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目的掌握流动青少年艾滋病相关知识、态度和行为现状,并分析相关影响因素。方法在四川省南充市城区,用非概率抽样方法,对15～24岁的流动青少年,用自制问卷开展调查。用非条件Logistic回归和等级Logistic回归分析影响因素。结果共回收587份有效问卷,其中,50.3%的人知道艾滋病3个传播途径,26.2%的人能正确回答9个知识问题中的7个以上问题,69.9%发生过性行为,21.8%的人与陌生人发生过性关系,超过10%发生过同性性行为。初次性行为和最近1次性行为时安全套使用率分别为15.3%和23.2%,最近1年性行为时安全套坚持使用率为15.9%。原住地为城市者有较高的认知水平(OR=2.09,95%CI:1.04～3.13),但也易于发生高危性行为(OR=3.22,95%CI:1.77～5.88)。结论流动青少年具有较高的艾滋病易感性,采取综合性的干预措施十分必要。
Objective To understand the AIDS-related knowledge, attitude and behavior among adolescents and their related factors. Methods In the urban area of Nanchong City, Sichuan Province, non-probable sampling methods were used to investigate migrant children aged 15-24 years with self-made questionnaires. The influencing factors were analyzed by non-conditional logistic regression and rank logistic regression. Results A total of 587 valid questionnaires were collected. Among them, 50.3% knew three routes of transmission of AIDS, 26.2% answered correctly more than seven of nine questions, 69.9% had sexual intercourse, and 21.8% Have sex with strangers, more than 10% had homosexual behavior. Condom use rates were 15.3% and 23.2% for first-time sex and the most recent sexual activity, respectively, and 15.9% for condom use during the last year of sexual intercourse. Native places had a higher cognitive level in urban areas (OR = 2.09, 95% CI: 1.04-3.13), but high-risk sexual behaviors were also more likely to occur (OR = 3.22, 95% CI: 1.77-5.88). Conclusion Mobile adolescents have high AIDS susceptibility and it is necessary to take comprehensive interventions.