上海市松江区男性流动人群艾滋病相关知识、危险行为现状及影响因素分析

目的调查男性流动人群艾滋病相关知识了解情况,探索与艾滋病相关的危险行为现状及影响因素,为制定针对性干预策略提供依据。方法选择符合纳入标准的调查对象进行问卷调查,通过多因素回归分析其相关因素。结果本次调查共回收有效问卷523份,平均年龄为(29.2±9.5)岁。艾滋病知识知晓率为73.6%,文化程度是影响调查对象艾滋病知识水平的因素。523名被调查对象中,391人发生过性行为,其中45人(11.5%)发生过商业性行为,在发生商业性行为时坚持使用安全套的占77.8%,女方曾向被调查对象提出使用安全套的占86.7%。53.7%未婚调查对象发生过性行为。多因素分析显示,每周至少饮一次酒(OR=2.392)、已婚(OR=2.187)、对非婚性行为认为有需求则难以避免(OR=2.601)是发生商业性行为的影响因素。结论流动人群对艾滋病防治知识认识的不全面容易加重社会歧视,应强化宣传内容的精准性,抓住认知误区,有效提高人群的艾滋病知晓情况。同时,对艾滋病知识的宣传要针对不同文化程度的人群采用针对性的方式来开展。加强对未婚流动人群进行艾滋病性病健康教育。

Analysis of AIDS Related Knowledge,Dangerous Behavior and Influencing Factors Among Male FloatingPopulation in Songjiang,Shanghai

Objective To investigate the knowledge of AIDS among male floating population,explore the current situation and influencing factors of AIDS related risk behaviors,and provide basis for making targeted intervention strategies.Methods The subjects who met the inclusion criteria were selected for questionnaire survey,and the related factors were analyzed by multiple factor regression.Results A total of 523 valid questionnaires were collected in this survey,with an average age of(29.2±9.5)years.AIDS knowledge awareness rate was 73.6%,and education level is an influencing factor.Of the 523 persons surveyed,391 had had sexual behaviors,45(11.5%)of which had commercial sex behaviors,and 77.8%of those who insisted on condom use in commercial sexual behaviors,and 86.7%of the women who had proposed condom use to the subject under investigation.The proportion unmarried persons surveyed who had sexual behaviors was 53.7%.Multivariate analysis showed that drinking alcohol at least once a week(OR=2.392),being married(OR=2.187),and thinking of a need for non-marital sex was difficult to avoid(OR=2.601)was risk factors for commercial sexual behaviors.Conclusion It is easy to aggravate social discrimination if the knowledge of AIDS prevention and control of floating population is not comprehensive.The accuracy of propaganda content should been strengthened to grasp the misunderstanding of cognition,and effectively improve the AIDS awareness of the population.At the same time,the propaganda of AIDS knowledge should be carried out in a targeted way for people of different educational levels.Health education on HIV and STD should been strengthened among unmarried floating people.