AIDS-related knowledge, sexual behavior and acceptance of HIV testing among people aged 50 years and above undergoing community-based health examination
XIE Ying1, AN Wen-hong2, ZHAO Di1, ZHENG Chun-yuan1, MENG Jing-jing1, WANG Hong-hong1
1. Xiangya School of Nursing, Central South University, Changsha, Hunan 410013, China; 2. Panzhihua University, Panzhihua, Sichuan 617000, China
Abstract：Objective To investigate AIDS-related knowledge and sexual behavior among people aged ≥ 50 years, and to explore their acceptability of providing HIV testing in community-based health examination. Methods From June to August 2020, we conducted a questionnaire survey and HIV and syphilis tests among people aged 50 years and above who participated in physical examination in a community health service center and a township hospital in a district of Changsha City. Results Eight hundred and forty-three valid questionnaires were retrieved, with the effective response rate being 90.9% (843/927). The total awareness rate of knowledge related to AIDS prevention and treatment was 32.9% (277/843). Respondents living in rural areas (OR=1.784,95%CI:1.236-2.575), having higher education levels (junior middle school OR=1.504, 95%CI:1.021-2.216; high school/technical secondary school OR=3.048, 95%CI:1.915-4.851; junior college and above OR=3.880, 95%CI:1.192-12.632) and drawing a large personal annual income (RMB 20,000- OR=1.895, 95%CI:1.242-2.893) were more likely to know knowledge related to AIDS prevention and treatment, while the older respondents were less likely to know the knowledge. Male respondents had higher sexual needs (Z=-6.585) and self-reported sexual frequency (Z=-3.640) than female respondents (P<0.001). Respondents with knowledge about AIDS prevention and treatment were more likely to use condoms during sex (Z=-2.134, P=0.002). 98.6% (831/843) of the respondents had never had an HIV test, and the reasons were different depending on where they lived (P<0.001), but the acceptance rate of HIV test provided in community-based health check-ups was 96.0% (890/927). None of the respondents was tested positive for HIV, but 4 were tested positive for syphilis. Conclusion The population aged 50 years and above had a lower level of AIDS-related cognition and a variety of unsafe behaviors. We suggest strengthening the propaganda and education about AIDS prevention and control knowledge in this age group, especially among the elderly in rural areas with low education levels. And it can be considered to include HIV and syphilis tests in community-based health examination of this age group, and detect HIV infectors as early as possible.
谢莹, 安文红, 赵地, 郑淳元, 孟婧婧, 王红红. 参加社区健康体检的50岁及以上人群艾滋病相关知识、性行为及HIV检测的接受度调查[J]. 实用预防医学, 2022, 29(12): 1414-1418.
XIE Ying, AN Wen-hong, ZHAO Di, ZHENG Chun-yuan, MENG Jing-jing, WANG Hong-hong. AIDS-related knowledge, sexual behavior and acceptance of HIV testing among people aged 50 years and above undergoing community-based health examination. , 2022, 29(12): 1414-1418.
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2022, Vol. 29 
