许圆圆, 袁诗颖, 李桂霞, 沈伟伟, 汪剡灵, 唐富琴, 陈潇潇. 浙江省台州市2016—2018年大学生艾滋病哨点监测结果分析[J]. 上海预防医学, 2021, 33(8): 682-686. DOI: 10.19428/j.cnki.sjpm.2021.20082
引用本文: 许圆圆, 袁诗颖, 李桂霞, 沈伟伟, 汪剡灵, 唐富琴, 陈潇潇. 浙江省台州市2016—2018年大学生艾滋病哨点监测结果分析[J]. 上海预防医学, 2021, 33(8): 682-686. DOI: 10.19428/j.cnki.sjpm.2021.20082
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XU Yuan-yuan, YUAN Shi-ying, LI Gui-xia, SHEN Wei-wei, WANG Shan-ling, TANG Fu-qin, CHEN Xiao-xiao. Analysis of AIDS sentinel surveillance among college students in Taizhou of Zhejiang Province in 2016‒2018[J]. Shanghai Journal of Preventive Medicine, 2021, 33(8): 682-686. DOI: 10.19428/j.cnki.sjpm.2021.20082
Citation: XU Yuan-yuan, YUAN Shi-ying, LI Gui-xia, SHEN Wei-wei, WANG Shan-ling, TANG Fu-qin, CHEN Xiao-xiao. Analysis of AIDS sentinel surveillance among college students in Taizhou of Zhejiang Province in 2016‒2018[J]. Shanghai Journal of Preventive Medicine, 2021, 33(8): 682-686. DOI: 10.19428/j.cnki.sjpm.2021.20082
shu

浙江省台州市2016—2018年大学生艾滋病哨点监测结果分析

Analysis of AIDS sentinel surveillance among college students in Taizhou of Zhejiang Province in 2016‒2018

    摘要
  • 摘要:
    目的了解浙江省台州市大学生人类免疫缺陷病毒（HIV）感染现状，有关性行为发生、艾滋病相关知识知晓和接受艾滋病相关防治服务状况，为制订有针对性艾滋病防治策略和措施提供依据。
    方法根据《全国艾滋病哨点监测实施方案》，采用分阶段整群抽样在台州市抽取3个监测哨点对大学生开展连续横断面调查，包括问卷调查和血液检测。
    结果2016—2018年共计监测4 185人，性经历报告比例为7.7%，安全套使用比例为58.4%；有过性经历的学生中最近1年与固定性伴、临时性伴、商业性伴和同性性伴发生性行为比例分别为68.7%、23.0%、4.0%、4.0%；性经历及最近1年和固定性伴发生性行为在不同性别、院校之间报告差异具有统计学意义，男高于女，专科高于本科；艾滋病相关知识总体知晓率为65.8%；有过性行为者HIV检测比例为7.8%，呈逐年上升趋势，年度间差异具有统计学意义。2016—2018年监测期间共检测4 185人，未检出HIV抗体阳性者，仅检出1例梅毒抗体阳性和1例丙型肝炎（HCV）抗体阳性。
    结论台州市大学生中以男性、专科院校学生群体性经历报告比例更高，且大学生总体艾滋病相关知识知晓率较低。大学生存在一定的危险性行为，且对艾滋病认知不足，感染风险大。今后需进一步加强艾滋病防治宣传教育。

     

    Abstract:
    ObjectiveTo determine the prevalence of AIDS/HIV， sexual behavior， knowledge， and access to HIV-related services among college students in Taizhou from 2016 through 2018， and provide scientific evidence for developing targeted strategies and measures.
    MethodsBased on the National HIV/AIDS Sentinel Surveillance， a cross-sectional survey was conducted annually among college students in three sentinels by a multi-stage cluster sampling across Taizhou， using questionnaire and laboratory examination.
    ResultsA total of 4 185 college students were surveyed during 2016–2018， in which the proportion of reporting sexual behavior was 7.7%， with 58.4% using condom at. Sexual behavior， with fixed sexual partners， casual partners， commercial partners， and homosexual partners accounted for 68.7%， 23%， 4.0%， and 4.0%， respectively. Sexual experience and sexual behavior with fixed partners were statistically different among colleges and gender， which was much higher in male and vocational schools. The awareness rate of HIV/AIDS knowledge was 65.8%； 3.6% was found to have HIV voluntary counseling and testing， in which 7.8% had sexual behavior， indicating an upward trend over years. No college student tested positive for HIV from 2016 to 2018， and only one tested positive for anti-syphilis antibody and one positive for anti-hepatitis C antibody.
    ConclusionsYoung male and vocational students in Taizhou are likely to have more sexual behavior and lower awareness on HIV/AIDS. College students have at-risk sexual behavior， insufficient awareness of HIV/AIDS， which may facilitate high risk of infection. It warrants further strengthening HIV/AIDS health education.

     

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