HIV/AIDS-related knowledge and sexual behavior characteristics among elderly male clients aged 60 years and above in rural areas of Wenzhou city
YE Zhen-miao1, CHEN Sheng1, YAO Xiao-qiu2, WANG Da-yong1, ZHAO Li-na1, ZHANG He-mei1, SU De-hua1, CHEN Xiang-yang1, WANG Ruo-qiu1
1.Wenzhou Municipal Center for Disease Control and Prevention, Wenzhou, Zhejiang 325000,China; 2.Wenzhou Health and Family Planning Development Service Center, Wenzhou, Zhejiang 325000, China
Abstract:Objective To investigate the characteristics of HIV/AIDS knowledge awareness, sexual behavior, HIV detection behavior and psychosociology among elderly male clients aged 60 years and above in rural areas of Wenzhou city, and to provide a scientific basis for developing targeted intervention measures. Methods In July-September, 2018, a questionnaire survey was conducted among elderly men aged 60 years and above, who lived in rural areas of Wenzhou city and had had commercial sex in the past year. Venous blood samples were collected to detect antibodies against HIV and syphilis. Results A total of 77 elderly male clients aged 60 years and above were investigated, with the average age of (69.57±6.53) years. 64.94% of the elderly male clients were married with spouse, and 51.95% were illiteracies. The awareness rate of HIV/AIDS-related knowledge was relatively low. 27.27% of the elderly male clients were satisfied with sexual desire in the past year, and 76.62% had sexual behavior in the last six months. The proportions of having sex with commercial and temporary sexual partners were 63.64% and 70.13 %, respectively, and the rates of self-reported condom use every time were 20.41% and 18.52%, respectively. The main reason for not using condom was uncomfortable, accounting for 65.31%. The main place to find commercial sexual partners was roadside stores, accounting for 34.69%. 11.86% of the elderly male clients used aphrodisiac before sexual activity. 15.58 % of the elderly male clients had been tested for antibody to HIV, and 89.61% were willing to accept HIV antibody test. Among the elderly male clients with negative HIV antibody results, the positive rate of syphilis antibody was 9.09%. Conclusions The rates of HIV/AIDS-related knowledge awareness and condom use are relatively low among the elderly male clients in rural areas of Wenzhou city, but their infection rate of syphilis is high, indicating that there is a risk of HIV infection. It is necessary to conduct targeted HIV/AIDS publicity and education according to the characteristics of this population.
叶振淼, 陈晟, 姚晓秋, 王大勇, 赵丽娜, 张鹤美, 苏德华, 陈向阳, 汪若秋. 温州市农村地区≥60岁老年男性嫖客艾滋病知识及性行为特征调查[J]. 实用预防医学, 2020, 27(1): 38-41.
YE Zhen-miao, CHEN Sheng, YAO Xiao-qiu, WANG Da-yong, ZHAO Li-na, ZHANG He-mei, SU De-hua, CHEN Xiang-yang, WANG Ruo-qiu. HIV/AIDS-related knowledge and sexual behavior characteristics among elderly male clients aged 60 years and above in rural areas of Wenzhou city. , 2020, 27(1): 38-41.