To analyze the influencing factors of condom use frequency and multiple sexual partners(two variables reflecting risky sexual behavior) among HIV-infected women of childbearing age in Xinjiang, and to explore the mediating effect of the "discrimination perception-anxiety-risky sexual behavior" path.

From September 2021 to September 2022, 231 HIV-infected women of childbearing age were selected from designated antiviral treatment institutions in Xinjiang Province by convenient sampling method. A questionnaire survey was conducted among them, and binary logistic regression was used to analyze the factors related to condom use and multiple sexual partners per sexual act. ROC curve and AUC value were used to evaluate the model effect. AMOS software was used to establish the mediating effect model of the discrimination-anxiety-risky behavior path.

Among the 231 participants, 25.41% were infected with multiple sexual partners, 36.4% used condoms every time they had sex, 47.6% were protected, and 52.4% were mild or vulnerable. Unclear HIV infection status of sexual partners(OR=12.515, 95% CI: 3.088-50.724), high perception of discrimination(OR=1.103, 95% CI: 1.052 -1.156) were risk factors for multiple sexual partners, and medication compliance was good(OR=0.338, 95% CI: 0.149-0.763) as a protective factor for multiple sexual partners; HIV positive OR unknown sexual partner(95% CI:0.049-0.499), rural domicile(OR=0.477, 95% CI:0.260-0.877), anxiety(OR=0.973, 95% CI:0.949-0.997) were the relevant factors for condom use; "Discrimination perception" could indirectly affect "risky sexual behavior" through "anxiety", and the indirect effect size of this path was 0.031, accounting for 10.8% of the total effect.

Low frequency of condom use and multiple sexual partners in HIV infected women of childbearing age in Xinjiang Province lead to the occurrence of risky sexual behaviors.