Analysis on AIDS related knowledge, high-risk behaviors and STDs infection status of whoremasters in Kaiyuan City, Yunnan Province
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摘要:
目的 了解开远市嫖客人群艾滋病(acquired immunodeficiency syndrome, AIDS)相关知识和高危行为状况, 以及感染人类免疫缺陷病毒(human immunodeficiency virus, HIV)、梅毒、生殖器单纯疱疹病毒(herpes simplex virus type 2, HSV-2)状况, 分析HSV-2感染相关因素, 为制定预防措施提供依据。 方法 采用“外展人员招募”与“滚雪球”方式招募对象, 问卷调查并采集血液和尿液进行相应实验室检查。 结果 98.22%的嫖客知晓艾滋病知识; 9.33%曾使用过毒品; 14.67%在最近一次商业性行为时未使用安全套; 62.22%曾有过非婚性伴, 在过去一年与非婚性伴有性行为的嫖客中, 59.55%未坚持使用安全套。嫖客中HIV/梅毒/HSV-2的总体感染率为18.22%, 其中HIV、梅毒、HSV-2的感染率分别为3.11%、1.33%、16.44%。年龄较大者HSV-2感染率较高[AOR=1.044, 95%CI: 1.016~1.073, P=0.002], 最近一次商业性行为中未使用安全套者HSV-2感染率较高[AOR=3.125, 95%CI: 1.229~7.945, P=0.017]。 结论 开远市嫖客人群艾滋病知识知晓率高, 但仍存在高危行为, 有较高的HIV和其它性传播疾病感染率, 需采取针对性干预措施, 提高该人群感染性传播疾病的风险意识, 促进他们在商业和非婚性行为中坚持使用安全套。 Abstract:Objective To understand the awareness of AIDS related knowledge, high risk behaviors, the infection status of HIV, syphilis and HSV-2, and to explore the associated factors with HSV-2 infection among whoremasters in Kaiyuan City, so as to provide scientific evidence for targeted intervention to prevent and control HIV and other STDs. Methods A self-designed questionnaire survey was conducted among whoremasters recruited through outreach activities and snowball sampling. The blood and urine were also collected for corresponding laboratory examination. Results Among the whoremasters, 98.22% had a high awareness of AIDS related knowledge, 9.33% once used drugs, and 14.67% did not use a condom during the latest commercial sex. 62.22% of the whoremasters ever had non-marital sex partners, and of those who had sex with non-marital sex partners in the past year, 59.55% reported using condoms inconsistently. The total infection rate of HIV/syphilis/HSV-2 was 18.22% and the infection rates of HIV, syphilis and HSV-2 were 3.11%, 1.33% and 16.44%, respectively. The older whoremasters were more likely to have a higher HSV-2 infection rate[AOR=1.044, 95%CI: 1.016-1.073, P=0.002], and those whoremasters not using a condom during the latest commercial sex were more likely to have a higher HSV-2 infection rate[AOR=3.125, 95%CI: 1.229-7.945, P=0.017]. Conclusions Though whoremasters in Kaiyuan City had a high awareness of AIDS related knowledge, they had high-risk behaviors and relatively high HIV and other STDs infection rates. Targeted interventions are needed to improve the risk awareness of STDs infection to promote consistent condom use in both commercial and non-marital sexual behaviors among whoremasters. -
表 1 艾滋病知识知晓情况
Table 1. Awareness of AIDS related knowledge
艾滋病相关问题 正确人数n(人) 正确率(%) 一个感染了艾滋病病毒的人能从外表上看出来吗? 220 97.78 蚊虫叮咬会传播艾滋病吗? 214 95.11 与艾滋病病毒感染者或病人一起吃饭会感染艾滋病吗? 207 92.00 输入带有艾滋病病毒的血液会得艾滋病吗? 219 97.33 与艾滋病病毒感染者共用针具有可能得艾滋病吗? 222 98.67 感染艾滋病病毒的妇女生下的小孩有可能得艾滋病吗? 222 98.67 正确使用安全套可以减少艾滋病的传播吗? 221 98.22 只与一个性伴发生性行为可以减少艾滋病的传播吗? 222 98.67 艾滋病知识(知晓率) 221 98.22 表 2 HSV-2感染的单因素和多因素Logistic回归分析
Table 2. Univariate and multivariate Logistic regression analysis of influencing factors for HSV-2 infection
变量 HSV-2(-) HSV-2(+) 单因素Crude OR(95%CI) 单因素P值 多因素Adjusted OR(95%CI) 多因素P值 年龄[M(IQR)] 25(19~43) 45(32~54) 1.060(1.034~1.086) < 0.001 1.044(1.016~1.073) 0.002 婚姻状况 未婚/离婚/丧偶 101(84.87) 18(15.13) 1.000 在婚/同居 87(82.08) 19(17.92) 1.225(0.605~2.481) 0.572 户籍所在地 本市 137(85.09) 24(14.91) 1.000 外市 51(79.69) 13(20.31) 1.455(0.689~3.073) 0.325 民族 汉族 90(76.92) 27(23.08) 1.000 1.000 少数民族 98(90.74) 10(9.26) 0.340(0.156~0.742) 0.007 0.557(0.231~1.342) 0.192 文化程度 小学及以下 48(82.76) 10(17.24) 1.000 初中 92(80.70) 22(19.30) 1.148(0.503~2.619) 0.743 高中及以上 48(90.57) 5(9.43) 0.500(0.159~1.572) 0.236 职业 服务业 38(90.48) 4(9.52) 1.000 待业 41(85.42) 7(14.58) 1.622(0.440~5.983) 0.468 其他 109(80.74) 26(19.26) 2.266(0.743~6.914) 0.151 个人月收入(元) <2000 80(84.21) 15(15.79) 1.000 ≥2000 108(83.08) 22(16.92) 1.086(0.530-2.226) 0.821 艾滋病知识 知晓 184(83.26) 37(16.74) 1.000 不知晓 4(100.00) 0(0.00) - 0.999 饮酒 是 150(85.23) 26(14.77) 1.000 否 38(77.55) 11(22.45) 1.670(0.758~3.679) 0.203 吸烟 是 149(83.24) 30(16.76) 1.000 否 39(84.78) 7(15.22) 0.891(0.364~2.182) 0.801 既往毒品使用 是 17(80.95) 4(19.05) 1.000 否 171(83.82) 33(16.18) 0.820(0.259~2.593) 0.736 既往HIV检测 是 87(78.38) 24(21.62) 1.000 1.000 否 101(88.60) 13(11.40) 0.467(0.224~0.971) 0.042 0.605(0.267~1.371) 0.229 既往非婚性伴 有 119(85.00) 21(15.00) 1.000 无 69(81.18) 16(18.82) 1.314(0.643~2.686) 0.454 近一次商业性行为中安全套使用 用了 167(86.98) 25(13.02) 1.000 1.000 没用 21(63.64) 12(36.36) 3.817(1.674~8.705) 0.001 3.125(1.229~7.945) 0.017 HIV (-) 184(84.40) 34(15.60) 1.000 (+) 4(57.14) 3(42.86) 4.059(0.869~18.952) 0.075 梅毒 (-) 188(84.68) 34(15.32) 1.000 (+) 0(0.00) 3(100.00) - 0.999 -
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