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云南省新报告青年学生HIV/AIDS患者流行病学调查

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目的 探究云南省青年学生人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染者/艾滋病(acquired immune deficiency syndrome,AIDS)患者(简称HIV/AIDS患者)的特征和性行为特点,旨在为更有效的制定针对性防控措施提供依据,以降低青年学生感染HIV的风险.方法 通过问卷调查和定性访谈获得青年学生HIV/AIDS患者确诊前的详细性接触史等信息.采用x2检验比较研究对象在性别、性行为和交友方式间的差异;定性访谈资料采用现象学研究的方法进行分析.结果 共调查245名青年学生HIV/AIDS患者.男性患者中发生过同性性行为的占81.7%,通过比较线上和线下交友途径,发现男性患者首次同性性行为年龄、同性性伴数、安全套使用比例的差异均有统计学意义(均P<0.05).女性患者中年龄在15-<19岁的占68.8%,少数民族占65.6%.定性访谈结果显示,受访的男性患者均通过同性性行为传播HIV,女性患者均通过固定性伴传播,且普遍缺乏安全套使用意识.结论 云南省新报告的青年学生HIV/AIDS病例中,以同性性传播为主.女性病例中未成年患者占比较高.建议教育部门将性教育纳入入学教育或必修课程,以增强青年学生的自我保护意识和能力.
Epidemiological survey of newly reported young students with HIV/AIDS in Yunnan Province
Objective To understand the characteristics and sexual behaviors among young students with human immunodeficiency virus(HIV)/acquired immune deficiency syndrome(AIDS)(HIV/AIDS)in Yunnan Province.Methods Through questionnaires and qualitative interviews,de-tailed sexual contact history and other information were obtained from young students with HIV/AIDS be-fore diagnosis.The x2test was used to compare the differences between the study subjects in terms of gen-der,sexual behavior and friendship style.Qualitative interview data were analysed using phenomenological research methods.Results A total of 245 young students with HIV/AIDS were investigated.81.7%had homosexual behavior among the boys.The comparison between online and offline dating boys showed that there were significant differences in the age of first homosexual behavior,the number of sex partners and the proportion of condom use(P<0.05).Among the girls,68.8%was 15-<19 years old and 65.6%was ethnic minorities.Qualitative interviews showed that all boys were infected by homosexual transmission while all girls were infected by their fixed sexual partners,and their awareness of condom use was weak.Conclusions Among the newly reported HIV/AIDS cases in young students in Yunnan Province,same-sex transmission is the predominant.The proportion of female cases among minors is relatively high.It is recommended that the education sector include sex education in school entrance education or compulsory courses to improve the awareness and ability of young students to protect themselves.

Young studentsHuman immunodeficiency virus/acquired immune deficiency syn-drome patientsEpidemiological survey

李雪华、肖民扬、付丽茹、宋丽军、张祖样、牛瑾、王晓雯、施玉华、罗红兵

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云南省疾病预防控制中心性病艾滋病防制所,昆明 650022

云南省艾滋病研究所,昆明 650034

青年学生 人类免疫缺陷病毒感染者/艾滋病患者 流行病学调查

2024

中华疾病控制杂志
中华预防医学会 安徽医科大学

中华疾病控制杂志

CSTPCD北大核心
影响因子:1.862
ISSN:1674-3679
年,卷(期):2024.28(12)