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目的了解宁海县中学生艾滋病知信行水平,为开展青年学生艾滋病预防工作提供参考依据。方法2013—2015年,每年选取宁海县2所高级中学,每所学校选取1个年级学生进行艾滋病知识、性行为状况调查以及HIV、HCV和梅毒抗体检测。结果 3年共调查中学生2 504人,艾滋病知识知晓率为69.01%;性行为发生率为3.27%,男性发生率为5.80%,高于女性的0.72%(P<0.05);发生过性行为的82人中,第一次性行为安全套使用率为20.73%,女性使用率为55.56%,高于男性的16.44%(P<0.05);近一年有过性行为的37人中,最近一次使用安全套的占32.43%,男、女生差异无统计学意义(P>0.05)。曾经发生过男男性行为4人和吸毒行为1人。曾经接受过HIV宣传的占总调查人数的29.59%,参与过宣传活动的占9.50%,接受过HIV检测的占3.39%。血清学检出梅毒抗体阳性1例,未检测出HIV和HCV抗体阳性。结论中学生存在高危性行为,艾滋病知识知晓率不高,HIV检测率低,有必要开展校内艾滋病宣传教育并提高检测服务可及性。
Objective To understand the level of HIV / AIDS among middle school students in Ninghai County and to provide a reference for AIDS prevention among young students. Methods From 2013 to 2015, two senior high schools in Ninghai County were selected each year. One grade of students was selected for each school for AIDS knowledge, investigation of sexual behaviors and HIV, HCV and syphilis antibody testing. Results A total of 2 504 middle school students were surveyed, the awareness rate of AIDS knowledge was 69.01%, the incidence of sexual behavior was 3.27%, the incidence rate of male was 5.80%, higher than that of female (0.72%) (P <0.05) Among the 82 people, the first condom use rate was 20.73% and the female rate was 55.56%, higher than the 16.44% of men (P <0.05). Among the 37 people who had had sexual behavior in the past year, the most recent one was Condom accounted for 32.43%, male and female differences were not statistically significant (P> 0.05). There have been 4 MSM and 1 drug abuse. 29.59% of the total number of people who had previously been interviewed for HIV, 9.50% of those who participated in promotional activities, and 3.39% of those who had been tested for HIV. Serological detection of syphilis antibody positive in 1 case, did not detect HIV and HCV antibody positive. Conclusions Middle school students have high-risk sexual behavior, HIV awareness is not high, HIV detection rate is low, it is necessary to carry out AIDS education in schools and improve the accessibility of testing services.