华南预防医学 ›› 2017, Vol. 43 ›› Issue (1): 12-16.doi: 10.13217/j.scjpm.2017.0012

• 论著 • 上一篇    下一篇

深圳市宝安区流动人口艾滋病相关性行为及影响因素分析

孙群露1,周指明1,詹志强1,涂玉山1,饶展宏1,钱兵1,钟正1,方芳2   

  1. 1.深圳市宝安区疾病预防控制中心,广东 深圳 518101;2.中山大学公共卫生学院
  • 收稿日期:2016-10-07 修回日期:2016-10-07 出版日期:2017-03-07 发布日期:2017-03-21
  • 通讯作者: 方芳 E-mail:huazhliu@126.com
  • 作者简介:孙群露(1964—),女,硕士研究生,副主任医师,主要从事艾滋病预防控制工作
  • 基金资助:
    2015年深圳市宝安区科技计划社会公益(医疗卫生类项目)(2015―309)

HIV/AIDS-related sexual behaviors and influencing factors among migrant population in Baoan District, Shenzhen

SUN Qun-lu1, ZHOU Zhi-ming1, ZHAN Zhi-qiang1, TU Yu-shan1, RAO Zhan-hong1, QIAN Bing1, ZHONG Zheng1, FANG Fang2.   

  1. 1.Baoan District Center for Disease Control and Prevention, Shenzhen 518101,China; 2.School of Public Health,Sun Yat-sen University
  • Received:2016-10-07 Revised:2016-10-07 Online:2017-03-07 Published:2017-03-21

摘要: 目的了解深圳市宝安区流动人口与艾滋病相关的性行为发生情况并分析其影响因素,为艾滋病相关行为干预提供依据。方法采用随机整群抽样、匿名自填问卷调查方式,调查深圳市宝安区流动人口性行为特征情况,并采用logistic回归分析方法对调查对象发生艾滋病相关危险性行为情况及其影响因素进行分析。结果本次共调查3 265人,以20~40岁人群为主,占81.1%(2 648/3 265),59.5%(1 944/3 265)的调查对象已婚,调查对象中有2 830人发生过性行为,其中58.8%(1 663/2 830)的人有过多性伴。过去半年发生性行为时使用安全套的占36.6%(962/2 625)。发生过性行为的调查对象中5.6%(159/2 830)曾经发生过商业性性行为,其中每次都使用安全套的仅有37.7%(60/159)。多因素分析结果显示,低年龄(<20、20~30和31~40岁)相对于>40岁(OR=0.21、0.40、0.55)、未发生过商业性性行为相对于发生过商业性性行为(OR=0.31)的调查对象发生多性伴的可能性更低。20~30岁相对于>40岁(OR=1.52)、知晓艾滋病知识相对于不知晓(OR=1.37)的调查对象在发生性行为时使用安全套的可能性可高。婚后发生首次性行为相对于婚前发生性行为(OR=0.75)、初中、高中或中专相对于大专及以上(OR=0.51、0.74)、女性相对于男性(OR=0.82)的调查对象性行为发生时使用安全套的可能性更低。结论流动人口普遍存在多性伴、安全套使用率低等艾滋病相关高危行为,应该针对影响流动人口发生高危行为的影响因素开展相应的艾滋病行为干预措施,注重在流动人口中宣传安全套的作用,推广安全套的使用。

Abstract: ObjectiveTo analyze current status of HIV/AIDS-related sexual behaviors and influencing factors among migrant population in Baoan District, Shenzhen City, so as to provide evidence for HIV/AIDS related behavioral intervention.MethodsUsing random cluster sampling method and anonymous questionnaire survey, data of behavior characteristics of migrant population were collected and analyzed. Logistic regression models were conducted to analyze the prevalence of HIV/AIDS-related risk behaviors and influencing factors.ResultsA total of 3 265 persons were surveyed, 81.1% (2 648/3 265) of them were aged from 20 and 40 years, and 59.5% (1 944/3 265) were married. Of the respondents,2 830 had experienced sexual behaviors, of whom 58.8% (663/2 830) had multiple sexual partners in the past six months, 36.6% (962/2 625) of them used condom when they had sexual behaviors. Of those who had experienced sexual behaviors, 5.6% (159/2 830) reported that they had commercial sexual behaviors, but only 37.7% (60/159) used condoms each time when they had commercial sexual behaviors. Multivariate logistic regression analysis showed that the participants aged <20, 20-30, and 31-40 years compared with those aged over 40 years (OR= 0.21, 0.40, 0.55), and those without commercial sexual behavior compared with those who had commercial sex (OR= 0.31) were less likely to have multiple sexual partners. The participants aged 20-30years compared with those aged over 40 years (OR=1.52), those who knew HIV/AIDS knowledge compared with those who had no such knowledge (OR= 1.37) were more likely to use condoms during sex. The first sexual intercourse after marriage compared with sexual behavior before marriage (OR= 0.75), those with junior high school,high school or secondary school level compared with those with the educational level at college or above (OR= 0.51,0.74), the females compared with the males (OR= 0.82) were less likely to use condoms during sex.ConclusionThe current situation of HIV/AIDS-related behavior such as more sexual partners and low rate of condom use among migrant population was widespread. Intervention measures should be strengthened according to the influencing factors, including promoting the condom use.

中图分类号: 

  • R512.91