云南某县男性青年HIV感染危险行为与知识水平的关系.doc

云南某县男性青年HIV感染危险行为与知识水平的关系 吴尊友1，2　张家鹏3　董勒弄4　段松5　李志荣4　程何何3　黄素芬5 贾曼红3　毕秀琼3　赵忠林4　李文可4　马宗江4　Roger Detels2 　　【摘要】　目的　了解艾滋病流行区男性青年HIV感染危险行为特征、HIV/AIDS知识水平和自觉HIV感染危险性之间的关系。方法　1994年对云南省某县82个村的18～29岁男性青年进行了断面调查。调查对象的人口特征、行为和知识水平资料，由调查员用匿名调查表收集。结果　共调查1 548人，发现433名吸毒者，其中192人为静脉吸毒者。静脉吸毒者中合用注射用具很普遍(73%)。吸毒者的婚前/婚外性行为是非吸毒者的4倍，仅2.5%的婚前/婚外性行为用了安全套。一半以上的调查对象对HIV/AIDS一无所知。结论　有助于HIV传播的因素在该地的男青年中很普遍，建议尽快开展预防HIV/AIDS干预工作。 　　【关键词】　危险行为　　获得性免疫缺陷综合征　　HIV感染 Relationship between Risk-taking Behavior and Knowledge for HIV Infection among Young Men in Longchuan, Yunnan of China　　Wu Zunyou*, Zhang Jiapeng, Dong Lelong, et al.　*Ministry of Health Center for AIDS Prevention and Control, Chinese Academy of Preventive Medicine, Beijing 100050 　　【Abstract】　Objective　To study the relationship between characteristics of risk-taking behavior and knowledge level of HIV infection/AIDS and risk perception of HIV infection among young men in an AIDS epidemic area. Methods　A cross-sectional survey was carried out among young men aged 18～29 years in 82 villages in Longchuan, Yunnan, China in 1994. Their demographic and behavioral information and knowledge level of AIDS were collected by interviewer administered anonymous questionnaire. Results　A total of 1 548 subjects were interviewed and 433 were drug abusers, including 192 intravenous users with 73% of them sharing syringes with others. Drug abusers were four times more likely to have pre-/extra-marital sex than non-users. More than half of the interviewees scored zero in HIV/AIDS knowledge. Conclusion　Factors predisposing spread of HIV infection were common in the local young men. It is recommended that intervention be implemented as soon as possible to prevent HIV infection and AIDS. 【Key words】　Dangerous behavior　　Acquired immunodeficiency syndrome　　HIV infections 　　掌握艾滋病病毒(HIV)传播和预防的基本知识，是防止或改变感染HIV危险行为的必要前提。近年来，在云南省一些地区进行了大量的有关HIV感染流行及危险因素研究［1～3］，而对这些危险行为与HIV/AIDS知识水平之间的关系报道甚少。本文报告1994年对云南省某县18～29岁男性青年的断面调查，比较HIV感染危险行为与HIV/AIDS知识水平及自觉感染危险之间的关系