[1]农丽萍,何波,农全兴,等.中老年艾滋病高危人群及其高危行为影响因素分析[J].中国皮肤性病学杂志,2017,(06):641-644,665.[doi:10.13735/j.cjdv.1001-7089.201609015]
 NONG Li-ping,HE Bo,NONG Quan-xing,et al.Analysis on the Middle-aged and Old People with HIV /AIDS Related High-risk Behaviors and Its Influence Factors[J].The Chinese Journal of Dermatovenereology,2017,(06):641-644,665.[doi:10.13735/j.cjdv.1001-7089.201609015]
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中老年艾滋病高危人群及其高危行为影响因素分析
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《中国皮肤性病学杂志》[ISSN:1001-7089/CN:61-1197/R]

卷:
期数:
2017年06期
页码:
641-644,665
栏目:
性传播疾病
出版日期:
2017-06-01

文章信息/Info

Title:
Analysis on the Middle-aged and Old People with HIV /AIDS Related High-risk Behaviors and Its Influence Factors
作者:
农丽萍何波农全兴李斯斯黄晓芳邓小芳
广西南宁市疾病预防控制中心,广西 南宁 530023
Author(s):
NONG Li-ping HE Bo NONG Quan-xing LI Si-si HUANG Xiao-fang DENG Xiao-fang
Nanning Center for Disease Control and Prevention, Nanning 530023, China
关键词:
中老年嫖客 艾滋病 高危行为 影响因素
Keywords:
Middle-aged and old clients HIV/AIDS High-risk behavior Influence factors
分类号:
R 512.91
DOI:
10.13735/j.cjdv.1001-7089.201609015
文献标志码:
B
摘要:
目的 了解低档场所中老年嫖客高危行为特征,并探讨其影响因素,为本市制定艾滋病防控策略提供科学依据。方法 采用横断面研究设计,整群抽样方法,在广西南宁市B县对低档场所的中老年嫖客进行问卷调查获取一般人口学特征信息、高危行为特征和艾滋病防治相关知识,并采集静脉血3~5mL进行HIV、梅毒抗体检测。结果 接受调查的368名中老年嫖客中,有94.84%(349/368)的人承认最近1年内有过商业性行为,其中,有10.32%(36/349)的人最近1年内每月发生2次及以上,38.40%(134/349)的人每月发生1次; 最近1年内发生商业性行为时未坚持使用安全套的比例为73.35%(256/349); 最近1次商业性行为未使用安全套的比例为57.59%(201/349); 316名在婚的调查对象,最近1年内与配偶或固定性伴发生性关系时均无人使用安全套; 有29.89%(110/368)的调查对象最近半年内曾与非婚非商业临时性伴发生过性关系; 有1.72%(6/349)的人承认最近1年与商业性伴发生性关系时使用过壮阳药。Logistic 回归分析显示,中老年嫖客发生商业性行为时不坚持使用安全套主要受年龄、文化程度、职业、平均每次嫖娼价格、最近1年每月嫖娼次数、是否做过HIV检测影响。结论 应针对中老年嫖客高危性行为特征和影响因素,不断采取有针对性的综合干预措施,提高其自我保护意识和安全套使用率。
Abstract:
Objective To understand the characteristics and its influence factors of high-risk behaviors of middle-aged and old clients in low-grade places and to provide scientific basis for AIDS prevention and control strategies. Methods Our study used a cross-sectional study and cluster sampling method and questionnaire survey among middle-aged and old clients in low-grade places in B County of Nanning city in Guangxi,to obtain demographic information,the characteristics of high-risk behaviors and the prevention of HIV/AIDS related knowledge. Then 3~5mL of venous blood were collected from these people for HIV and syphilis antibody tests. Results There were 368 middle-aged and old clients received this survey.And 94.84%(349/368)had commercial sexual behaviors in a recent year, 10.32%(36/349)had more than twice sexual behaviors each month nearly a year, and 38.40%(134/349)had once a month. However in a recent year, 73.35%(256/349)did not insist on using condom when they had commercial sexual behavior, and the rate of non-condom use was 57.59%(201/349)in a recent sexual behavior.While 316 marriaged or regular sex partner did not use condom when they had sexual behaviors.And 29.89%(110/368)had sexual with unmarried and commercial of interim sex partners in recent half a year. While 1.72%(6/349)of them admitted that had commercial sexual with aphrodisiac. Logistic regression analysis showed that age, education, occupation, average cost of each prostitution, frequency of prostitution for each month in a recent year, and HIV test were influence factors of middle-aged and old clients who had commercial sexual without using condom. Conclusion According to the characteristics and influence factors of middle-aged and old clients in high-risk sexual behaviors, we should improve their self-protection awareness and the rate of condom use, and take comprehensive intervention measures.

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更新日期/Last Update: 2017-06-05