Teaching and Research Office of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, Jiangsu, China.
Section of AIDS and STDs Control and Prevention, Nanjing Municipal Center for Disease Control and Prevention, Nanjing, Jiangsu, China.
BMJ Open. 2020 May 12;10(5):e035889. doi: 10.1136/bmjopen-2019-035889.
This study aimed to investigate the epidemiological characteristics and HIV/AIDS-related knowledge, attitudes and practice (KAP) among HIV-positive college students.
A cross-sectional study.
Five districts of Nanjing, China.
A total of 156 college students with newly diagnosed HIV infection between September 2015 and July 2017.
Social-demographic characteristics, mode of HIV acquisition, infection of sexually transmitted diseases, risky sexual behaviours and HIV/AIDS-related KAP were collected by a face-to-face questionnaire administered by trained interviewers.
About 98.7% (154/156) of HIV-positive college students in our study were men, and 96.1% (148/154) of them were infected by sexual intercourse with men. More than half (52.5%, 82/156) of participants were freshmen or sophomores. Nearly 30% (44/154) of male students did not realise the severe status of the HIV/AIDS epidemic among students who are men who have sex with men (MSM). More than four-fifths of male students did not know if their male regular (83.0%, 93/112) or casual (95.9%, 94/98) sexual partners were HIV-positive, while less than half of them had high-risk perceptions towards HIV infection from male regular and occasional sexual partners. Approximately one-half and four-fifths of male students had more than two regular (54.5%, 61/112) and occasional (79.6%, 78/98) partners during lifetime, respectively. However, only 62.5% (70/112) and 66.3% (65/98) of male students used condoms consistently during sexual intercourse with regular and casual partners, respectively. Geosocial networking apps have become the most dominant way for male students to seek sexual partners.
This study reported a low level of HIV/AIDS-related knowledge, a high level of exposure to risky sexual behaviours and some valuable epidemiological characteristics among HIV-positive college students, which highlighted the importance of carrying out HIV/AIDS prevention education and risk warning education early and timely towards college students on campus.
本研究旨在调查 HIV 阳性大学生的流行病学特征以及与艾滋病相关的知识、态度和实践（KAP）。
横断面研究。
中国南京五个区。
2015 年 9 月至 2017 年 7 月期间新诊断为 HIV 感染的 156 名大学生。
通过经过培训的访谈者进行的面对面问卷调查，收集社会人口统计学特征、HIV 获得途径、性传播疾病感染、危险性行为以及与艾滋病相关的 KAP。
我们的研究中，约 98.7%（154/156）的 HIV 阳性大学生为男性，其中 96.1%（148/154）为男男性行为者感染。参与者中超过一半（52.5%，82/156）为大一或大二学生。近 30%（44/154）的男学生没有意识到男男性行为者学生中的艾滋病疫情严重。超过五分之四的男学生不知道他们的男性固定（83.0%，93/112）或偶然（95.9%，94/98）性伴侣是否为 HIV 阳性，而他们对男性固定和偶尔性伴侣的 HIV 感染高危认知较低。大约一半和四分之五的男学生在一生中的固定（54.5%，61/112）和偶然（79.6%，78/98）伴侣中都有超过两个，然而，只有 62.5%（70/112）和 66.3%（65/98）的男学生在与固定和偶然伴侣发生性关系时始终使用安全套。社交网络应用程序已成为男学生寻找性伴侣的最主要方式。
本研究报告了 HIV 阳性大学生艾滋病相关知识水平较低，接触危险性行为的程度较高，以及一些有价值的流行病学特征，这突出了在校园内对大学生进行艾滋病预防教育和风险预警教育的重要性。
