中国大学生对 HTC 服务的利用意愿及相关因素的流行率。
The prevalence of and factors associated with willingness to utilize HTC service among college students in China.
机构信息
National Demonstration Center for Experimental General Medicine Education of Hubei University of Science and Technology, Xianning, China.
Department of Preventive Medicine, School of Basic Medical Sciences, Hubei University of Science and Technology, No.88 Xianning Avenue, Xianning City, Hubei Province, 437100, China.
出版信息
BMC Public Health. 2018 Aug 22;18(1):1050. doi: 10.1186/s12889-018-5953-0.
BACKGROUND
College students in China are emerging as one of the most vulnerable groups to contract HIV, because they are in a sexually active age group and also because of their open attitude toward sex and high risk sexual behaviors. This study aimed to explore the prevalence of willingness among college students to utilize HIV testing and counseling (HTC) service and the factors that may affect willingness, including predisposing, enabling and need factors, based on the Andersen's behavioral model.
METHODS
A cross-sectional study was conducted from October 6, 2016 to December 31, 2016 in Hubei University of Science and Technology in China. After signing informed consent, college students completed a self-designed online questionnaire distributed via https://www.wjx.cn/ voluntarily, anonymously and confidentially. Pearson's chi-square test and Logistic regression models were chosen to analyze the factors associated with willingness to utilize HTC service.
RESULTS
Out of 3314 college students in the sample, 2583 (77.9%) expressed their willingness to utilize HTC service. After adjustment, those with low levels of discrimination towards people living with HIV (PLHIV) (OR = 1.41, 95%CI:1.17-1.68), being more knowledgeable about free HTC service centers (OR = 1.44, 95%CI:1.17-1.77), having recognized the necessity to provide HTC service in the local university (OR = 2.20, 95%CI:1.73-2.80), and having a higher HIV risk perception (OR = 1.64, 95%CI:1.37-1.95) were more willing to utilize HTC service, compared with their respective counterparts.
CONCLUSIONS
In order to improve their willingness to utilize HTC service and finally to achieve the goal of zero-AIDS, a comprehensive intervention measure should be taken to publicize HTC service, eliminate stigma and discrimination against PLHIV, recruit and train peer volunteers to serve in the local university, and increase self-perceived risk of HIV infection.
背景
中国大学生正成为感染艾滋病毒的高危人群之一，这是因为他们正处于性活跃期，同时对性持开放态度，且性行为风险较高。本研究旨在根据安德森行为模型，探讨大学生对艾滋病毒检测和咨询（HTC）服务的使用意愿及其影响因素，包括倾向因素、促成因素和需求因素。
方法
2016 年 10 月 6 日至 12 月 31 日，在中国湖北科技大学进行了一项横断面研究。大学生在签署知情同意书后，自愿、匿名和保密地通过 https://www.wjx.cn/ 完成在线自设问卷。采用 Pearson 卡方检验和 Logistic 回归模型分析与使用 HTC 服务意愿相关的因素。
结果
在 3314 名样本大学生中，2583 名（77.9%）表示愿意使用 HTC 服务。调整后，对艾滋病毒感染者（PLHIV）的歧视程度较低（OR=1.41，95%CI：1.17-1.68）、对免费 HTC 服务中心了解较多（OR=1.44，95%CI：1.17-1.77）、认识到在当地大学提供 HTC 服务的必要性（OR=2.20，95%CI：1.73-2.80）、艾滋病毒风险认知较高（OR=1.64，95%CI：1.37-1.95）的大学生更愿意使用 HTC 服务。
结论
为了提高他们使用 HTC 服务的意愿，最终实现零艾滋病的目标，应采取综合干预措施，宣传 HTC 服务，消除对 PLHIV 的污名和歧视，招募和培训同伴志愿者在当地大学服务，并提高自我感知的艾滋病毒感染风险。
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