Sexual relationship power and its influencing factors in married couples with single HIV positive spouse in Jinhua / 上海预防医学

ABSTRACT

Objective:To analyze the sexual relationship power and its influencing factors in married couples with single human immunodeficiency virus （HIV） positive spouse， and to provide theoretical support for the development of appropriate HIV prevention and control measures. Methods:Data of HIV single positive couples were collected from the database of AIDS epidemic. Social demographic characteristics， AIDS related knowledge， sexual behavior and sexual relationship power of HIV single positive couples were obtained by self-designed questionnaire. Current situation and influencing factors of sexual relationship power of the negative spouses HIV single positive couples' were analyzed. Results:Among 191 HIV negative spouses， 72.3% had not heard of AIDS， 3.1% had a history of HIV testing， and 38.2% had high sexual power. Single factor analysis found that men （χ2 =12.227，P<0.001）， high income （χ2 =4.227，P =0.040）， high education level （χ2 =18.188，P<0.001）， frequent drinking （χ2= 6.104，P=0.013）， and high-level awareness of AIDS （χ2=10.827，P=0.013） had higher power of sexual relationship. Multivariate analysis showed that men and individuals with college education or above had higher sexual power， with OR （95% CI） 4.102 （1.757-9.578） and 7.403 （2.810-19.503）， respectively. Conclusion:The low awareness rate of AIDS knowledge and the disharmonious relationship between husband and wife will increase the risk of AIDS transmission in the spouses. Male， economic income， education level and AIDS awareness rate are the important influencing factors of sexual relationship power.