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目的了解广西中老年嫖客壮阳药使用情况及相关影响因素,探索使用此类药物与中老年嫖客感染HIV的关系。方法在调查地区走访药店、私人门诊和街边药摊,采集壮阳药标本。同时在低档暗娼场所对≥50岁嫖客进行问卷调查,获取社会人口学、行为学及壮阳药使用史等信息,采集血样标本进行HIV和梅毒抗体检测,用对应分析方法分析老年嫖客使用壮阳药相关影响因素及艾滋病感染的关系。结果本研究共调查当地458家药店,269家私人门诊,264个街边药摊,销售壮阳药的药店占57.0%(261/458)、私人门诊4.8%(13/269)和街边药摊56.4%(149/264)。收到3485份有效问卷,其中1 040人(29.84%)使用过壮阳药,并检出HIV阳性病例103例(2.96%)。结果显示无固定性伴、不知道艾滋病、读书≤5年、身体不健康、性功能不好和≥70岁等特征人群使用壮阳药的风险较高;而有固定性伴、知道艾滋病、读书>5年、身体健康、性功能好和50~59岁等特征人群使用壮阳药的风险较低;且使用壮阳药的老年嫖客感染艾滋病毒的风险高于未使用者。结论广西壮阳药分布广泛,价格便宜容易获得。中老年嫖客使用者主要集中年龄较大,文化程度较低,无固定性伴和艾滋病相关知识了解较少的人群,壮阳药的使用可能对人群感染HIV起到推助作用。
Objective To understand the usage of impotence drug among middle-aged and elderly clients in Guangxi and related influencing factors and to explore the relationship between the use of such drugs and HIV infection among middle-aged and elderly clients. Methods Visits pharmacies, private clinics and street drugstores in the survey area to collect aphrodisiac samples. At the same time, questionnaires were surveyed among clients of ≥50 years of age in low-grade places with sex offenders and social demography, behavioral and history of aphrodisiacs were collected. Blood samples were collected for detection of HIV and syphilis antibodies. The correlation analysis was used to analyze the correlation between the use of aphrodisiac drugs Influencing factors and the relationship between HIV infection. Results A total of 458 pharmacies, 269 private clinics, 264 street drugstores, 57.0% (261/458) of pharmacies selling aphrodisiacs, 4.8% (13/269) of private clinics and street drugstores 56.4% (149/264). Of the 3,485 valid questionnaires received, 1,040 (29.84%) used aphrodisiacs and 103 (2.96%) were HIV-positive cases. The results showed that there is no fixed sexual partners, do not know AIDS, reading ≤ 5 years, the body is not healthy, sexual dysfunction and ≥70 years of age and other characteristics of people using aphrodisiac risk higher; and fixed partners, AIDS, reading> 5 The risk of using aphrodisiacs is low for people with characteristics of good health, good sexual function, and 50-59 years of age. The risk of HIV infection among elderly clients who use aphrodisiac drugs is higher than that of non-users. Conclusion Guangxi aphrodisiac widely distributed, cheap and easy to get. The majority of middle-aged and elderly client users mainly focus on younger age groups, lower educational level, and less knowledgeable about fixed-sex partners and HIV-related people. The use of aphrodisiac drugs may play a role in helping people with HIV infection.