Willingness to receive HIV testing in primary health service institutions among school students in Wuhan City
MA Hongfei1, YAN Han1, DING Jie1, XIE Nianhua1, GONG Shun2, MIN Yunchun3, LIU Qi4, ZHU Hailin5, TANG Lin6, WANG Xia1
1. Department for HIV/AIDS Control and Prevention, Wuhan Center for Disease Control and Prevention, Wuhan, Hubei 430024, China; 2. Hongshan District Center for Disease Control and Prevention, Wuhan, Hubei 430070, China; 3. Jiangxia District Center for Disease Control and Prevention, Wuhan, Hubei 430200, China; 4. Qiaokou District Center for Disease Control and Prevention, Wuhan, Hubei 430030, China; 5. Donghu New Technology Development Zone District Center for Disease Control and Prevention, Wuhan, Hubei 430065, China; 6. Hanyang District Center for Disease Control and Prevention, Wuhan, Hubei 430050, China
Abstract：Objective To investigate the willingness to receive HIV testing in primary health service institutions (PHSIs) among young students in Wuhan City, so as to provide the evidence for improving the detection of HIV testing among young students. Methods Fifteen PHSIs were sampled using a stratified random sampling method in 14 districts of Wuhan City, and school students at ages of 15 to 24 years were sampled from each district using a convenience sampling method. Participants' demographics, awareness of AIDS-related knowledge, HIV testing and willingness to receive HIV testing were collected using questionnaires, and factors affecting the willingness to receive HIV testing in PHSIs were identified among school students using a multivariable logistic regression model. Results A total of 301 questionnaires were allocated, and 299 valid questionnaires were recovered, with an effective recovery rate of 99.34%. The respondents included 143 men (47.83%) and 156 women (52.17%), and had a mean age of (19.36±2.40) years; there were 223 respondents with an educational level of diploma and above (74.58%). The awareness of AIDS-related knowledge was 71.57% among the respondents, and 144 respondents had received AIDS-related health education in PHSIs (48.16%). There were 34 respondents that had received HIV testing (11.37%) and 203 respondents that were willing to receive HIV testing in PHSIs (67.89%). The respondents that were unwilling to receive HIV testing in PHSIs were mainly attributed to considering to be unlikely to get HIV infections (82.29%). Multivariable logistic regression analysis showed that school students who knew AIDS-related knowledge (OR=2.797, 95%CI: 1.583-4.941), knew free HIV counseling and testing services in PHSIs (OR=2.070, 95%CI: 1.123-3.814), and had received AIDS-related health education in PHSIs (OR=2.814, 95%CI: 1.573-5.032) were more willing to receive HIV testing in PHSIs. Conclusions There were 67.89% of school students that were willing to receive HIV testing in PHSIs in Wuhan City, and the willingness to receive HIV testing was correlated with the awareness of risk of HIV infections, and awareness and experience of AIDS control services in PHSIs.
马红飞, 闫晗, 丁洁, 谢年华, 龚舜, 闵运春, 刘琦, 朱海林, 唐林, 王夏. 武汉市在校学生接受基层卫生服务机构HIV检测服务的意愿调查[J]. 预防医学, 2022, 34(11): 1116-1120.
MA Hongfei, YAN Han, DING Jie, XIE Nianhua, GONG Shun, MIN Yunchun, LIU Qi, ZHU Hailin, TANG Lin, WANG Xia. Willingness to receive HIV testing in primary health service institutions among school students in Wuhan City. Preventive Medicine, 2022, 34(11): 1116-1120.
[1] LI G,JIANG Y,ZHANG L.HIV upsurge in China's students[J].Science,2019,364(6442):711. [2] 张兴亮,陈珺芳,李西婷,等.杭州市大学生艾滋病疫情分析[J].预防医学,2017,29(2):161-164. ZHANG X L,CHEN J F,LI X T,et al.An analysis on the HIV/AIDS epidemic characteristics among university students in Hangzhou City[J].Prev Med,2017,29(2):161-164. [3] 陈天麒,黄亚阳,步凯,等.青年学生艾滋病病毒检测意愿及多维度检测行为分析[J].中国公共卫生,2021,37(2):244-250. CHEN T Q,HUANG Y Y,BU K,et al.Willingness and behavior of HIV testing among college students in Beijing city:a multi-dimensional analysis[J].Chin J Public Health,2021,37(2):244-250. [4] The Joint United Nations Programme on HIV/AIDS.Get on the Fast-Track:the life-cycle approach to HIV[EB/OL].(2016-11-21)[2022-09-15].https://www.unaids.org/sites/default/files/media_asset/Get-on-the-Fast-Track_en.pdf. [5] 胡荣,罗莉,许骏,等.武汉市青年学生与校外青年艾滋病疫情特征比较分析[J].中国社会医学杂志,2019,36(3):268-271. HU R,LUO L,XU J,et al.A descriptive and comparative analysis of HIV/AIDS epidemic between young students and out-of-school youths in Wuhan[J].Chin J Soc Med,2019,36(3):268-271. [6] 罗艳,赵刚,金洁,等.2016—2019年杭州市青年学生艾滋病疫情及知信行分析[J].预防医学,2020,32(10):1034-1037. LUO Y,ZHAO G,JIN J,et al.AIDS epidemic situation and KAP among young students in Hangzhou from 2016 to 2019[J].Prev Med,2020,32(10):1034-1037. [7] 刘小涛. 基层艾滋病防治服务现状调查[D].合肥:安徽医科大学,2017. LIU X T.The survey on the present service situation of HIV/AIDS prevention and control in grass-roots[D].Hefei:Anhui Medical University,2017. [8] 张琪超,蔡晓峰,石群,等.以社区为基础艾滋病综合防制模式可行性探讨[J].职业与健康,2015,31(18):2545-2548. ZHANG Q C,CAI X F,SHI Q,et al.Discussion on feasibility of comprehensive AIDS prevention mode on basis of community[J].Occup Health,2015,31(18):2545-2548. [9] 王文婷,陈任,秦侠,等.基层艾滋病防治常态化的国际经验对我国的启示[J].医学与哲学,2017,38(4):36-38. WANG W T,CHEN R,QIN X,et al.The implication of international experience for normalization of grassroots AIDS prevention and control in China[J].Med Philosophy,2017,38(4):36-38. [10] 韩孟杰,金聪,李敬云,等.扩大艾滋病检测促进早检测专家共识[J].中国艾滋病性病,2021,27(11):1202-1206. HAN M J,JIN C,LI J Y,et al.Expert consensus on expanding HIV testing and promoting early testing[J].Chin J AIDS STD,2021,27(11):1202-1206. [11] 马福昌,张大鹏,孟思宁,等.社区卫生服务机构艾滋病防治对象对HIV检测接受意愿调查[J].中国艾滋病性病,2013,19(12):877-879. MA F C,ZHANG D P,MENG S N,et al.Investigation on acceptance willingness of HIV testing among target population of HIV/AIDS prevention in community health service centers[J].Chin J AIDS STD,2013,19(12):877-879. [12] 叶婷婷,郑剑勇,梁奕晓,等.瓯海区大学生艾滋病哨点监测结果分析[J].预防医学,2017,29(1):56-59. YE T T,ZHENG J Y,LIANG Y X,et al.An analysis on the sentinel surveillance result of HIV/AIDs among college students in Ouhai District[J].Prev Med,2017,29(1):56-59. [13] 梁海旭,梁潇,郭悦萍,等.2018年我国青年学生对艾滋病自愿咨询检测服务接受意愿及其影响因素分析[J].实用预防医学,2020,27(2):149-155. LIANG H X,LIANG X,GUO Y P,et al.Willingness to accept HIV/AIDS voluntary counseling and testing service and its influencing factors among young students in China,2018[J].Pract Prev Med,2020,27(2):149-155. [14] 朱璠,李远骋,吴静,等.青年学生男男性行为者预防艾滋病综合能力及影响因素[J].中国学校卫生,2020,41(10):1450-1454. ZHU F,LI Y C,WU J,et al.Comprehensive AIDS prevention ability of young students who is men have sex with men and associated factors[J].Chin J Sch Health,2020,41(10):1450-1454. [15] 梁若枫,周黎,陈金花,等.杭州市某高校大学生艾滋病防治知识、态度、行为调查[J].预防医学,2022,34(2):208-212. LIANG R F,ZHOU L,CHEN J H,et al.Knowledge,attitude and practice survey of AIDS control knowledge among students in a university in Hangzhou City[J].Prev Med,2022,34(2):208-212.
