应用预防医学
應用預防醫學
응용예방의학
JOURNAL OF APPLIED PREVENTIVE MEDICINE
2015年
3期
148-151
,共4页
吴兴华%沈智勇%陈欢欢%陆华湘%陈礼%黄慧%罗柳红%阮玉华%张鸿满%唐振柱
吳興華%瀋智勇%陳歡歡%陸華湘%陳禮%黃慧%囉柳紅%阮玉華%張鴻滿%唐振柱
오흥화%침지용%진환환%륙화상%진례%황혜%라류홍%원옥화%장홍만%당진주
HIV%中老年嫖客%艾滋病相关知识%商业性行为
HIV%中老年嫖客%艾滋病相關知識%商業性行為
HIV%중노년표객%애자병상관지식%상업성행위
HIV%elderly clients%HIV/AIDS knowledge%commercial sex behavior
目的:了解广西中老年男性嫖客商业性行为特征,研究该人群艾滋病知晓情况对商业性行为和HIV感染的影响。方法对低档暗娼场所≥50岁嫖客进行问卷调查获取基本社会人口学信息、商业性行为和艾滋病知晓情况,采集5mL静脉血检测HIV和梅毒抗体,使用PASW Statistics 18.0软件进行统计分析。结果本调查共获得有效问卷1761份,中老年嫖客艾滋病防制知识知晓率为26.8%。知晓者与不知晓者相比,最近两周发生性行为(OR=1.60,95%CI:1.26~2.04)、首次找小姐的时间在2005年之前(OR=1.65,95%CI:1.32~2.06)、嫖娼年限≥10年(OR=1.61,95%CI:1.29~2.02)等行为发生的风险更高;最近一个月发生无保护性行为(OR=0.69,95%CI:0.55~0.86)和 HIV 阳性(OR=0.51,95%CI:0.25~1.07)等风险较低。结论广西中老年嫖客艾滋病知晓率较低,知道艾滋病防制知识的中老年嫖客商业性行为具有暴露起点早,时间跨度长,近期性行为较多等特点,但HIV感染率较低,发生无保护性行为较少,提高该人群艾滋病知晓率对降低HIV感染有积极的作用。
目的:瞭解廣西中老年男性嫖客商業性行為特徵,研究該人群艾滋病知曉情況對商業性行為和HIV感染的影響。方法對低檔暗娼場所≥50歲嫖客進行問捲調查穫取基本社會人口學信息、商業性行為和艾滋病知曉情況,採集5mL靜脈血檢測HIV和梅毒抗體,使用PASW Statistics 18.0軟件進行統計分析。結果本調查共穫得有效問捲1761份,中老年嫖客艾滋病防製知識知曉率為26.8%。知曉者與不知曉者相比,最近兩週髮生性行為(OR=1.60,95%CI:1.26~2.04)、首次找小姐的時間在2005年之前(OR=1.65,95%CI:1.32~2.06)、嫖娼年限≥10年(OR=1.61,95%CI:1.29~2.02)等行為髮生的風險更高;最近一箇月髮生無保護性行為(OR=0.69,95%CI:0.55~0.86)和 HIV 暘性(OR=0.51,95%CI:0.25~1.07)等風險較低。結論廣西中老年嫖客艾滋病知曉率較低,知道艾滋病防製知識的中老年嫖客商業性行為具有暴露起點早,時間跨度長,近期性行為較多等特點,但HIV感染率較低,髮生無保護性行為較少,提高該人群艾滋病知曉率對降低HIV感染有積極的作用。
목적:료해엄서중노년남성표객상업성행위특정,연구해인군애자병지효정황대상업성행위화HIV감염적영향。방법대저당암창장소≥50세표객진행문권조사획취기본사회인구학신식、상업성행위화애자병지효정황,채집5mL정맥혈검측HIV화매독항체,사용PASW Statistics 18.0연건진행통계분석。결과본조사공획득유효문권1761빈,중노년표객애자병방제지식지효솔위26.8%。지효자여불지효자상비,최근량주발생성행위(OR=1.60,95%CI:1.26~2.04)、수차조소저적시간재2005년지전(OR=1.65,95%CI:1.32~2.06)、표창년한≥10년(OR=1.61,95%CI:1.29~2.02)등행위발생적풍험경고;최근일개월발생무보호성행위(OR=0.69,95%CI:0.55~0.86)화 HIV 양성(OR=0.51,95%CI:0.25~1.07)등풍험교저。결론엄서중노년표객애자병지효솔교저,지도애자병방제지식적중노년표객상업성행위구유폭로기점조,시간과도장,근기성행위교다등특점,단HIV감염솔교저,발생무보호성행위교소,제고해인군애자병지효솔대강저HIV감염유적겁적작용。
Objective To understand the characteristics about the commercial sexual behavior of elderly male clients in Guangxi and study the effect of HIV/AIDS knowledge on their commercial sexual behavior and HIV infection. Methods A survey was conducted among over 50 years old male clients from low-cost commercial sex venues in Guangxi. The data about basic demographics, commercial sexual behavior,and awareness rate of HIV/AIDS knowledge were collected and each client was taken 5mL of blood sample to test antibodies of HIV and syphilis. The obtained results were analysed by using PASW Statistics18.0 Results A total of 1 761 questionnaires were effective, and 26.8% of the subjects knew the HIV/AIDS knowledge. Compared with the subjects unknown HIV/AIDS knowledge, the subjects knnown HIV/AIDS knowledge had higher risk because of occuring sexual behavior in last two weeks(OR=1.60,95%CI: 1.26-2.04), having the first commercial sexual behavior before 2005(OR=1.65, 95% CI: 1.32-2.06) and continuing sexual life ≥10 years (OR=1.61, 95% CI: 1.29-2.02); On the contrary, because of occuring unprotected sexual behavior last month the risks of the clients were low (OR=0.69, 95% CI: 0.55-0.86) and had less HIV infection (OR=0.51, 95% CI: 0.25-1.07). Conclusion The elderly male clients have low rate of known HIV/AIDS knowledge in Guangxi and the clients known HIV/AIDS knowledge show some characters in the commercial sexual behavior including early exposure, long exposure and recent frequent sexual activity but they have low rate of HIV infection and less unprotected sexual behavior. Therefore, improving the awareness rate of HIV/AIDS knowledge may effectively reduce HIV infection.