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济南市中职学生高危性行为后HIV检测意愿调查

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目的 了解济南市中职学生性行为特征以及高危性行为后人类免疫缺陷病毒(human immunodeficiency virus,HIV)检测意愿,为中职学生艾滋病防治提供依据,制定宣传策略.方法 2022年9-11月采用分层整群抽样方法对济南市4所中职学校的3 235名学生进行自填式问卷调查,收集其人口学、艾滋病知识、性行为等信息,并对数据进行分析.结果 在3 235名中职学生中,7.39%(239/3 235)的学生发生过性行为,其中16.32%的学生和至少6个人发生过性关系,17.99%的学生曾被迫发生过性行为,首次性行为没有使用安全套的占21.76%.调查对象中有64.39%的学生没有参加过学校开设的预防艾滋病性病的相关课程,31.84%的学生没有参加过学校开设的预防艾滋病性病等相关的活动,19.35%的学生没在学校期间学过有关性健康教育的课程.30.54%的学生没有听说过HIV检测,96.75%的学生没有做过HIV检测,30.60%的学生在发生了高危性行为后不会去做HIV检测.多因素logistic回归分析结果显示,性别、家庭状况、父亲学历、艾滋病知识知晓、是否发生过性行为、是否参加过学校开设的预防艾滋病性病等相关的活动(如主题班会、专家讲座、宣传栏等)、在学校期间是否学过有关性健康教育课程是中职学生高危性行为后HIV检测意愿的影响因素(均P<0.05).结论 济南市中职学生中存在艾滋病感染风险较高的行为,高危性行为后HIV检测意愿不高,学校艾滋病预防及性健康教育相关课程和活动的比例不高.因此,学校应增强对中职学生高危性行为的干预,加强对中职学生的艾滋病预防和性健康教育的宣传,采取科学、适当的方式进行干预.
Investigation on HIV testing after high-risk sexual behavior among secondary vocational students in Jinan City
Objective To understand the sexual behaviour and the human immunodeficiency virus(HIV)testing after high-risk sexual behavior among secondary vocational students in Jinan City.Methods From September to November 2022,a self-administered questionnaire survey was conducted among 3 235 students from four secondary vocational schools in Jinan by stratified cluster sampling method,and information on their demography,AIDS knowledge,sexual behavior was collected and analyzed.Results In the total 3 235 secondary vocational students,7.39%(239/3 235)students had sex.Among them,16.32%had sex with 6 or more people,17.99%had been forced to have sex,21.76%did not use condom during their first sexual intercourse.In the total subjects,64.39%had not participated in the courses of preventing AIDS/STD,31.84%had participated in the activities of preventing AIDS/STD(such as the theme class meeting/expert lecture/propaganda column,etc.),19.35%had not taken any sexual health education courses in school,30.54%had never heard of HIV testing,96.75%had never been tested for HIV,and 30.60%would not be tested for HIV after having high-risk sex.The results of multifactor logistic regression analysis showed that gender,family status,knowledge of AIDS,sexual behavior,participation in AIDS/STD prevention and other related activities(such as theme class meetings,expert lectures,bulletin boards,etc.),and learning about sexual health education courses during school were the influencing factor of the willingness of secondary vocational school students to test HIV after high-risk sexual behaviors(all P<0.05).Conclusions There are high risk behaviors of AIDS infection among secondary vocational school students,and the proportion of courses and activities related to AIDS prevention and sexual health education in schools is not high in Jinan.Therefore,school administrators should strengthen the intervention of high-risk sexual behaviors of secondary vocational school students,strengthen the publicity of AIDS prevention and sexual health education,and adopt scientific and appropriate ways to intervene for secondary vocational school students.

Acquired immunodeficiewy syndromeHuman immunodeficiency virus testingSecondary vocational students

滕婉莹、李新蕊、李建卓、王美花

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济南市疾病预防控制中心艾滋病防制所,山东济南 250021

艾滋病 人类免疫缺陷病毒检测 中职学生

2024

职业与健康
天津市疾病预防控制中心 中华预防医学会

职业与健康

CSTPCD
影响因子:0.737
ISSN:1004-1257
年,卷(期):2024.40(2)
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