Key Laboratory of Environmental Medicine Engineering, Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, China.
Department of Prevention and Health Care, Children's Hospital of Nanjing Medical University, Nanjing, China.
Front Public Health. 2022 May 18;10:892422. doi: 10.3389/fpubh.2022.892422. eCollection 2022.
The study of acquired immunodeficiency syndrome (AIDS) related knowledge, attitude, and sex education status of Jiangsu freshmen was conducted, which can provide data support directionally for the prevention work of HIV/AIDS among this population.
Male students (4,006) and female students (4,279) were selected from 20 universities or colleges in the Jiangsu province. The knowledge, attitudes, and sex education of freshmen were conducted with an online questionnaire. The log-binomial regression model was used to analyze the influencing factors of HIV/AIDS knowledge. In addition, a structural equation model was used to analyze students' health needs that affect knowledge awareness and knowledge mastery.
The overall awareness rate of AIDS knowledge was 87.4%. The students in undergraduate colleges (OR = 2.523, 95% CI=2.2232.864) and independent colleges (OR = 1.389, 95%CI = 1.1721.646) were more likely to have a higher awareness compared with the students in junior colleges. In this study, 2,011 freshmen approved of premarital behavior, 4,921 freshmen insisted on using condoms when having sex, and 8,138 freshmen were willing to take HIV antibody test when they suspected they were infected. In total, 4,703 freshmen believed that sexual health education was necessary for colleges and universities, and most of them (57.2%) hoped that sex education in schools should be improved. The direct effect of sex education on knowledge awareness and attitude is 0.15 and 0.58. The mediation effect test found that the pass ability knowledge path of sex education indirectly affected sexual attitudes (0.05).
The awareness rate of HIV/AIDS among Jiangsu freshmen has not reached the national standard. Health education has a significant positive effect on knowledge awareness and attitude; however, students' needs in terms of time, place, and degree of sex education have not been met in time. It is necessary to strengthen the HIV/AIDS health education of college students in multiple ways.
本研究旨在调查江苏省大学新生艾滋病相关知识、态度和性教育状况，为该人群的艾滋病预防工作提供数据支持。
从江苏省 20 所高校中抽取 4006 名男学生和 4279 名女学生，采用在线问卷的方式对新生艾滋病知识、态度和性教育情况进行调查。采用对数二项回归模型分析艾滋病知识的影响因素，采用结构方程模型分析影响知识知晓和知识掌握的学生健康需求。
艾滋病知识总体知晓率为 87.4%。与专科生相比，本科生（OR=2.523，95%CI=2.2232.864）和独立学院学生（OR=1.389，95%CI=1.1721.646）的艾滋病知识知晓率更高。本研究中，2011 名新生认可婚前性行为，4921 名新生坚持性行为时使用安全套，8138 名新生怀疑感染时愿意接受艾滋病抗体检测。共 4703 名新生认为高校开展性健康教育很有必要，其中大多数（57.2%）希望学校性教育有所改进。性教育对知识知晓和态度的直接效应分别为 0.15 和 0.58。中介效应检验发现，性教育的及格率知识路径对性态度有间接影响（0.05）。
江苏省大学新生艾滋病知晓率尚未达到全国水平。健康教育对知识知晓和态度有显著的正向影响，但学生在时间、地点和性教育程度等方面的需求尚未得到及时满足。有必要从多方面加强大学生艾滋病健康教育。
