HIV PREVALENCE AND RISK-FACTORS IN UNIVERSITY-STUDENTS

HIV PREVALENCE AND RISK-FACTORS IN UNIVERSITY-STUDENTS
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DOI:
10.1097/00002030-199509020-00012
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发表时间:
1995-02-01
期刊:
影响因子:
3.8
通讯作者:
SHAW, T
SHAW, T
中科院分区:
医学2区
文献类型:
--
作者:
RAAB, GM;BURNS, SM;SHAW, T

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目的:评估大学生HIV感染率和风险。设计:匿名自填问卷和样本。地点:入学时的大学生。参与者:苏格兰爱丁堡大学所有一、三年级本科生和新注册的研究生。主要观察指标:HIV感染率、性行为、避孕套使用、吸毒情况。结果:根据问卷调查结果,将4665名受访者按HIV阳性风险排序分为4组,并抽取2041名样本进行测试。所有前两个风险组都接受了测试(分别为217次和758次测试),并对其他风险组进行了随机抽样。共检测出5例HIV抗体阳性,均来自高危人群。这给出了所有受访者的估计比率为每1000人1.2人(95%可信区间,0.4-2.9)。在五名艾滋病毒阳性者中,只有一人进行了艾滋病毒检测。与HIV阳性有关的因素有居住在非洲、静脉吸毒和男性同性恋。总体而言,74%的受访者报告曾发生过性行为,这一比例在男性和女性中是相同的。报告的静脉注射毒品使用率非常低:男性为0.5%,女性为0.1%。安全套的使用在熟人较少的伴侣中更为普遍,但与最近一年的性伴数量无关。结论:在该人群中,没有证据表明艾滋病毒感染的传播超出了已知的高危人群。这可能是由于大多数受访者的艾滋病毒冒险行为水平相对较低所致。
Objective: To estimate HIV prevalence and risks in university students.Design: Anonymous self-completion questionnaire and samples.Setting: University students at matriculation.Participants: All first and third year undergraduates and newly registering postgraduates at the University of Edinburgh, Scotland.Main outcome measures: HIV prevalence, sexual behaviour, condom use, drug use.Results: The questionnaire responses were used to classify the 4665 respondents into four groups, ordered by risk of HIV positivity, and a sample of 2041 was selected for testing. All of the top two risk groups were tested (217 and 758 tests, respectively) as well as a random sample of the others. Five positive HIV-antibody tests were detected, all from the highest risk group. This gives an estimated rate of 1.2 per 1000 (95% confidence interval, 0.4-2.9) for all respondents. Only one of the five HIV-positives had been tested for HIV. The factors associated with HIV positivity were residence in Africa, intravenous drug use and male homosexuality. Overall, 74% of respondents reported ever having had sexual intercourse and this rate was the same for men and women. Reported intravenous drug use was very low: 0.5% for men and 0.1% for women. Condom use was more common for partners of short acquaintance, but unrelated to the number of sexual partners in the last year.Conclusions: There was no evidence of the spread of HIV infection beyond known high-risk groups in this population. This may be a result of relatively low levels of HIV risk-taking behaviour in the majority of respondents.