Uptake of HIV testing and its correlates among sexually experienced college students in Southwestern, China : a Web-Based online cross-sectional study
© 2023. BioMed Central Ltd., part of Springer Nature..
BACKGROUND: The prevalence of human immunodeficiency virus (HIV) is becoming more common among college students in China. However, latest data on the prevalence and correlates of HIV testing among sexually experienced college students is rarely.
METHODS: An online survey was conducted among college students aged 18 years or older using multistage stratified cluster sampling from 16 colleges. Data on socio-demographic, HIV testing, HIV-related awareness, attitudes, sexual education and behaviors were collected. Propensity score matching (PSM) and logistic regression model were used to identify factors associated with HIV testing.
RESULT: A total of 108,987 students participated the survey, of which 13,201 sexually experienced college students were included in this study. 1,939 (14.69%) college students with sexual experience reported uptake of HIV testing in the preceding year. The uptake of HIV testing increased for college students with a rising HIV knowledge score and sexual health knowledge. Being awareness of HIV-related knowledge (aOR = 1.15, 95%CI: 1.01-1.30), accepting one-night stands (aOR = 1.16, 95%CI:1.03-1.32), obtaining satisfactory sexual interpretation from parent(s) (aOR = 1.24, 95%CI: 1.07-1.43), ever had unintended pregnancy (aOR = 1.78, 95%CI: 1.32-2.38), ever had received HIV-related preventive service(s) (aOR = 1.37, 95%CI: 1.10-1.70), ever had participated HIV-related preventive services (aOR = 3.76, 95%CI: 2.99-4.75) and ever had anal sex (aOR = 2.66, 95%CI: 2.11-3.34) were positively associated with uptake of HIV testing. However, accepting premarital sex (aOR = 0.76, 95%CI: 0.66-0.88), accepting cohabitation (aOR = 0.75, 95%CI: 0.61-0.92), occasionally discussing sex with parent(s) (aOR = 0.68, 95%CI: 0.50-0.91), and being with moderate satisfaction of school sex courses (aOR = 0.74, 95%CI: 0.58-0.95) were negatively associated with uptake of HIV testing.
CONCLUSION: The prevalence of HIV testing was relatively low. Participation in HIV-related services and high-risk sexual behaviors were important enablers for testing. Improving sex education for students, increasing HIV preventive services on campus, and improving family sex education are necessary to increase HIV testing among college sexually experienced students.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:23 |
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| Enthalten in: |
BMC public health - 23(2023), 1 vom: 04. Sept., Seite 1702 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
He, Jinfeng [VerfasserIn] |
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| Links: |
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| Themen: |
Anal sex |
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| Anmerkungen: |
Date Completed 06.09.2023 Date Revised 21.11.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1186/s12889-023-16638-z |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM361649843 |
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| 245 | 1 | 0 | |a Uptake of HIV testing and its correlates among sexually experienced college students in Southwestern, China |b a Web-Based online cross-sectional study |
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| 500 | |a Date Revised 21.11.2023 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. BioMed Central Ltd., part of Springer Nature. | ||
| 520 | |a BACKGROUND: The prevalence of human immunodeficiency virus (HIV) is becoming more common among college students in China. However, latest data on the prevalence and correlates of HIV testing among sexually experienced college students is rarely | ||
| 520 | |a METHODS: An online survey was conducted among college students aged 18 years or older using multistage stratified cluster sampling from 16 colleges. Data on socio-demographic, HIV testing, HIV-related awareness, attitudes, sexual education and behaviors were collected. Propensity score matching (PSM) and logistic regression model were used to identify factors associated with HIV testing | ||
| 520 | |a RESULT: A total of 108,987 students participated the survey, of which 13,201 sexually experienced college students were included in this study. 1,939 (14.69%) college students with sexual experience reported uptake of HIV testing in the preceding year. The uptake of HIV testing increased for college students with a rising HIV knowledge score and sexual health knowledge. Being awareness of HIV-related knowledge (aOR = 1.15, 95%CI: 1.01-1.30), accepting one-night stands (aOR = 1.16, 95%CI:1.03-1.32), obtaining satisfactory sexual interpretation from parent(s) (aOR = 1.24, 95%CI: 1.07-1.43), ever had unintended pregnancy (aOR = 1.78, 95%CI: 1.32-2.38), ever had received HIV-related preventive service(s) (aOR = 1.37, 95%CI: 1.10-1.70), ever had participated HIV-related preventive services (aOR = 3.76, 95%CI: 2.99-4.75) and ever had anal sex (aOR = 2.66, 95%CI: 2.11-3.34) were positively associated with uptake of HIV testing. However, accepting premarital sex (aOR = 0.76, 95%CI: 0.66-0.88), accepting cohabitation (aOR = 0.75, 95%CI: 0.61-0.92), occasionally discussing sex with parent(s) (aOR = 0.68, 95%CI: 0.50-0.91), and being with moderate satisfaction of school sex courses (aOR = 0.74, 95%CI: 0.58-0.95) were negatively associated with uptake of HIV testing | ||
| 520 | |a CONCLUSION: The prevalence of HIV testing was relatively low. Participation in HIV-related services and high-risk sexual behaviors were important enablers for testing. Improving sex education for students, increasing HIV preventive services on campus, and improving family sex education are necessary to increase HIV testing among college sexually experienced students | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a Anal sex | |
| 650 | 4 | |a College sexually experienced students | |
| 650 | 4 | |a HIV | |
| 650 | 4 | |a HIV testing | |
| 650 | 4 | |a Sexual education | |
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| 700 | 1 | |a Qin, Jiao |e verfasserin |4 aut | |
| 700 | 1 | |a Qin, Weiao |e verfasserin |4 aut | |
| 700 | 1 | |a Xu, Xiudong |e verfasserin |4 aut | |
| 700 | 1 | |a Yang, Yuanhong |e verfasserin |4 aut | |
| 700 | 1 | |a Wu, Jinglan |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Mu |e verfasserin |4 aut | |
| 700 | 1 | |a Zhang, Rongjing |e verfasserin |4 aut | |
| 700 | 1 | |a Luo, Tong |e verfasserin |4 aut | |
| 700 | 1 | |a Lin, Zhifeng |e verfasserin |4 aut | |
| 700 | 1 | |a Huang, Xinju |e verfasserin |4 aut | |
| 700 | 1 | |a Ning, Chuanyi |e verfasserin |4 aut | |
| 700 | 1 | |a Liang, Hao |e verfasserin |4 aut | |
| 700 | 1 | |a Ye, Li |e verfasserin |4 aut | |
| 700 | 1 | |a Xu, Bin |e verfasserin |4 aut | |
| 700 | 1 | |a Liang, Bingyu |e verfasserin |4 aut | |
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