艾滋病单阳家庭安全套使用情况及影响因素

目的了解调查地区艾滋病感染单阳家庭安全套的使用现状及其影响因素。方法采用自行设计的调查问卷,以面对面的调查方式,对我国河南、云南、广西、四川等地区的艾滋病感染单阳家庭进行调查,内容主要包括人口学信息、艾滋病相关知识与行为、安全套使用情况等;并结合艾滋病综合防治数据信息系统的资料收集调查对象的感染途径等信息。结果本研究共调查艾滋病单阳夫妇770对,得知感染情况后安全套的使用率提高,从配偶回答的角度来看,89.4%的单阳家庭增加了安全套的使用,65.7%的单阳家庭做到了每次性行为时均使用安全套。多因素非条件Logistic回归结果显示,彝族（OR=281.535,95%CI：102.266～775.060）、性生活频率高（OR=1.606,95%CI：1.090～2.365）、文化程度高（OR=0.610,95%CI：0.416～0.894）、无子女（OR=0.287,95%CI：0.140～0.590）是能否坚持使用安全套的主要影响因素。结论要提高安全套的使用率,需提高单阳家庭成员的文化程度,并重点在彝族人群中开展干预工作,促进安全性行为,从而避免艾滋病配偶间传播。

Investigation on condom use and its relative influencing factors among families with single-positive HIV infection

Objective To investigate the situation of condom use and its relative influencing factors among families with single-positive HIV infection. Methods Face to face questionnaire survey including demographic data, AIDS related knowledge and behavior, and situation of condom use was conducted to investigate relative message on single-positive HIV infected families in Henan, Yunnan, Guangxi and Sichuan Province. AIDS prevention and control data information system was used to collect data on transmission. Results There were 770 HIV single-positive couples in all, and the rate of con- dom use increased after knowing knowledge about infections. 89.4% of single-positive families increased the use of con- dom, and 65. 7% people who living with HIV/AIDS （PLHIV） patients used condoms every time they conducted sexual be-havior with their spouses. Multiple unconditional Logistic regression showed that Yi People （ OR = 281. 535, 95% CI： 102. 266-775. 060）, high sex behavior frequency （ OR = 1. 606,95% CI： 1. 090-2. 365 ）, high education（ OR = 0. 610, 95% CI：O. 416-0. 894）, and no child（ OR = 0. 287,95% CI：0. 140-0. 590） were associated with condom use. Conclu-sions HIV single-positive families＇ educational level should be enhanced, and interventional work among Yi People should also be strengthened in order to increase condom use rate and finally prevent spousal transmission.