| 徐芳,步凯,张冬,张一曼,张晗希,金杉杉,孙彩霞,修翔飞,陈方方,汪宁,韩孟杰,王璐.天津市高一学生艾滋病知识与健康教育需求现况调查[J].中华流行病学杂志,2019,40(12):1618-1623 |
| 天津市高一学生艾滋病知识与健康教育需求现况调查 |
| A cross-sectional study on AIDS-related knowledge and demands for health education among first-grade students of senior high schools in Tianjin |
| 收稿日期:2019-07-29 出版日期:2019-12-20 |
| DOI：10.3760/cma.j.issn.0254-6450.2019.12.021 |
| 中文关键词: 艾滋病知识 知晓 健康教育需求 高中生 |
| 英文关键词: AIDS knowledge Awareness Demand for health education First-grade students of senior high schools |
| 基金项目:联合国儿童基金会资助（XMSQ20171112_001）；2017年度天津市高等学校大学生创新训练（201710063032）；天津中医药大学第七届大学生科技创新基金（CXJJ2017YD31） |
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| 中文摘要: |
| 目的 了解天津市高一学生艾滋病知识知晓率及其相关因素，与艾滋病健康教育需求情况。方法 采用横断面调查设计，采用分层整群抽样与方便抽样相结合的方法，选取天津地区高中2所、职业高中1所，对所有高一学生进行匿名调查。问卷内容包括一般人口学特征、艾滋病相关知识、艾滋病健康教育需求信息等条目。结果 调查对象共1 082人，艾滋病知识知晓率为34.3%（371/1 082）。既往接受过艾滋病知识的比例为71.9%（778/1 082），既往接受过性健康知识的比例为59.4%（643/1 082），2类学校间差异有统计学意义；发生插入性性行为的比例为7.0%（76/1 082）。多因素logistic回归分析结果显示，职业高中（与普通高中相比，OR=0.41，95% CI：0.29~0.59）、无性健康知识需求（与有需求相比，OR=0.62，95% CI：0.43~0.91）、未关注艾滋病宣传材料（与关注相比，OR=0.41，95% CI：0.30~0.56）、不知晓安全性行为（与知晓相比，OR=0.55，95% CI：0.39~0.77）和不知晓正确使用安全套（与知晓相比，OR=0.33，95% CI：0.24~0.46）的调查对象艾滋病知识知晓率较低。结论 调查的天津市高一学生艾滋病知识知晓率普遍较低，有的学生发生过插入性性行为。性健康知识对艾滋病知识有显著影响，需加强高中生的性健康教育和艾滋病健康教育工作。 |
| 英文摘要: |
| Objective To understand the AIDS awareness and related factors as well as the demands for AIDS-related health education programs, among first-grade students from three senior high schools in Tianjin. Methods A cross-sectional study using both stratified cluster and convenient sampling methods was conducted. Anonymous questionnaires including social demographic characteristics, AIDS-related knowledge and needs for AIDS health education were distributed to the first-grade students from two general middle schools and one vocational senior middle school in Tianjin. Results A total of 1 082 students were responding to the questionnaires. Among them, the overall awareness rates of AIDS-related knowledge were 34.3%(371/1 082), 71.9%(778/1 082) of the students had received knowledge about AIDS and 59.4% (643/1 082) of the students had received knowledge about sexual health in the past, from the three schools. There appeared statistical differences among the two types of schools. 7.0% (76/1 082) of the students reported having had sexual behaviors. Results from the multivariate logistic regression analysis showed that, in vocational senior middle school, the awareness rate of AIDS knowledge was lower (compared with general middle school, OR=0.41, 95% CI:0.29-0.59) and in the following items, including no need in receiving safe sex health knowledge (compared with needs of safe sex health knowledge, OR=0.62, 95% CI:0.43-0.91), no interests in reading AIDS-related health education materials (compared with attention to AIDS health education materials, OR=0.41, 95% CI:0.30-0.56), not aware of safe sex behavior (compared with aware of safe sex behavior, OR=0.55, 95% CI:0.39-0.77), not aware of correct condom use, compared with aware of correct condom use (OR=0.33, 95% CI:0.24-0.46). Conclusions The overall awareness rate of AIDS knowledge was low among the first-grade students in Tianjin. Some students reported of already having had insertive sex, sexual health knowledge has a significant impact on AIDS knowledge, suggesting that sexual health education and AIDS health education among high school students be strengthened in Tianjin. |
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