马来西亚马六甲州公立高等教育机构学生对性传播感染知识的影响因素。
Determinants of knowledge on sexually transmitted infections among students in public higher education institutions in Melaka state, Malaysia.
机构信息
Community Health Department, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.
Ministry of Health Malaysia, Putrajaya, Malaysia.
出版信息
PLoS One. 2020 Oct 29;15(10):e0240842. doi: 10.1371/journal.pone.0240842. eCollection 2020.
INTRODUCTION
The increasing trend of sexually transmitted infections (STIs) among the young population is a significant public health problem. This study aimed to determine the level of knowledge on STIs among students in higher education institutions and its predicting factors, in Melaka.
METHODOLOGY
A cross-sectional study was conducted among 600 students from higher education institutions in Melaka aged between 18 to 30 years old. Multistage sampling of the institutions was performed. Valid and reliable self-administered questionnaire in the national language, Bahasa Malaysia, was used as to collect data on sociodemographic, personal background, knowledge on STIs and sources of information for STIs. Univariate, bivariate and multivariate analyses were conducted using IBM SPSS software version 25.
RESULTS
The response rate for this study was 88%. The mean knowledge score was 24.1 ±5.1 out of 38. HIV was the most known STIs while gonorrhoea, trichomoniasis and chlamydial infections were among the least known STIs. Oral intercourse was the least known sexual activity that could transmit STIs. Higher proportion of respondents had correct knowledge on control and preventive measures of STIs (between 78% and 95%) compared to correct knowledge on sign and symptoms of STIs (between 8.5% and 67.8%). More than 90% of the respondents were unaware that a person infected with STIs could be symptom free. Four variables were identified as the determinants of the knowledge on STIs, which were level of education, place of stay, history of sexual and reproductive health education and involvement in STIs awareness programs (F (4,445) = 11.405, p <0.001, R2 = 0.093).
CONCLUSIONS
The knowledge on STIs among students in higher education institutions was unsatisfactory. The existing sexual education programs can be strengthened by delivering more information on other STIs rather than focusing on HIV only. The future program should focus on students of diploma and/or skill certificate and staying off-campus.
引言
性传播感染（STIs）在年轻人群中的上升趋势是一个重大的公共卫生问题。本研究旨在确定在马六甲的高等教育机构学生中 STIs 知识水平及其预测因素。
方法
对马六甲 600 名年龄在 18 至 30 岁之间的高等教育机构学生进行了横断面研究。对机构进行了多阶段抽样。使用国家语言马来语的有效和可靠的自我管理问卷收集社会人口统计学、个人背景、STIs 知识和 STIs 信息来源的数据。使用 IBM SPSS 软件版本 25 进行单变量、双变量和多变量分析。
结果
本研究的回应率为 88%。平均知识得分为 38 分中的 24.1 ±5.1 分。HIV 是最知名的 STIs，而淋病、滴虫病和衣原体感染是最不知名的 STIs 之一。口交是最不知名的可传播 STIs 的性活动。与 STIs 的症状和体征（8.5%至 67.8%）相比，更多的受访者对 STIs 的控制和预防措施有正确的认识（78%至 95%）。超过 90%的受访者不知道感染 STIs 的人可能无症状。有四个变量被确定为 STIs 知识的决定因素，即教育水平、居住地、性和生殖健康教育史以及参与 STIs 意识计划（F（4,445）= 11.405，p <0.001，R2 = 0.093）。
结论
高等教育机构学生对 STIs 的知识水平令人不满意。现有的性教育计划可以通过提供更多关于其他 STIs 的信息来加强，而不仅仅是关注 HIV。未来的计划应侧重于文凭和/或技能证书学生和校外学生。
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