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了解大学生中艾滋病毒检测的个体障碍:意大利一项横断面研究的结果

Understanding Individual Barriers to HIV Testing Among Undergraduate University Students: Results From a Cross-Sectional Study in Italy.

作者信息

Licata Francesca, Angelillo Silvia, Nobile Carmelo Giuseppe Angelo, Di Gennaro Gianfranco, Bianco Aida

机构信息

Department of Health Sciences, School of Medicine, University of Catanzaro "Magna Græcia", Catanzaro, Italy.

Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Cosenza, Italy.

出版信息

Front Med (Lausanne). 2022 Apr 19;9:882125. doi: 10.3389/fmed.2022.882125. eCollection 2022.

DOI:10.3389/fmed.2022.882125
PMID:35514754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9063657/
Abstract

BACKGROUND

In Europe during 2019, just over half of those with HIV were diagnosed at a late stage of infection. Even though HIV testing is crucial for all strategies related to care, prevention and treatment of HIV/AIDS, we hypothesized that it is less practiced among university students, and, therefore, this study aimed to assess the uptake and factors associated with HIV testing in southern part of Italy.

METHODS

A cross-sectional study was conducted from 1st to 31st July 2020 among undergraduate university students aged 18-29 years. Data were collected through an anonymous online questionnaire and included questions on socio-demographic and sexual history characteristics, knowledge and attitudes toward HIV infection, sexual and testing behaviors, and sources of information about HIV.

FINDINGS

Among 1007 students, 41.5 and 54.7% knew that in Italy the test for early detection of HIV infection has not to be prescribed by a physician and that it is provided to anyone free of charge, respectively. Only 16.2% of the eligible students reported having ever tested for HIV and a very similar proportion (17.8%) was displayed among those who reported risky sexual behaviors. The multiple logistic regression analysis results indicated that the strongest predictor of HIV testing was attending medical or life sciences majors.

INTERPRETATION

The uptake of HIV testing was low among Italian university students. Effective strategies to increase HIV testing and diagnoses have to aim at overarching individual barriers, such as lack of knowledge about information around the test itself.

FUNDING

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

摘要

背景

2019年在欧洲,刚过半数的艾滋病毒感染者在感染后期才被诊断出来。尽管艾滋病毒检测对于所有与艾滋病毒/艾滋病的护理、预防和治疗相关的策略都至关重要,但我们推测在大学生中进行检测的情况较少,因此,本研究旨在评估意大利南部艾滋病毒检测的接受情况及相关因素。

方法

2020年7月1日至31日对18 - 29岁的本科大学生进行了一项横断面研究。通过匿名在线问卷收集数据,内容包括社会人口统计学和性史特征、对艾滋病毒感染的知识和态度、性行为和检测行为以及关于艾滋病毒的信息来源。

结果

在1007名学生中,分别有41.5%和54.7%的人知道在意大利艾滋病毒感染早期检测无需医生开处方且免费提供给任何人。只有16.2%符合条件的学生报告曾进行过艾滋病毒检测,在报告有危险性行为的学生中这一比例非常相似(17.8%)。多元逻辑回归分析结果表明,艾滋病毒检测的最强预测因素是就读医学或生命科学专业。

解读

意大利大学生中艾滋病毒检测的接受率较低。增加艾滋病毒检测和诊断的有效策略必须针对总体的个体障碍,比如对检测本身相关信息缺乏了解。

资金

本研究未获得公共、商业或非营利部门资助机构的任何特定资助。

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