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Factors affecting HIV testing among male college students with sexual behaviors |
WANG Hui, PAN Xiaohong, MA Qiaoqin, CHEN Weiyong, HE Lin, ZHENG Jinlei, CHEN Wanjun, JIANG Tingting
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Department of HIV/AIDS and STDS Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China |
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Abstract Objective To investigate the factors affecting HIV testing among male college students with sexual behaviors, so as to provide the evidence for improving the detection of HIV testing among young college students. Methods Four undergraduate universities and one junior college were randomly sampled from Hangzhou City using a purposive sampling method during the period between September and November, 2021, and male students with self-reported sexual behaviors were recruited as study students. Participants' demographics, AIDS-related knowledge, sexual behaviors and HIV testing were collected using questionnaires, and factors affecting HIV testing using a multivariable logistic regression model. Results A total of 720 male college students with sexual behaviors were enrolled, including 180 freshmen (25.00%), 178 sophomores (24.72%), 163 juniors (22.64%), 50 seniors (6.94%) and 149 postgraduates (20.69%), and 94 students received HIV testing (13.06%), including 57.45% receiving self-testing. Multivariable logistic regression analysis identified postgraduates (OR=0.302, 95%CI: 0.127-0.719), sexual orientation (homosexual, OR=0.090, 95%CI: 0.028-0.294; bisexual/uncertain, OR=0.181, 95%CI: 0.066-0.495), awareness of HIV testing (low awareness, OR=0.411, 95%CI: 0.176-0.957; moderate awareness, OR=0.305, 95%CI: 0.123-0.757; high awareness, OR=0.087, 95%CI: 0.032-0.235) as factors affecting HIV testing among male college students with sexual behaviors. Conclusions The prevalence of HIV testing correlates with awareness of HIV testing among male college students with sexual behaviors. Improvements in health education of HIV testing and accessibility of HIV testing services are recommended.
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Received: 06 July 2022
Revised: 11 October 2022
Published: 16 November 2022
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[1] 凌倩,李培龙,汤后林,等.青少年及青年HIV感染影响因素[J].中华流行病学杂志,2021,42(1):164-170. LING Q,LI P L,TANG H L,et al.HIV related risk factors among adolescents and young adults[J].Chin J Epidemiol,2021,42(1):164-170. [2] 杜瑶瑶,徐慧芳.我国青年学生艾滋病检测咨询服务利用及影响因素[J].中国艾滋病性病,2020,26(2):225-227. DU Y Y,XU H F.Utilization of HIV testing and counseling services and its influencing factors among young students in China[J].Chin J AIDS STD,2020,26(2):225-227. [3] 赵东辉,惠珊,宋潇,等.大学生不安全性行为和性取向对既往HIV检测及检测意愿的影响[J].中华流行病学杂志,2022,43(2):254-259. ZHAO D H,HUI S,SONG X,et al.Effects of unsafe sexual behavior and sexual orientation on previous HIV testing and HIV testing willingness among college students in Harbin[J].Chin J Epidemiol,2022,43(2):254-259. [4] BUHI E R,MARHEFKA S L,HOBAN M T.The State of the union:sexual health disparities in a national sample of US college students[J].J Am Coll Health,2010,58(4):337-346. [5] 石安霞,张志华,王君,等.中国大陆学生男男性行为及HIV 感染检出率的Meta分析[J].中国学校卫生,2018,39(5):702-705,708. SHI A X,ZHANG Z H,WANG J,et al.Meta analysis of the high risky behaviors and detection rate of HIV infection among MSM students in Mainland China[J].Chin J Sch Health,2018,39(5):702-705,708. [6] 刘天军,王更新,张曦月,等.北京市房山区在校男大学生性行为特征及艾滋病知识知晓情况调查[J].中国艾滋病性病,2019,25(5):516-517,523. LIU T J,WANG G X,ZHANG X Y,et al.Investigation on the characteristics of sexual behaviors and AIDS-related knowledge among male college students in Fangshan District,Beijing[J].Chin J AIDS STD,2019,25(5):516-517,523. [7] 罗昊,赵俊仕,谭红专,等.长沙市高校学生男男性行为人群 HIV 检测行为及影响因素分析[J].现代预防医学,2017,44(13):2435-2438,2443. LUO H,ZHAO J S,TAN H Z,et al.HIV-testing behaviour and influencing factors among college student MSM, Changsha City[J].Mod Prev Med,2017,44(13):2435-2438,2443. [8] YAN H,ZHANG R,WEI C,et al.A peer-led,community-based rapid HIV testing intervention among untested men who have sex with men in China:an operational model for expansion of HIV testing and linkage to care[J].Sex Transm Infect,2014,90(5):388-393. [9] ZHANG C,LI X H,BRECHT M L,et al.Can self-testing increase HIV testing among men who have sex with men:a systematic review and meta-analysis[J].PLoS One,2017,12(11)[2022-10-11].http://doi.org/10.1371/journal.pone.0188890. [10] HE X,LIU G,XIA D,et al.An innovative HIV testing service using the internet:anonymous urine delivery testing service at drugstores in Beijing,China[J].PLoS One,2018,13(2)[2022-10-11].http://doi.org/10.1371/journal.pone.0192255. [11] VARA P A,BUHULULA L S,MOHAMMED F A,et al. Level of knowledge,acceptability,and willingness to use oral fluid HIV self-testing among medical students in Kilimanjaro region,Tanzania:a descriptive cross-sectional study [J/OL]. AIDS Res Ther,2020,17[2022-10-11]. https://aidsrestherapy.biomedcentral.com/articles/10.1186/s12981-020-00311-1. [12] FIGUEROA C,JOHNSON C,DALAL S,et al.Insufficient education is a challenge for HIV self-testing:authors' reply[J]. Lancet HIV,2018,5(7):e341-e342. |
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