Occurrence of high risk sexual behaviors and influencing factors among HIV/AIDS diagnosed patients in Anhui Province
Objective To understand the occurrence of high risk sexual behaviors and the influencing factors among HIV/AIDS diagnosed patients in Anhui Province.Methods Using purposive sampling,four cities/counties in major HIV/AIDS epidemic areas in Anhui Province were selected as survey sites,and a cross-sectional survey was conducted among HIV/AIDS patients aged 18 years and above who were currently living in these selected areas.Results A total of 1 608 HIV/AIDS patients were surveyed,and their HIV/AIDS-related knowledge awareness rate was 95.8％(1 540/1 608).Among the respondents,54.7％(478/874)reported engaging in sexual activities with their spouse or cohabitant in the last year after being diagnosed with HIV,of whom 14.0％(67/478)reported engaging in high risk sexual behaviors.In the last year,5.2％(84/1 608)of the respondents reported engaging in commercial sexual activities,and among them,22.6％(19/84)reported engaging in high risk sexual behaviors.Furthermore,8.4％(135/1 608)of the respondents were involved in casual sexual activities(such as one-night stands),and among them,20.0％(27/135)reported engaging in high risk sexual behaviors.In addition,4.6％(54/1 186)of the respondents engaged in homosexual sexual activities,and among them,40.7％(22/54)reported engaging in high risk sexual behaviors.Multivariate logistic regression analysis showed that HIV/AIDS patients living in Hefei City(OR=0.170,95％CI:0.075-0.385)and Lu'an city(OR=0.226,95％CI:0.125-0.407),had low education level(OR=1.174,95％CI:1.039-2.834),lack of awareness of HIV/AIDS prevention and control knowledge(OR=2.556,95％CI:1.097-5.955),not receiving free condom distribution services in the past 6 months(OR=4.095,95％CI:1.435-11.683),and not receiving HIV/AIDS publicity materials in the past 6 months(OR=2.929,95％CI:1.004-8.544)were risk factors for engaging in high risk sexual behaviors after HIV/AIDS diagnosis.Conclusions A certain proportion of HIV/AIDS patients in Anhui Province still engage in high risk sexual behaviors after being diagnosed with HIV,posing a risk of HIV transmission to their spouses or sexual partners.Continuous efforts should be made to strengthen health education and promote the use of condoms among HIV/AIDS patients with a lower level of education.Additionally,regular distribution of free condoms and HIV/AIDS publicity materials to HIV/AIDS patients is recommended.
HIVrisky sexual behaviorinfluencing factorscross-sectional survey
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NSTL
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