| 林奕豪,周毅,谢昱帆,李锦斌,谭晓霞,林铠浩,严瑶,江洪波.珠海市大学生亲密伴侣暴力与HIV高危行为的潜在类别分析[J].Chinese journal of Epidemiology,2025,46(2):245-251 |
| 珠海市大学生亲密伴侣暴力与HIV高危行为的潜在类别分析 |
| Latent-class analysis of intimate partner violence and HIV high risk behaviors among college students in Zhuhai |
| Received:June 17, 2024 |
| DOI：10.3760/cma.j.cn112338-20240617-00354 |
| KeyWord: 大学生 艾滋病病毒 高危行为 亲密伴侣暴力 潜在类别分析 |
| English Key Word: College students HIV High risk behaviors Intimate partner violence Latent-class analysis |
| FundProject:广东省哲学社会科学规划（GD21YSH08）；2022年广东省研究生教育创新计划（2022SFKC074）；国家自然科学基金（81703282） |
| Author Name | Affiliation | E-mail | | Lin Yihao | Department of Epidemiology and Health Statistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China | | | Zhou Yi | Department of AIDS Prevention and Control, Zhuhai Center for Disease Control and Prevention, Zhuhai 519060, China | | | Xie Yufan | Department of Epidemiology and Health Statistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China | | | Li Jinbin | Department of Epidemiology and Health Statistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China | | | Tan Xiaoxia | Department of Epidemiology and Health Statistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China | | | Lin Kaihao | Department of Epidemiology and Health Statistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China | | | Yan Yao | Department of Epidemiology and Health Statistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China | | | Jiang Hongbo | Department of Epidemiology and Health Statistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China | hongbojiang3@163.com |
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| Abstract: |
| 目的 分析大学生亲密伴侣暴力（IPV）与HIV高危行为的潜在类别，探索IPV经历与HIV高危行为的关联，为制定针对大学生的艾滋病宣传教育和减少高危行为的策略提供参考依据。方法 采用横断面研究设计和多阶段整群抽样方法，于2019年10-12月对珠海市6所高校在校大学生开展问卷调查，估算样本量为1 318人。纳入研究对象为自我报告曾有亲密伴侣且近1年有性行为经历的大学生，收集其社会人口学特征、IPV经历情况和HIV高危行为等信息，对HIV高危行为进行潜在类别分析，采用χ2检验和多因素logistic回归分析IPV经历与不同HIV高危行为潜在类别组的关联。结果 问卷有效应答率为95.4%（12 235/12 821）。纳入珠海市大学生研究对象1 382人，自我报告经历过IPV者占19.4%（268/1 382）。HIV高危行为潜在类别分析将研究对象分为3个潜在类别组：低风险组（78.1%，1 079/1 382）、多性伴/性前饮酒组（15.8%，219/1 382）和高风险组（6.1%，84/1 382）。多因素logistic回归分析结果显示，经历过心理暴力（aOR=2.51，95%CI：1.48~4.27）的大学生在多性伴/性前饮酒组的可能性更高，经历过IPV（aOR=5.74，95%CI：3.45~9.55）、躯体暴力（aOR=9.26，95%CI：5.24~16.35）、性暴力（aOR=8.46，95%CI：4.93~14.52）、心理暴力（aOR=15.99，95%CI：8.64~29.57）的大学生在高风险组的可能性更高。经历过2种（aOR=9.37，95%CI：3.55~24.71）或3种（aOR=50.09，95%CI：21.06~119.14）IPV的大学生在高风险组的可能性高于无IPV经历者。结论 珠海市大学生的HIV高危行为存在群体异质性，IPV经历情况与各HIV高危行为潜在类别组的关联存在差异。高校应根据各潜在类别组的特征制定针对性的艾滋病宣传教育策略，减少大学生HIV高危行为的发生。 |
| English Abstract: |
| Objective To explore the latent-classes of HIV high risk behaviors among college students, and the association between experiences of intimate partner violence (IPV) and HIV high risk behaviors, to provide evidence for reducing the HIV high risk behaviors among them.Methods A cross-sectional study was conducted from October to December 2019 among university students from six higher education institutions in Zhuhai City, using a multi-stage cluster sampling method, with an estimated sample size of 1 318. The study included participants who self-reported being in a romantic relationship and having sexual experience within the past year. Data on sociodemographic characteristics, IPV experiences, and HIV high risk behaviors were collected. Latent-class analysis was performed on HIV high risk behaviors, and chi-squared tests and multivariable logistic regression were used to analyze the associations between IPV experiences and different latent classes of HIV high risk behaviors. Results The effective response rate for the survey was 95.4% (12 235/12 821). 1 382 college students from Zhuhai were included as participants in the study, with 19.4% (268/1 382) self-reporting having experienced IPV. Latent-class analysis of HIV high risk behaviors classified the participants into three latent groups: low-risk group (78.1%, 1 079/1 382), multiple sexual partners/alcohol use before sex group (15.8%, 219/1 382), and high-risk group (6.1%, 84/1 382). Multivariable logistic regression analysis showed that students who had experienced psychological violence were more likely to be in the group that had multiple sexual partners/alcohol use before sex (aOR=2.51, 95%CI:1.48-4.27). Those who had experienced IPV (aOR=5.74, 95%CI:3.45-9.55), physical violence (aOR=9.26, 95%CI: 5.24-16.35), sexual violence (aOR=8.46, 95%CI:4.93-14.52), or psychological violence (aOR=15.99, 95%CI:8.64-29.57) were more likely to be in the high-risk group. Students who experienced two (aOR=9.37, 95%CI:3.55-24.71) or three types of IPV (aOR=50.09, 95%CI: 21.06-119.14) were more likely to be in the high-risk group compared to those with no IPV experiences. Conclusions HIV high risk behaviors among college students in Zhuhai exhibited heterogeneity across different latent groups, and these groups have different associations with IPV experiences. Universities should tailor targeted HIV/AIDS education and prevention strategies based on the characteristics of each latent group to reduce HIV high risk behaviors among college students. |
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