浙江省2018年和2020年自报有性行为女大学生的艾滋病相关知识、信念及行为特征比较

陈卫永; 陈玲娟; 周欣; 陈婉君; 姜婷婷; 王憓; 马瞧勤

Abstract

陈卫永,陈玲娟,周欣,陈婉君,姜婷婷,王憓,马瞧勤.浙江省2018年和2020年自报有性行为女大学生的艾滋病相关知识、信念及行为特征比较[J].Chinese journal of Epidemiology,2025,46(2):232-238

浙江省2018年和2020年自报有性行为女大学生的艾滋病相关知识、信念及行为特征比较

Comparative characteristics of HIV/AIDS knowledge belief and behavior among self-reported sexually active female college students in Zhejiang Province in 2018 and 2020

Received:July 11, 2024

DOI：10.3760/cma.j.cn112338-20240711-00414

KeyWord: 艾滋病病毒/艾滋病知识信念行为特征女大学生

English Key Word: HIV/AIDS Knowledge Belief Behavior Characteristics Female college students

FundProject:浙江省卫生健康科技计划（2025KY769）

Author Name	Affiliation	E-mail
Chen Weiyong	Institute of AIDS/STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China Zhejiang Key Laboratory of Vaccine, Infectious Disease Prevention and Control, Hangzhou 310051, China
Chen Lingjuan	Division of AIDS/Tuberculosis Prevention and Control, Zhejiang Linhai City Center for Disease Control and Prevention, Linhai 317099, China
Zhou Xin	Institute of AIDS/STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Chen Wanjun	Institute of AIDS/STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Jiang Tingting	Institute of AIDS/STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Wang Hui	Institute of AIDS/STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Ma Qiaoqin	Institute of AIDS/STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China	qqma@cdc.zj.cn

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Abstract:

目的分析浙江省2018年和2020年自报有性行为的女大学生（女生）的艾滋病相关知识、信念及行为特征的差异，为高校女生艾滋病防控提供参考依据。方法分别于2018年10-11月和2020年11-12月在浙江省11个城市13所高校女生中各开展1次横断面调查，纳入自报最近1年有性行为的女生为研究对象，两次调查样本量估计数分别为5 265人和9 466人。分析两次调查的研究对象相关特征变化的相关因素，单因素分析采用χ²检验，多因素分析采用logistic回归模型。应用SPSS 23.0软件进行统计学分析。结果 2018年和2020年分别调查高校女生17 354人和20 675人，自报最近1年有性行为的比例分别为6.56%（1 139/17 354）和4.19%（866/20 675）。多因素logistic回归分析结果显示，相比于2018年，2020年女生最近1年接受学校开展的艾滋病专题讲座或健康教育课（aOR=1.57，95%CI：1.29~1.91）、接受学校开展的HIV检测宣传教育（aOR=2.59，95%CI：2.13~3.14）、接受学校开展的HIV感染风险自我评估（aOR=2.97，95%CI：2.43~3.65）、使用安全套自我效能非常有信心（aOR=2.00，95%CI：1.66~2.41）、接受艾滋病自愿咨询与检测（VCT）（aOR=1.81，95%CI：1.41~2.87）、自评有HIV感染风险（aOR=2.44，95%CI：1.32~4.54）、最近1年发生临时性行为时每次使用安全套（aOR=3.35，95%CI：1.66~6.77）的比例较高。结论相比于2018年，2020年浙江省高校女生的自报有性行为的比例略低，接受艾滋病专题讲座或健康教育课、自评有HIV感染风险的比例、接受艾滋病VCT、使用安全套自我效能非常有信心、发生临时性行为时每次使用安全套的比例较高。

English Abstract:

Objective To analyze differences on characteristics of HIV/AIDS knowledge, beliefs and behavior among female college students who reported having sex in Zhejiang Province between 2018 and 2020, and provide reference for HIV/AIDS prevention and control among female college students. Methods Cross-sectional surveys were conducted in October-November 2018 and November-December 2020 among female college students in 13 universities in 11 cities in Zhejiang Province, and female college students who self-reported having sexual intercourse in the past year were included as study subjects, with sample size estimates of 5 265 and 9 466 for the two surveys, respectively. The factors related to the change of relevant characteristics of the two survey subjects were analyzed. The χ² test was used for univariate analysis and logistic regression model was used for multivariate analysis.Statistical analyses were performed with SPSS 23.0 software. Results Of the 17 354 and 20 675 female college students surveyed in 2018 and 2020, respectively, the proportion who self-reported having had sex in the past year was 6.56% (1 139/17 354) and 4.19% (866/20 675). Multivariate logistic regression analysis showed that compared with female college students in 2018, the students who have sexual behaviour, receiving health education class by their university in the past year (aOR=1.57, 95%CI:1.29-1.91), receiving HIV testing promotion by the university in the past year (aOR=2.59,95%CI:2.13-3.14), receiving self-assessment of HIV risk by the university in the past year (aOR=2.97,95%CI:2.43-3.65), high self-efficacyfor condom use (aOR=2.00, 95%CI:1.66-2.41), receiving voluntary counseling and HIV testing (VCT) (aOR=1.81,95%CI: 1.41-2.87), perceived risk of HIV infection (aOR=2.44, 95%CI:1.32-4.54), using condoms whenever having casual sexual behaviour in the past year (aOR=3.35,95%CI:1.66-6.77) were significantly higher in 2020. Conclusions Compared with female college students in 2018, the proportion of female college students who self-reported sexual activity decreased slightly in 2020, and the proportion of receiving HIV/AIDS lectures or health education classes, the proportion of self-rated at risk of HIV infection, the proportion of receiving VCT, the proportion of using condoms with very high confidence in self-efficacy and condom use had an increased.

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