首页|扬州市青年学生HIV自检意愿与自检行为及影响因素研究

扬州市青年学生HIV自检意愿与自检行为及影响因素研究

HIV self-testing willingness/behavior and its influencing factors among young students in Yangzhou

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目的:了解扬州市青年学生人免疫缺陷病毒(HIV)自检意愿与自检行为现况,并分析其影响因素.方法:采用随机抽样的方法在扬州市9所中专和高校招募研究对象,通过调查问卷收集青年学生的一般人口学信息、艾滋病防治知识知晓情况、性行为史、自评HIV感染风险、艾滋病相关行为、HIV自我检测意愿、HIV自我检测史.采用多因素Logistic回归模型分别分析青年学生HIV自我检测意愿和HIV自我检测行为的影响因素.结果:4 593份问卷纳入最终分析,青年学生中愿意接受HIV自我检测的占87.7%,曾经做过HIV自我检测的占5.1%.对HIV自我检测意愿的多因素Logistic回归分析显示,女性(OR=1.26,P=0.018)、江苏省户籍(OR=1.41,P<0.001)、教育程度为本科及以上(OR=1.40,P=0.001)、接受过学校性教育(OR=1.28,P=0.008)、知晓艾滋病防治知识(OR=1.60,P<0.001)、自评有HIV感染风险(OR=1.79,P<0.001)人群具有更高的HIV自我检测意愿.对HIV自我检测行为的多因素Logistic回归分析显示,年龄越大,进行HIV自我检测的可能性越高(OR=1.16,P=0.009),江苏省户籍(OR=1.83,P<0.001)、接受过学校性教育(OR=1.37,P=0.028)、有过性经历(OR=3.14,P<0.001)人群HIV自我检测率更高,但是女性人群的HIV自我检测率比男性更低(OR=0.52,P<0.001).结论:扬州市青年学生HIV自我检测率较低,应重点加强对低龄、女性、外地户籍学生的艾滋病宣传教育,推广学校HIV自我检测.
Objective:To understand the status of human immunodeficiency virus(HIV)self-testing willingness/behavior and its influencing factors among young students in Yangzhou.Methods:The students were recruited by random sampling in 9 secondary specialized schools and colleges in Yangzhou.General demographic information,knowledge of AIDS prevention,sexual behavior history,self-rated risk of HIV infection,AIDS-related behavior,HIV self-testing willingness and behavior among young students were collected by questionnaires.The multivariate Logistic regression model was applied to analyze the HIV self-testing willingness/behavior and its influencing factors among young students.Results:A total of 4 593 questionnaires were included in the final analysis.The rates of HIV self-testing willingness and behavior were 87.7%and 5.1%respectively.Multivariate Logistic regression analysis on HIV self-testing willingness showed that people who were female(OR=1.26,P=0.018),held household registration in Jiangsu province(OR=1.41,P<0.001)and bachelor's degree or above(OR=1.40,P=0.001),received sexual education in school(OR=1.28,P=0.008),had knowledge of AIDS prevention(OR=1.60,P<0.001)and self-rated risk of HIV infection(OR=1.79,P<0.001),had higher willingness of HIV self-testing.Multivariate Logistic regression on HIV self-testing behavior showed that older age was associated with higher probability of HIV self-testing(OR=1.16,P=0.009),and that people who held household registration in Jiangsu province(OR=1.83,P<0.001),received sexual education in school(OR=1.37,P=0.028)and had sexual experience(OR=3.14,P<0.001)had higher rate of HIV self-testing,while the female had lower HIV self-testing rate than the male(OR=0.52,P<0.001).Conclusion:HIV self-testing rate among young students in Yangzhou is low.It is necessary to strengthen AIDS publicity for students who are female,younger or coming from other provinces,and HIV self-testing in school should be promoted.

young studentsacquired immunodeficiency syndromeself-testinginfluencing factor

吴程、杨文彬、李锦成、许纯、杨科佼、姜艳、张倩、邱涛

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扬州市疾病预防控制中心,江苏扬州 225000

江苏省疾病预防控制中心,江苏南京 210009

青年学生 获得性免疫缺陷综合征 自我检测 影响因素

国家科技重大专项扬州市科技计划社会发展项目扬州市卫健委科研专项资金资助项目

2018ZX10715-002YZ20231362023-4-22

2024

现代医学
东南大学

现代医学

CSTPCD
影响因子:0.703
ISSN:1671-7562
年,卷(期):2024.52(9)