Abstract
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].Chinese journal of Epidemiology,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
Received:April 11, 2011  
DOI:10.3760/cma.j.issn.0254-6450.2011.10.009
KeyWord: 艾滋病/性病  渔民  高危行为  流行病学
English Key Word: Acquired immune deficiency syndrome/sexually transmitted disease  Fishermen  Risk behavior  Epidemiology
FundProject:江苏省卫生厅预防医学课题(YZ201018)
Author NameAffiliationE-mail
ZHUANG Xun School of Public Health, Nantong University, Nantong 226019, China  
ZHONG Ya-qin School of Public Health, Nantong University, Nantong 226019, China  
LIANG Yan-xian School of Public Health, Nantong University, Nantong 226019, China  
MA Ping Nantong City Center for Disease Control and Prevention, Jiangsu Province  
CHEN Da-ling Nantong City Center for Disease Control and Prevention, Jiangsu Province  
JIANG Sheng-yangt School of Public Health, Nantong University, Nantong 226019, China  
WU Zun-you National Center for AIDS/ STDs Control and Prevention, Chinese Center for Disease Control wuzy@263.net 
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Abstract:
      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。
English Abstract:
      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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