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当前南方某州历史悠久的黑人学院和大学学生中的 HIV 检测和风险行为。

Current HIV Testing & Risk Behaviors among Students at Historically Black Colleges & Universities in a Southern State.

机构信息

Department of Health Behavior & Health Education, University of Arkansas for Medical Sciences, College of Public Health, Little Rock, AR, USA.

Department of Health Behavior & Health Education, University of Arkansas for Medical Sciences, College of Public Health, Little Rock, AR, USA.

出版信息

J Natl Med Assoc. 2020 Aug;112(4):374-380. doi: 10.1016/j.jnma.2020.04.008. Epub 2020 May 31.

Abstract

BACKGROUND/PURPOSE: HIV testing prevalence is low among young adults (YA) ages 18-24. Previous research supports routine testing among African-American college students. Historically Black Colleges and Universities (HBCUs) are uniquely situated to support HIV education and prevention efforts. This study aimed to assess current HIV risk behaviors and current knowledge of PrEP among HBCU students.

METHODS

In collaboration with a partnering organization, we conducted HIV testing events and HIV risk assessment at four HBCUs in a southern state.

RESULTS

Among participants (N = 615), most identified as African American (578, 94.8%), female (377, 61.3%) and 18-24 years old (540, 87.9%). Many (42.3%) had never been tested for HIV. Most reported they had been sexually active in the last year (533, 86.8%) with many reporting 2-5 partners (270, 43.9%). Among males (n = 236), 8.6% reported same sex partners. Many participants reported inconsistent condom use during vaginal sex (242, 46%). Most participants had not heard of PrEP (473, 86.2%).

CONCLUSION

Considering most participants had one or multiple HIV related risk behaviors, and many had never been tested for HIV, HBCUs may be important venues to promote HIV risk reduction and regular HIV testing.

摘要

背景/目的:18-24 岁的年轻人(YA)中 HIV 检测的流行率较低。先前的研究支持对非裔美国大学生进行常规检测。历史上的黑人学院和大学(HBCUs)在支持 HIV 教育和预防工作方面具有独特的地位。本研究旨在评估 HBCU 学生目前的 HIV 风险行为和对 PrEP 的了解。

方法

我们与一个合作组织合作,在南部的四所 HBCU 开展了 HIV 检测活动和 HIV 风险评估。

结果

在参与者中(N = 615),大多数人认为自己是非裔美国人(578,94.8%),女性(377,61.3%),年龄在 18-24 岁之间(540,87.9%)。许多人(42.3%)从未接受过 HIV 检测。大多数人报告在过去一年中有过性行为(533,86.8%),许多人报告有 2-5 个性伴侣(270,43.9%)。在男性(n = 236)中,有 8.6%的人报告有同性伴侣。许多参与者报告在阴道性交时没有使用过避孕套(242,46%)。大多数参与者没有听说过 PrEP(473,86.2%)。

结论

考虑到大多数参与者存在一种或多种与 HIV 相关的风险行为,并且许多人从未接受过 HIV 检测,HBCUs 可能是促进 HIV 风险降低和定期 HIV 检测的重要场所。

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