金华市<b>HIV</b>单阳夫妻阴性配偶的性关系权力现状

张涛; 唐慧玲; 金屡华; 张兵

doi:10.19428/j.cnki.sjpm.2021.19831

金华市HIV单阳夫妻阴性配偶的性关系权力现状

Sexual relationship power and its influencing factors in married couples with single HIV positive spouse in Jinhua

摘要

摘要:
目的分析艾滋病病毒（HIV）单阳夫妻阴性配偶的性关系权力及其影响因素，为制定单阳夫妻阴性配偶的艾滋病防治措施提供理论支撑。
方法利用艾滋病疫情数据库获得浙江省金华市HIV单阳夫妻信息，自行设计调查问卷；收集HIV单阳夫妻的社会人口学特征、艾滋病（AIDS）相关知识知晓、性行为以及性关系权力情况，分析HIV单阳夫妻阴性配偶性关系权力现状及其影响因素。
结果在191名HIV阴性配偶中，在得知配偶感染艾滋病以前，有72.3%没有听说过AIDS，3.1%有HIV检测史；高性关系权力者占38.2%。单因素分析发现，男性、经济收入高、文化程度高、常饮酒以及AIDS知晓程度高则性关系权力高（χ²=12.227，P<0.001；χ²=4.227，P =0.040；χ²=18.188，P<0.001；χ²=^{6.104，P=0.013；χ²=^{10.827，P=0.013）。多因素分析显示，男性和大专及以上文化程度者性关系权力高，OR（95％CI）分别为4.102（1.757~9.578）和7.403（2.810~19.503）。}}
结论AIDS知识知晓程度低和夫妻关系不融洽会增加AIDS在夫妻间传播的风险。男性、经济收入、文化程度及AIDS知晓程度是性关系权力的重要影响因素。

Abstract:
ObjectiveTo analyze the sexual relationship power and its influencing factors in married couples with single human immunodeficiency virus （HIV） positive spouse， and to provide theoretical support for the development of appropriate HIV prevention and control measures.
MethodsData of HIV single positive couples were collected from the database of AIDS epidemic. Social demographic characteristics， AIDS related knowledge， sexual behavior and sexual relationship power of HIV single positive couples were obtained by self-designed questionnaire. Current situation and influencing factors of sexual relationship power of the negative spouses HIV single positive couples' were analyzed.
ResultsAmong 191 HIV negative spouses， 72.3% had not heard of AIDS， 3.1% had a history of HIV testing， and 38.2% had high sexual power. Single factor analysis found that men （χ² =12.227，P<0.001）， high income （χ² =4.227，P =0.040）， high education level （χ² =18.188，P<0.001）， frequent drinking （χ²= 6.104，P=0.013）， and high-level awareness of AIDS （χ²=10.827，P=0.013） had higher power of sexual relationship. Multivariate analysis showed that men and individuals with college education or above had higher sexual power， with OR （95% CI） 4.102 （1.757-9.578） and 7.403 （2.810-19.503）， respectively.
ConclusionThe low awareness rate of AIDS knowledge and the disharmonious relationship between husband and wife will increase the risk of AIDS transmission in the spouses. Male， economic income， education level and AIDS awareness rate are the important influencing factors of sexual relationship power.

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