Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, No. 9 Seyuan Road, Chongchuan District, Nantong, Jiangsu Province 226019, China.
Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, No.9 Seyuan Road, Chongchuan District, Nantong, Jiangsu Province 226019, China.
Curr HIV Res. 2023;21(1):56-62. doi: 10.2174/1570162X21666230123154718.
Acquired Immune Deficiency Syndrome (AIDS) remains a nationwide health problem in China; there were a reported 1,045,000 people living with Human immunodeficiency virus (HIV)/AIDS by the end of October 2020, and the proportion of individuals aged 50 years and older living with HIV has also increased from 8% to 24% over the past two decades.
A cross-sectional study and an 1:2 matched case-control study were conducted from July to August 2016, in Wuxi city, eastern China. A total of 1,000 men aged 50 years and older completed a face-to-face interview regarding their AIDS-related knowledge and attitudes, as well as risk behaviors.
Prevalence was 0.1% for HIV and 2% for syphilis. The awareness rate of AIDS-related knowledge among elderly men was 48.9% (range 40.7%-63.9%). The 1꞉2 matched case-control study indicated that only the AIDS-related attitudes were different between the two groups (χ=8.726, P=0.013), the conditional logistic regression analysis indicated that scores of AIDS health knowledge were the only significant prognostic factor for the infection (HR=0.754 (0.569- 0.999), P=0.049).
It was crucial to prevent HIV/AIDS and syphilis infections by improving the awareness of AIDS-related knowledge and changing related attitudes among the elderly. Further research aimed at identifying how these factors impact their sexual decision-making can shed valuable insight into further prevention program in this population.
艾滋病（AIDS）仍然是中国全国性的健康问题；截至 2020 年 10 月底，报告的中国艾滋病病毒（HIV）/艾滋病感染者为 104.5 万人，过去二十年，50 岁及以上人群中 HIV 感染者的比例已从 8%上升到 24%。
2016 年 7 月至 8 月，在中国东部城市无锡进行了一项横断面研究和 1：2 配比病例对照研究。共有 1000 名 50 岁及以上的男性完成了关于艾滋病相关知识和态度以及风险行为的面对面访谈。
HIV 的流行率为 0.1%，梅毒为 2%。老年男性艾滋病相关知识的知晓率为 48.9%（40.7%-63.9%）。1:2 配比病例对照研究表明，两组之间仅艾滋病相关态度存在差异（χ=8.726，P=0.013），条件逻辑回归分析表明，艾滋病健康知识得分是感染的唯一显著预后因素（HR=0.754（0.569-0.999），P=0.049）。
通过提高老年人对艾滋病相关知识的认识和改变相关态度，预防 HIV/AIDS 和梅毒感染至关重要。进一步研究如何影响他们的性决策，可以深入了解这一人群的进一步预防计划。
