AIDS male students recruited from January 2021 to December 2023 in the district of Chengdu. The contents of the interviews included high-risk behaviors related to HIV infection, access to knowledge and psychological status after infection. Results All interviewees had sex with men, and the mean age of first homosexual behavior was (17.48±1.64) years old. The time from first sexual behavior to confirmation ranged 0-8 years, with an average of (2.72±1.41) years. The proportion of condom use among interviewees was low, only 2 students reported using every time, and 12 students had never been tested for HIV infection before diagnosis. All interviewees were aware of knowledge about AIDS, but their awareness of risk was low. Among them, 16 thought that they would not be infected, 8 were aware of risks but held a luck mindset, and one did not know the role of such knowledge. Schools and Internet were the main ways to obtain knowledge. Among them, 3 got knowledge through Weibo, Douyin, Zhihu, etc., 9 got knowledge through school lectures, theme class meetings, etc., and 13 got knowledge through schools and the Internet. None of the interviewees had acquired AIDS related knowledge from family education. After knowing being infected, 21 students reported depression, frustration, pessimism, despair and other negative emotions(7 students expressed anxiety and depression, 9 students had fear and terror, 5 students felt regret) and only 4 students had a relatively calm attitude. Conclusions The primary reasons for the infection of young students are early age of first sexual behavior, multiple sexual partners, popularity of online dating and separation of AIDS knowledge and practice among HIV/AIDS male students. Targeted prevention and control measures should be developed to suppress AIDS transmission among young students.
- Human immunodeficiency virus proteins /
- Acquired immunodeficiency syndrome /
- Behavior /
- Students
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