Association between sexual behavioral characteristics and HIV testing service utilization among adolescents
Objective To analyze the association between human immunodeficiency virus(HIV)testing utilization and different characteristics of sexual behavior among sexually exposed adolescents in Chongqing.Methods From January to July 2021,adolescents aged 15-24 years from Chongqing were selected using multi-stage random and convenience sampling methods to complete self-administered anonymous questionnaires.Adolescents with sexual history were included.Multivariate logistic regression models were used to analyze the association between sexual behavior and HIV testing utilization.Results A total of 2 824 subjects were enrolled in this analysis,and the proportion of previous HIV testing was 12.11％.The results of multivariate logistic regression analysis showed that adolescents who had their first sexual intercourse at the age of 16-＜20 years old(OR=0.39,95％CI:0.25-0.61,P＜0.001)and ≥20 years old(OR=0.41,95％CI:0.24-0.70,P=0.001)had lower rates of previous HIV testing,compared with adolescents whose first sexual intercourse age were＜16 years old.Adolescents who sought sexual partners online(OR=3.43,95％CI:2.43-4.84,P＜0.001),had multiple sexual partners(2 people:OR=1.64,95％CI:1.19-2.26,P=0.002,≥3 people:OR=1.97,95％CI:1.39-2.81,P＜0.001),and only had homosexual behavior(OR=3.39,95％CI:2.00-5.73,P＜0.001)were more likely to take HIV testing services than adolescents who did not seek partners online,had only one partner,and only had heterosexual sex.Subgroup analyses revealed that all of the above associations were present among college students,but that factors differed slightly among vocational school students and out-of-school adolescents.Conclusions Acceptance of HIV testing services among adolescents is associated with a number of factors,including age at first sexual intercourse,online sexual partner seeking,multiple sexual partners,and homosexual behavior.It is important to continue to strengthen health education,risk awareness and the promotion of proactive HIV testing among adolescents.
Human immunodeficiency virusHuman immunodeficiency virus testing serviceAdolescentsSexual behavior
万方数据
维普
