Gu Y Z, Liang Q E, Chen Y C, Luo Y F, Du Y Y, Yao Z L, Liu F H, He W Y, Cai Y S, Han Z G, Fan L R, Xu H F
Department of AIDS Control and Prevention, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China.
School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Nov 10;42(11):1937-1941. doi: 10.3760/cma.j.cn112338-20210114-00033.
To evaluate the effect of "self-categorization" on decision of health preference and the influence of self-categorized deviation in knowledge, attitude and practice (KAP) on the willingness of seeking help for sexual health among young students. From March to April 2019, young students who used a WeChat applet for sexual health and HIV infection risk assessment, which is called "Detective Bear" were recruited and investigated. According to the consistency between the self-categorization of KAP for sexual health and the systematic categorization from their honest answers, the participants were allocated into three groups: consistent, low or high status, according to their judgment on sexual information acquisition, sexual attitude, and the actual number of sexual experiences. Logistic regression was used to analyze the differences in the willingness to seek help for sexual health problems between the three groups. 2 009 students with an average age of (19.2±1.1) were included. 54.7% (1 099/2 009) were female, and 98.4% (1 976/2 009) were college, undergraduate or postgraduate students. 49.0% (984/2 009) were in the consistent group, 10.9% (219/2 009) had a lower self-categorization, 40.1% (806/2 009) had a higher self-categorization. Compared with the consistent group, students with lower self-categorization of KAP for sexual health were less likely to assess HIV voluntary counseling and testing (a=0.65, 95%: 0.43-0.99). However, students with higher self-categorization seemed to dislike seeking help for sexually transmitted diseases (a=0.76, 95%: 0.59-0.98). Deviation in self-categorization of KAP for sexual health will reduce the young students' willingness to seek help for related problems. Especially those with lower self-categorization, lack of risk consciousness, and refuse to assess counseling and testing may increase the HIV/AIDS epidemic among this population. It is necessary to strengthen the capacity of self-assessment for young students while promoting sex education.
评估“自我分类”对健康偏好决策的影响，以及性健康知识、态度和行为（KAP）方面的自我分类偏差对青年学生性健康求助意愿的影响。2019年3月至4月，招募并调查了使用名为“侦探熊”的微信小程序进行性健康和HIV感染风险评估的青年学生。根据性健康KAP的自我分类与诚实回答的系统分类之间的一致性，参与者根据其对性信息获取、性态度和实际性经历数量的判断，被分为三组：一致组、低地位组或高地位组。采用逻辑回归分析三组在性健康问题求助意愿上的差异。纳入2009名平均年龄为（19.2±1.1）岁的学生。54.7%（1099/2009）为女性，98.4%（1976/2009）为大专、本科或研究生。49.0%（984/2009）在一致组，10.9%（219/2009）自我分类较低，40.1%（806/2009）自我分类较高。与一致组相比，性健康KAP自我分类较低的学生进行HIV自愿咨询检测的可能性较小（a=0.65，95%：0.43-0.99）。然而，自我分类较高的学生似乎不喜欢就性传播疾病寻求帮助（a=0.76，95%：0.59-0.98）。性健康KAP自我分类偏差会降低青年学生对相关问题的求助意愿。尤其是那些自我分类较低、缺乏风险意识且拒绝评估咨询检测的人，可能会增加该人群中HIV/AIDS的流行。在促进性教育的同时，有必要加强青年学生的自我评估能力。
