He Zhong-hu, Ji Cheng-ye
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Genetics Laboratory, Peking University School of Oncology, Beijing 100142, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2009 Nov;43(11):1016-21.
To investigate HIV/AIDS related knowledge and attitude among high school students in China, and to preliminarily evaluate the effects of the special HIV/AIDS prevention education programme.
A total of 6487 high school students from 24 high schools of Beijing, Zhengzhou and Tangshan were investigated by using questionnaire, among which, 6487 students completed the questionnaire (96.08%). chi(2) test, t test and one way ANOVA were used to test the group differences and logistic regression was employed for further analysis. P < 0.05 was considered as statistically significance.
The mean knowledge and attitude scores of the students were separately 14.42 out of 20 and 6.47 out of 10. Students from Tangshan had the significantly (P < 0.001) highest knowledge and attitude level (average score of knowledge = 15.11, average score of attitude = 7.21) followed by Beijing (average score of knowledge = 14.62, average score of attitude = 6.15) and Zhengzhou (average score of knowledge = 13.56, average score of attitude = 6.07). The significant differences were observed in all except the varying attitude between Zhengzhou and Beijing (Knowledge comparison: t(Tangshan vs Beijing) = 0.49, P < 0.001, t(Tangshan vs Zhengzhou) = 1.56, P < 0.001, t(Zhengzhou vs Beijing) = 1.07, P < 0.001; Attitude Comparison: t(Tangshan vs Beijing) = 1.06, P < 0.001, t(Tangshan vs Zhengzhou) = 1.14, P < 0.001, t(Zhengzhou vs Beijing) = 0.08, P = 0.282). Boys had higher knowledge scores (average score of knowledge = 14.61) than those of girls (average score of knowledge = 14.23, t = 4.22, P < 0.001) but no significant difference was found (average knowledge score of boys = 6.47, average knowledge score of girls = 6.48, t = 0.16, P = 0.869). Higher knowledge level (OR = 1.21, P < 0.001) and being a rural student (OR = 1.31, P < 0.001) were significantly associated with higher attitude level, while higher grade (OR = 0.85, P = 0.003) and better academic performance (OR = 0.94, P = 0.003) were negative predictors of attitude.
The HIV/AIDS related knowledge among high school students in China was relatively limited and instability positive attitude under the pressure of social desirability. It is necessary to tailor the special education strategies for further education effect improvement.
调查中国高中生艾滋病相关知识及态度，并初步评估艾滋病预防专项教育项目的效果。
采用问卷调查法对来自北京、郑州和唐山24所高中的6487名高中生进行调查，其中6487名学生完成问卷（96.08%）。采用卡方检验、t检验和单因素方差分析检验组间差异，并采用逻辑回归进行进一步分析。P<0.05被认为具有统计学意义。
学生知识和态度平均得分分别为20分中的14.42分和10分中的6.47分。唐山学生的知识和态度水平最高（P<0.001）（知识平均得分=15.11，态度平均得分=7.21），其次是北京（知识平均得分=14.62，态度平均得分=6.15）和郑州（知识平均得分=13.56，态度平均得分=6.07）。除郑州和北京态度差异不显著外，其他差异均有统计学意义（知识比较：t（唐山vs北京）=0.49，P<0.001，t（唐山vs郑州）=1.56，P<0.001，t（郑州vs北京）=1.07，P<0.001；态度比较：t（唐山vs北京）=1.06，P<0.001，t（唐山vs郑州）=1.14，P<0.001，t（郑州vs北京）=0.08，P=0.282）。男生知识得分（知识平均得分=14.61）高于女生（知识平均得分=14.23，t=4.22，P<0.001），但态度得分无显著差异（男生态度平均得分=6.47，女生态度平均得分=6.48，t=0.16，P=0.869）。较高的知识水平（OR=1.21，P<0.001）和农村学生身份（OR=1.31，P<0.001）与较高的态度水平显著相关，而较高年级（OR=0.85，P=0.003）和较好的学业成绩（OR=0.94，P=0.003）是态度的负向预测因素。
中国高中生艾滋病相关知识相对有限，且在社会期望压力下态度呈不稳定的积极状态。有必要制定针对性的教育策略以进一步提高教育效果。
