文章摘要
程思,韩志刚,刘方华,曹宏华,徐慧芳,李艳,张文康,曹晓斌.广州市部分外籍人员HIV检测行为的影响因素分析[J].中华流行病学杂志,2020,41(7):1092-1096
广州市部分外籍人员HIV检测行为的影响因素分析
Analysis on influencing factors on HIV testing behaviors in some foreigners in Guangzhou
收稿日期:2020-02-19  出版日期:2020-07-15
DOI:10.3760/cma.j.cn112338-20200219-00123
中文关键词: 外籍人员;HIV检测;影响因素
英文关键词: Foreigner;HIV testing;Influencing factor
基金项目:国家科技重大专项(2018ZX10101002-004-003)
作者单位E-mail
程思 中国疾病预防控制中心性病艾滋病预防控制中心, 北京 102206  
韩志刚 广州市疾病预防控制中心 510440  
刘方华 广州市疾病预防控制中心 510440  
曹宏华 广东药科大学附属第三医院, 广州 510410  
徐慧芳 广东省疾病预防控制中心, 广州 511430  
李艳 广东省疾病预防控制中心, 广州 511430  
张文康 中国疾病预防控制中心性病艾滋病预防控制中心, 北京 102206  
曹晓斌 中国疾病预防控制中心性病艾滋病预防控制中心, 北京 102206 caoxiaobin@chinaaids.cn 
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中文摘要:
      目的 分析广州市外籍人员的HIV检测行为及其影响因素,为推广外籍人员的HIV检测及干预服务提供参考依据。方法 采用横断面调查研究设计,于2019年11月至2020年1月期间,采用方便抽样的方法,对230名符合条件的外籍人员开展一对一问卷调查。采用χ2检验和多因素logistic回归的方法,对HIV检测行为的现状及其影响因素进行了描述与分析。结果 共调查外籍人员230人,其中男性156人(占67.8%);来自非洲地区217人(94.3%);大学及以上文化程度138人(60.0%);以经商169人(73.5%)和学生47人(20.4%)为主;在中国广州市累计居留时间>12个月为132人(57.4%);最近6个月在中国健康体检的比例为49.1%(113/230);艾滋病知识知晓率为76.0%;最近1次性行为中安全套使用比例为39.6%(89/225);最近3个月内HIV检测比例为47.8%(110/230)。多因素logistic回归分析结果显示,最近3个月HIV检测行为的影响因素包括:累计居留时间≤12个月者(与累计居留时间>12个月者相比,OR=3.12, 95% CI:1.49~6.56)、最近6个月在中国健康体检者(与未做过健康体检者相比,OR=2.53, 95% CI:1.17~5.48)、知晓广州市HIV检测咨询服务机构者(与不知晓者相比,OR=3.65, 95% CI:1.71~7.78)。结论 广州市部分外籍人员HIV检测比例及安全套使用比例均较低,关注自身健康状况并且了解HIV检测咨询服务的人员更有可能进行HIV检测,需鼓励外籍人员进行HIV检测,增强其自我检测意识。
英文摘要:
      Objective To analyze the influencing factors of HIV testing behavior among foreigners in Guangzhou, and provide a reference for promoting HIV testing and intervention services in foreigners. Methods A cross-sectional survey was conducted from November 2019 to January 2020 among 230 eligible foreigners selected in Guangzhou through convenient sampling method in the form of one-to-one questionnaire interview, HIV testing behaviors and related influencing factors were described and analyzed with χ2 test and multivariate logistic regression model. Results A total of 230 foreigners were included in the study, in whom 156 were males (67.8%), 217 were from Africa (94.3%), 138 (60.0%) were with education level of university and above, 169 (73.5%) were in business, 47 (20.4%) were students, 132 (57.4%) had cumulative residence >12 months in Guangzhou and 113 (49.1%) had health examination in China in the past 6 months. In these foreigners, the rate of AIDS-related knowledge awareness was 76.0%, the proportion of condom use in the last sex was 39.6%(89/225) and 47.8%(110/230) received HIV tests in the past 3 months. Multivariate logistic regression analysis showed, the influencing factors of HIV testing behavior in the past 3 months included cumulative residence ≤ 12 months (compared with cumulative residence >12 months, OR=3.12, 95%CI:1.49-6.56), health examination in China in the past 6 months (compared to those who had not, OR=2.53, 95%CI:1.17-5.48), awareness of HIV testing and consulting service in Guangzhou (compared with those who had no awareness, OR=3.65, 95%CI:1.71-7.78). Conclusions Some foreigners in Guangzhou had relatively low rates of HIV testing and condom use. Those who pay attention to their own health status and know well about HIV testing and consulting services are more likely to receive HIV testing, foreigners in Guangzhou should be encouraged to receive HIV testing. Their self-testing awareness should be improved.
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