摘要
目的了解某市高校在校生对HIV的检测意愿,分析检测意愿的影响因素,为在高校大学生中推动HIV检测提供依据。方法采用分层整群抽样方法,于2021年10月对在校大学生开展匿名自填式线上问卷调查。以是否愿意进行HIV检测作为二分类因变量,以人口学基本特征、艾滋病相关知识、性行为特征作为自变量,进行二元logistic回归分析。结果获取有效问卷1642份,女生占63.4%,医学专业占62.1%,性行为发生率为9.3%(男生高于女生,15.80%vs.5.50%),艾滋病相关知识知晓率为88.7%;86.1%有HIV检测意愿。多因素分析结果显示,检测意愿女生是男生的1.38倍(95%CI:1.01~1.91),艾滋病相关知识知晓者是不知的2.11倍(95%CI:1.36~3.26),知晓VCT服务免费者是不知者的1.50倍(95%CI:1.09~2.07),认为检测无危险(OR=1.90,95%CI:1.24~2.92,P<0.05)或认为发生高危性行为需要HIV检测者(OR=1.67,95%CI:1.00~2.78,P<0.05)更愿意进行HIV检测,不害怕、不知道艾滋病者、认为检测无益处者检测意愿低于其他人群(OR分别为0.56、0.42、0.36,P值均<0.05)。结论性别、艾滋病相关知识知晓程度、对VCT服务及HIV检测的认知程度是影响大学生HIV检测意愿的因素;高校存在男生较女生总体HIV检测意愿更低的现象,需引起有关部门的关注。
Objective To investigate the willingness to receive HIV testing among university students in a city and identify the factors affecting the willingness,so as to provide insights into facilitating HIV testing among university students.Methods A stratified cluster sampling method was employed,and an anonymous self-filled questionnaire survey was performed among university students in October,2021.A binary logistic regression analysis was performed with willingness to receive HIV testing or not as a dichotomous dependent variable,and demographics,AIDS-related knowledge,characteristics of sexual behaviors as independent variables.Results A total of 1642 valid questionnaires were recovered.Of all respondents,63.4%were female,and 62.1%majored in medicine.The incidence of sexual behaviors was 9.3%(15.8%in men and 5.5%in women),and the awareness of AIDS-related knowledge was 88.7%,while 86.1%of the respondents had willingness to receive HIV testing.Multivariate analysis showed that the willingness to receive HIV testing was 1.38 times[95%confidential interval(CI):(1.01,1.91)]higher among women than among men,and the number of re-spondents aware of AIDS-related knowledge was 2.11 times[95%CI:(1.36,3.26)]greater than those unaware of AIDS-related knowledge,while the number of respondents aware of free voluntary HIV counselling and testing(VCT)services was 1.504 times[95%CI:(1.09,2.07)]greater than those unaware of free VCT services.In addition,respondents thinking that HIV testing had no danger[odds ratio(OR)=1.90,95%CI:(1.24,2.92)]or thinking that HIV testing was required following high-risk sexual behaviors[OR=1.67,95%CI:(1.00,2.78),P<0.05]were more willing to receive HIV testing,and the willingness to receiving HIV testing was lower among respondents that were not afraid of AIDS patients and thought HIV testing was not beneficial than among other respondents(OR=0.42 and 0.36,both P values<0.05).Conclusions Gender,awareness of AIDS-related knowledge and awareness of VCT services and HIV testing are factors affecting the willingness to receive HIV testing,and the willingness to receive HIV testing is lower among male university students than among female students,which should be paid much attention to.
作者
卢春芸
乔诗怡
田冶
任胤安
邓芳羽
米玛色曲
布吉曲珍
张静
于德娥
LU Chun-yun;QIAO Shi-yi;TIAN Ye;REN Yin-an;DENG Fang-yu;MIMASEQU;BUJIQUZHEN;ZHANG Jing;YU De-e(International School of Public Health and One Health,Hainan Medical University,Haikou Hainan 571199,China)
出处
《江苏预防医学》
CAS
2024年第1期49-52,111,共5页
Jiangsu Journal of Preventive Medicine
基金
2019年海南省健康行业项目(1901033021A2002)
海南医学院研究生创新项目(HYYS2022B13)
海南医学院2022年大学生创新创业训练计划项目(X202211810139)。
作者简介
卢春芸(1999-),女,江苏盐城人,研究生在读;通信作者:张静,教授,E-mail:zhangjing@hainmc.edu.cn;通信作者:于德娥,副教授,E-mail:yudee@hainmc.edu.cn。
