Current status and associated factors of HIV self-testing among MSM college students in Guiyang City
Objective To examine the prevalence and determinants of HIV self-testing among male college students who have sex with men(MSM)in Guiyang City,with the aim of informing strategies to promote HIV self-testing in university settings.Methods From September 2022 to October 2023,MSM college students in Guiyang were recruited through on-site,snowball,and online methods.Data on sociodemographic characteristics,sexual behavior,and HIV self-testing practices were gathered using self-administered electronic questionnaires.A multivariate logistic regression model was used to identify factors influencing HIV self-testing behaviors.Results Of the 567 valid questionnaires collected,67.2％of participants had previously self-tested for HIV.The multivariate logistic regression analysis indicated a higher likelihood of HIV self-testing among students who were majoring in medicine(aOR=5.088,95％CI:1.993-12.583),had awareness of AIDS prevention knowledge(aOR=3.313,95％CI:1.947-5.636),identified as sexual minorities(aOR=3.649,95％CI:1.323-10.065),had more than ten sexual partners(aOR=2.469,95％CI:1.225-5.085),and had accessed condom distribution/HIV counseling and testing services in the past year(aOR=2.532,95％CI:1.587-4.040).Conversely,students who reported no homosexual behaviors in the past six months were less likely to have self-tested for HIV(aOR=0.258,95％CI:0.131-0.511).Conclusions The prevalence of HIV self-testing among MSM college students in Guiyang City is notably high.Targeted interventions should be directed towards MSM students in non-medical fields,those with limited AIDS prevention knowledge,and those who have not accessed condom distribution or HIV counseling services.Enhancing AIDS prevention awareness and perceived risk may further increase HIV self-testing rates within this group.
college studentsmen who have sex with men(MSM)AIDSself-testingassociated factor
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