HIV/AIDS Kap Related To HIV Sexual Infection Risk Study

Objective1.To understand the status of AIDS prevention knowledge,attitudes and practices(KAP)of the population under the current promotion strategy;2.To understand the risk of HIV infection at different levels of KAP status and the factors that determine the level of risk,and the differences in factors affecting HIV infection among the total population and different routes of transmission;MethodsVoluntary Counseling & Testing(VCT)clinic in Guangxi autonomous province,including VCT clinics in regions with high incidence of HIV/AIDS in Luzhai,Lingshan,and Quanzhou,and community survey sites under their jurisdiction,using cross-sectional studies designed to conduct research.Questionnaires were completed by consultants before they were tested for HIV antibodies.The questionnaire survey included a total of 104 questions,including social demographics(8),HIV-related KABP(14 knowledge sections,13 belief or attitudes,and 68 high-risk behavior sections).The subjects were divided into the HIV antibody positive group and the negative group according to the HIV antibody testing results.Multivariate logistic regression analysis was performed on the KAP findings of the positive group and the negative group to analyze the relationship between KAP status and HIV infection in the total group,heterosexual behavior group(HSB)and man who have sex with man(MSM)group,and to obtain key risk factors of HIV infection,and the factors that affect the level of risk.Result1.1775 people were recruited and 1767 were actually analyzed.The average age is(36.7±13.6)years,the minimum age is 18 years-old,and the maximum age is 89 years-old.Heterosexual sexual behaviors group were 980,accounting for 55.5% in total analyzed population;MSM group accounted for 44.5%;there were significant differences in demographic characteristics such as age,education,and marital status between HSB and MSM groups.Among the 1767 people who completed the survey,198 were testing for positive HIV antibody,and the total infection rate was 11.3%.The infection rates of HSB and MSM were 7.6% and 15.8%,respectively.The infection rate of MSM was significantly higher than that of HSB.2.The survey found that the HIV/AIDS knowledge rate was 85.5% for the general population and 79.4% for the HSB group,which was lower than the 93.9% for the MSM group.The correct rate of knowledge related to HIV/AIDS transmission routes(94.7%,95.2%,and 93.7%)is higher than the correct rate of knowledge related to non-transmission routes(91.2,79.4%,89.3%,and 66.6%).Low level of HIV/AIDS knowledge is a high risk factor for HIV infection among the general population and HSB group(AOR 2.44 and 2.11,respectively),but it is not a high risk factor for MSM group.In investigating attitudes and beliefs,we found that high risk factors for HIV infection in the general population include finding temporary sexual partners in recreational sites(AOR: 2.96,95% CI;1.01-8.69)and history of homosexual sex(AOR: 3.68,95% CI: 1.74-7.77),Feelings or knowing that there were HIV-infected sexual partners(AOR: 2.04,95% CI: 1.25-3.34).For the HSB grouop,a longer history of commercial sex was a high risk factor(AOR: 3.24,95% CI: 1.21-8.68).For the MSM group,only women role(AOR: 14.30,95% CI: 5.77-35.48)or both males and females role(AOR: 6.64,95% CI: 2.79-15.81)are all high risk factors in homosexual activities.And having a regular homosexual partner is a protective factor(AOR: 0.45,95% CI: 0.26-0.81).3.In the attitudes of the HSB and MSM population,54.9% and 96.6% of the respondents believed that they should use or are willing to use condoms during sex.However,only 25.1% and 84.0% respondents usually used condoms when having sex in these two groups,respectively.This shows that both the HBS and MSM populations have a clear separation of attitude and belief from actual behavior.The survey also found that the main reasons for unprotected behavior in the HSB population were "believing that HIV/AIDS is very far away from himself/herself,thus lacking self-prevention awareness"(71.4%)and "feeling uncomfortable and unwilling to use condoms"(24.9%);The main reason for the history of unprotected sexual behavior in the MSM population was "believing that the partner is very healthy and without AIDS"(63.6%)and "the other party is not willing to use condoms"(37.4%).4.The HIV/AIDS knowledge level was high if the main way to obtain AIDS knowledge were through Internet,public maps,radio and television and free publicity materials.They were Internet(AOR: 5.98,95% CI: 3.04-11.77),public chalet(AOR:3.66,95%CI: 1.95-5.79),broadcast television(AOR: 2.44,95%CI: 1.60-3.71),and free publicity materials(AOR: 1.70,95%CI: 1.13-2.57).5.In this survey,the factors that have a greater impact on the HIV prevalence among HSB populations are low HIV/AIDS knowledge(PAF: 38.4%)and longer commercial sexual history(PAF: 3.9%);In HIV infection among MSM population,the risk factors that have a greater impact on the rate are those willing to work or study with people living with HIV(PAF: 49.7%),those who consider it unnecessary or unwilling to use condoms(PAF: 33.4%),and have sexual partners with unclear HIV-infected status(PAF: 63.5%).Conclusions1.High AIDS prevention knowledge can significantly reduce the risk of HIV infection in the general population and HSB population.However,this finding of the study was not significant in the MSM population.The current MSM education strategy should be studied and changed so that it can more effectively promote the MSM population to reduce high-risk behavior.2.The surveyed population had a higher positive degree of attitude and belief in using condoms(55%-97%),but the actual use of condoms was very low(25%-84.0%).It shows that there is also a clear separation between attitude and actual behavior.The study further found that the reasons for not using condoms in unprotected sex in the HSB population were mainly: AIDS was very far away(71.4%)and felt uncomfortable(24.9%);in the MSM population,the sexual partners were health without HIV/AIDS(63.6%)and the sexual partner is not willing to use(37.4%)and other reasons.3.High risk factors for HIV infection in the survey population found in this study: HSB population in search of temporary partners,HIV-infected partners and longer commercial sexual history in recreational sites;Sexual roles in the MSM population both women and men and women only should become targets for strengthening the focus of publicity and education and implementing effective interventions.