| 刘丹丹,曹晓斌,李欢龙,陆晓春,寿碧琪,雷梦婷,王常合,薛珲.有非婚性行为的50岁及以上男性艾滋病综合干预效果分析[J].Chinese journal of Epidemiology,2019,40(12):1595-1600 |
| 有非婚性行为的50岁及以上男性艾滋病综合干预效果分析 |
| Effect of comprehensive AIDS intervention among men aged 50 or over who had non-marital sexual behavior |
| Received:June 21, 2019 |
| DOI：10.3760/cma.j.issn.0254-6450.2019.12.017 |
| KeyWord: 艾滋病 综合干预 非婚性行为 男性 效果 |
| English Key Word: AIDS Comprehensive intervention Non-marital sexual behavior Men Effect |
| FundProject: |
| Author Name | Affiliation | E-mail | | Liu Dandan | National Center for STD/AIDS Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Fuyang District Center for Disease Control and Prevention of Hangzhou, Hangzhou 311400, China | | | Cao Xiaobin | National Center for STD/AIDS Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing 102206, China | caoxb@outlook.com | | Li Huanlong | Fuyang District Center for Disease Control and Prevention of Hangzhou, Hangzhou 311400, China | | | Lu Xiaochun | Fuyang District Center for Disease Control and Prevention of Hangzhou, Hangzhou 311400, China | | | Shou Biqi | Fuyang District Center for Disease Control and Prevention of Hangzhou, Hangzhou 311400, China | | | Lei Mengting | Fuyang District Center for Disease Control and Prevention of Hangzhou, Hangzhou 311400, China | | | Wang Changhe | Chinese Center for Disease Control and Prevention, Beijing 102206, China | | | Xue Hui | Beijing Lanchengyouning Health Management Limited Company, Beijing 100022, China | |
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| Abstract: |
| 目的 评价有非婚性行为的≥ 50岁男性艾滋病干预效果。方法 本研究是基于个体水平的社区干预类试验，通过分层抽样方法确定杭州市某区12个乡镇（街道）作为干预组或对照组（每组各6个研究现场），该乡镇（街道）内所有研究对象统一纳入干预组或对照组。入选标准为自我报告最近1年发生过非婚性行为的≥ 50岁男性。估算样本量为290人。对干预组实施为期12个月的综合干预，按照每3个月1次、共4次不同干预措施（警示性教育、信息辐射、行为参与和播放专家讲座）。评估指标包括最近1年非婚性行为和商业性行为发生率，最近1年和最近1次非婚性行为的安全套使用率。结果 共招募到研究对象312人，基线调查300人，评估调查284人。300名研究对象中，年龄（65.58±7.89）岁，已婚/同居占71.33%（214/300），小学文化程度占52.00%（156/300）。干预组的前后比较，最近1年的非婚性行为发生率降至59.42%（82/138）、商业性行为发生率从79.73%（118/148）降至55.07%（76/138）、最近1次安全套使用率从19.59%（29/148）升至51.22%（42/82）。对照组的前后比较，最近1年的非婚性行为发生率降至74.66%（109/146）、商业性行为发生率从91.45%（139/152）降至72.60%（106/146）、最近1次安全套使用率从32.89%（50/152）降至31.19%（34/109）。评估发现，干预组与对照组在最近1年非婚性行为发生率（χ2=7.48，P=0.008）、商业性行为发生率（χ2=9.47，P=0.003）及最近1次安全套使用率（χ2=7.83，P=0.007）的差异均有统计学意义。结论 本干预研究的评估结果显示，干预组的非婚性行为发生率、商业性行为的发生率明显降低，最近1次安全套使用率有所提高，本干预研究实施的警示性教育、信息辐射、行为参与和播放专家讲座干预措施的效果明显。 |
| English Abstract: |
| Objective To evaluate the effectiveness of AIDS intervention programs on men aged 50 or over and having had non-marital sexual behavior. Methods A community-based intervention/experimental and based on individual level study was adopted. Stratified sampling method was used. 12 townships/streets in Fuyang district of Hangzhou were identified as intervention or control group (six research sites each). All of the subjects in the township (street) were included. The inclusion criteria of study objects would include men aged 50 or older who reported having unmarried sex in the last year. Estimated sample size was 290, with each 145 in the intervention group and the control group. All the intervention group participants were provided with a total of 4 intervention-related items (knowledge and education on AIDS prevention, information radiation and behavioral change, broadcast expert lectures), every 3 months, for 12 month, the main evaluation indicators would include:incidence of non-marital sex and commercial sex in the last year, condom use when having non-marital sex in the last episode. Results A total of 312 subjects were recruited. 300 of them completed the baseline study while 284 of them completed the follow-up survey. Among the subjects who had undergone the baseline study, the average age was (65.58±7.89), 71.33% were married or cohabiting with someone, 52.00% having had primary school education. After the implementation of intervention programs, the incidence of non-marital sex dropped to 59.42% (82/138) and the incidence of commercial sex dropped from 79.73% (118/148) to 55.07% (76/138). Condom use rate in the last non-marital sexual contact increased from 19.59% (29/148) to 51.22% (42/82). In the control group, the incidence of non-marital sex in the year before dropped to 74.66% (109/146) and the incidence of commercial sex dropped from 91.45% (139/152) to 72.60% (106/146). Rates of condom use during the last non-marital sexual contact dropped from 32.89% (50/152) to 31.19% (34/109). Statistically, there were significant differences appeared between the two groups on the incidence of non-marital sex in the past year (χ2=7.48, P=0.008), the incidence of commercial sex in the last year (χ2=9.47, P=0.003) and the rate of condom use in the last sex experience (χ2=7.83, P=0.007). Conclusions Results from this intervention study showed that:in the intervention group, both the incidence rates of non-marital or commercial sex had reduced, together with the increase of condom use in non-marital sex in the last sexual experience. Intervention strategies that involving knowledge and education on AIDS prevention, information radiation and behavioral change, broadcasting lectures by experts etc. were all proved effective. |
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