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HIV感染者配偶或固定性伴安全套使用影响因素分析
高菲菲1,钟晓妮1*,彭斌1,张燕1,戴江红2,刘倩萍3,宋本莉3,黄爱龙4
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(1.重庆医科大学公共卫生与管理学院卫生统计教研室,重庆 400016;
2.新疆医科大学公共卫生学院流行病与卫生统计教研室,乌鲁木齐 830000;
3.西昌市皮肤病性病防治站,西昌 615000;
4.重庆医科大学感染性疾病分子生物学教育部重点实验室,重庆 400016
*通信作者)
摘要:
目的分析影响人类免疫缺陷病毒(HIV)感染者配偶或固定性伴安全套使用的影响因素。方法将HIV感染者的配偶或固定性伴作为研究对象,采用问卷调查方法收集一般资料及安全套使用情况资料,以等级资料的秩和检验和logistic回归方法分析使用安全套的影响因素。结果共纳入395位研究对象,其中72.66%的人与配偶或固定性伴发生性行为时每次都使用安全套,15.70%的人从不使用安全套。经统计分析,民族、是否有小孩、艾滋病知识知晓情况、配偶或固定性伴查出感染HIV的时间和自认为从配偶或固定性伴处感染HIV的可能性是安全套使用的影响因素。结论我国HIV感染者配偶或固定性伴安全套的使用状况仍不甚理想,其影响因素是多方面的。在以后的工作中,应针对重点人群,加强艾滋病的干预工作,并按时进行高危人群的筛查,以便及早采取预防措施。
关键词:  HIV感染  配偶  性伴侣  避孕套  影响因素
DOI:10.3724/SP.J.1008.2012.00986
投稿时间:2012-03-07修订日期:2012-08-03
基金项目:国家科技重大专项 (2008ZX10001-016).
Condom use among spouses/fixed partners of HIV infected people: an analysis of influencing factors
GAO Fei-fei1,ZHONG Xiao-ni1*,PENG Bin1,ZHANG Yan1,DAI Jiang-hong2,LIU Qian-ping3,SONG Ben-li3,HUANG Ai-long4
(1. Department of Health Statistics, School of Public Health and Health Management, Chongqing Medical University, Chongqing 400016, China;
2. Department of Epidemiology and Health Statistics, School of Public Health,Xinjiang Medical University, Urumqi 830000, Xinjiang, China;
3. Control Station for Skin Diseases and Sexually Transmitted Diseases, Xichang 615000, Sichuan, China;4. Key Laboratory of Molecular Biology on Infectious Diseases, Ministry of Education, Chongqing Medical University, Chongqing 400016, China
*Corresponding author.)
Abstract:
ObjectiveTo investigate the factors influencing condom use among spouses/fixed partners of HIV-infected people. MethodsThe spouses/fixed partners of HIV-infected people were selected for questionnaire investigation. Rank sum test and logistic regression analysis were employed to study the factors influencing the use of condom among them. ResultsTotally 395 qualified subjects were recruited, and 72.66% of them used condoms every time when they had sexual behavior and 15.70% never used condom. The results of the logistic regression analysis showed that the factors influencing condom use among the spouses/fixed partners of HIV-infected people included ethnicity, having children or not, knowledge about HIV/AIDS, time when HIV was detected in spouse and self-awareness of the possibility to catch HIV from their spouses/fixed partners. ConclusionCondom use among the spouses/fixed partners of HIV-infected people is not satisfactory in China, which is due to multiple factors. More efforts need to be made to enforce AIDS intervention among target population. High-risk groups should be screened on a regular basis and timely measures should be taken.
Key words:  HIV infections  spouses  sexual partners  condoms  influencing factors