文章摘要
许泽册,魏然,焦珂笛,任慈,马伟.饮酒与HIV阴性嫖客高危性行为的相关性分析[J].中华流行病学杂志,2020,41(9):1531-1535
饮酒与HIV阴性嫖客高危性行为的相关性分析
Correlation between alcohol drinking and high risk sexual behaviors in HIV negative clients of female sex workers
收稿日期:2019-12-30  出版日期:2020-09-18
DOI:10.3760/cma.j.cn112338-20191230-00920
中文关键词: 艾滋病病毒;嫖客;饮酒;高危性行为;相关性
英文关键词: HIV;Clients of female sex workers;Alcohol drinking;High risk sexual behaviors;Correlation
基金项目:国家科技重大专项(2018ZX10721102)
作者单位E-mail
许泽册 山东大学公共卫生学院流行病学系, 济南 250012  
魏然 山东省胸科医院, 济南 250013  
焦珂笛 山东大学公共卫生学院流行病学系, 济南 250012  
任慈 山东大学公共卫生学院流行病学系, 济南 250012  
马伟 山东大学公共卫生学院流行病学系, 济南 250012 weima@sdu.edu.cn 
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中文摘要:
      目的 分析饮酒与HIV阴性嫖客高危性行为的相关性,为预防性传播HIV提供参考依据。方法 2018年12月至2019年5月分别在济南市与海口市开展横断面调查,采用方便抽样方法招募HIV阴性嫖客为研究对象,估算样本量337人,收集研究对象人口学特征、艾滋病知识知晓、性行为和饮酒等情况。采用SPSS 24.0软件进行统计学分析。结果 381名研究对象中,≤40岁者占89.2%(340/381);文化程度为高中及以上者占85.3%(325/381);婚姻状况为恋爱/同居/已婚者占53.2%(202/380)。艾滋病知识知晓率为83.7%(318/380)。最近1年内,80.8%(308/381)的嫖客发生过商业性行为,79.8%(304/381)有非商业临时性伴,62.7%(239/381)存在高危性行为。多因素logistic回归分析结果显示,调整年龄、居住城市、户籍、在本地居住时间、文化程度、月收入、职业和婚姻状况、艾滋病知识知晓与HIV相关服务、最近1年商业与非商业临时性伴数、商业性行为花费以及HIV检测频率协变量后,与近1年饮酒频率≤2次/月相比,饮酒频率≥1次/周(aOR=3.22,95% CI:1.25~8.27)者更有可能发生高危性行为。结论 饮酒与HIV阴性嫖客高危性行为的发生密切相关,会增加HIV传播风险。在艾滋病防治中,应将饮酒行为干预与预防工作结合起来,提高安全套的正确使用率。
英文摘要:
      Objective To explore the correlation between alcohol drinking and high-risk sexual behaviors in HIV negative clients of female sex workers and provide scientific evidence for prevention of HIV sexual transmission. Methods A cross-sectional survey was conducted in HIV negative clients in Ji'nan and Haikou from December 2018 to May 2019. The estimated sample size was 337, the information about their demographic characteristics, AIDS knowledge awareness, sexual behaviors and alcohol drinking habit were collected through convenience sampling. The data were analyzed by using SPSS 24.0 software. Results A total of 381 clients were included in this study. Most of them were less than 40 years old, accounting for 89.2% (340/381); 85.3% of them (325/381) reported an education level of high school and above; the clients who were married, had cohabitation with females or had girl friends accounted for 53.2% (202/380). The overall awareness rate of AIDS knowledge was 83.7% (318/380). Of all participants, 80.8% (308/381) had commercial sex in the past year, 79.8% (304/381) had non-commercial sex partners, 62.7% (239/381) had high-risk sexual behaviors. The results of logistic regression showed that compared with those with alcohol drinking frequency ≤2 times per month in last year, the clients with alcohol drinking frequency more than once a week (aOR=3.22, 95% CI: 1.25-8.27) were more likely to have high risk sexual behaviors after adjustment for age, living area, location type of residence, time of local residence, education level, monthly income level, occupation, marital status, knowledge awareness of AIDS and HIV related services, the number of commercial or non-commercial sexual partners in the past year, cost of commercial sex and HIV test frequency. Conclusions Alcohol drinking is related to high risk sexual behaviors in HIV negative clients, and will increase the risk of HIV transmission. To control AIDS, the intervention of alcohol drinking should be combined with other preventions to improve the correct use of condoms.
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