文章摘要
庄勋,仲亚琴,梁燕鲜,马平,陈大灵,姜声扬,吴尊友.江苏省吕四港渔民艾滋病/性病高危行为流行病学研究[J].中华流行病学杂志,2011,32(10):991-995
江苏省吕四港渔民艾滋病/性病高危行为流行病学研究
High-risk behaviors related to AIDS/STDs infections among fishermen in Lv-si harbor, Jiangsu province
收稿日期:2011-04-11  出版日期:2014-09-11
DOI:10.3760/cma.j.issn.0254-6450.2011.10.009
中文关键词: 艾滋病/性病;渔民;高危行为;流行病学
英文关键词: Acquired immune deficiency syndrome/sexually transmitted disease;Fishermen;Risk behavior;Epidemiology
基金项目:江苏省卫生厅预防医学课题(YZ201018)
作者单位E-mail
庄勋 南通大学公共卫生学院 226019  
仲亚琴 南通大学公共卫生学院 226019  
梁燕鲜 南通大学公共卫生学院 226019  
马平 江苏省南通市疾病预防控制中心  
陈大灵 江苏省南通市疾病预防控制中心  
姜声扬 南通大学公共卫生学院 226019  
吴尊友 中国疾病 预防控制中心性病艾滋病预防控制中心 wuzy@263.net 
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中文摘要:
      目的 了解江苏省吕四港地区渔民艾滋病/性病相关高危行为,分析其影响因素。 方法 以横断面调查方法收集目标人群的人口学信息、艾滋病/性病高危行为及潜在影响因素等信息,采用非条件logistic回归分析高危行为的影响因素。结果 共有817名渔民参与调查。临时性行为和商业性行为是渔民感染艾滋病/性病的主要高危行为,报告率分别为18.1%和28.9%。渔民高危性行为的危险因素:流动性(OR= 1.516,P=0.038)、平时性生活频次高(OR= 1.422,P= 0.002)、离异或丧偶婚姻状态等(OR=7.527,P=0.014);保护因素有饮酒少(OR=0.803,P= 0.053)、无性病史(OR=0.268,P=0.001)、初次性行为≥22岁(OR=0.440,P=0.000)、不接受多性伴(OR=0.662,P=0.023)和商业性行为合法化的态度(OR=0.612,P=0.007)。结论 渔民中存在着感染艾滋病/性病的风险;临时性行为与商业性行为是常见的高危行为。
英文摘要:
      To investigate the high-risk behaviors related to acquared immune deficiency syndrome/sexually transmitted disease (AIDS/STDs) infection among fishermen in Lv-si harbor, Jiangsu province. Methods A cross-sectional study was designed to investigate the research participants' demographic characteristics, high-risk behaviors that related to AIDS/STDs. Logistic regression was performed to measure the associations between potential risk factors and reported potential high-risk sexual behavior. Results 817 fishermen participated in the study and casual or commercial sex activities appeared to be the main high-risk behavior for AIDS/STDs infection in the target population. The rates of casual and commercial sex reported were 18.1% and 28.9% among fishermen. Risk factors associated with AIDS/STDs related high-risk behaviors among fishermen were high mobility (OR=1.516, P=0.038), higher lifetime sex frequency (OR= 1.422, P=0.002) and unmarried status ( OR = 7.527, P= 0.014). Protective factors against high-risk behaviors were low intake of alcohol (OR=0.803, P=0.053), negative STD history (OR=0.268, P=0.001 ), age of initial sexual intercourse at or older than 22 years (OR = 0.440, P= 0.000) of age, as well as negative attitude toward multiple sexual parmers (OR=0.662, P=0.023 ) and legitimation for commercial sex (OR=0.612, P=0.007). Conclusion There were risk behaviors of AIDS/STDs in those infected fishmen. Casual and commercial sex were common high-risk behaviors.
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