Department of Health Statistics, School of Public Health, Chongqing Medical University, Chongqing, China.
Front Public Health. 2022 Oct 10;10:982727. doi: 10.3389/fpubh.2022.982727. eCollection 2022.
This study aimed to describe the HIV/AIDS knowledge, sexual attitudes, and sexual behaviors of young students (14-25 years) in Chongqing, China, and to examine their use of preventive services and related factors.
A cross-sectional study was conducted with students from 67 schools from December 2019 to June 2021. The chi-square test, non-parametric test to assess the differences between respondents with different characteristics in the above aspects. Additionally, univariate and multivariate logistic regression analyses were conducted to examine factors associated with the awareness of HIV/AIDS knowledge. Confidence intervals without crossover or < 0.05 was considered significant.
A total of 31,782 participants were included in the study. A total of 62.62% of the respondents were considered to be aware of basic HIV/AIDS knowledge, including 78.44%, 62.15%, and 52.08% in undergraduate colleges, junior colleges and secondary vocational schools, respectively. In total, 60.96% of males and 29.42% of females accepted premarital sex, 15.49% of males and 6.18% of females reported being sexually experienced, and only 57.18% of the students used condoms every time they had sex. The percentage of condom use among students who were aware of HIV/AIDS knowledge was higher than that among students who were not aware. A total of 85.60% of the students thought they needed HIV/AIDS prevention and control knowledge, and 94.60% thought more health education activities on HIV/AIDS prevention needed to be conducted in schools. Entrance education, lectures or consultation hotlines, WeChat official accounts and other media platforms were rated as the most acceptable HIV/AIDS prevention education methods.
These respondents lacked knowledge about HIV/AIDS, and an increasing number of students show an open attitude toward premarital sex and engage in risky sexual behaviors. It is urgent to enhance and widely disseminate comprehensive HIV/AIDS and sexual health education in multiple formats.
本研究旨在描述中国重庆市 14-25 岁青少年学生的艾滋病知识、性态度和性行为，并探讨他们对预防服务的使用情况及其相关因素。
采用横断面研究方法，对 2019 年 12 月至 2021 年 6 月的 67 所学校的学生进行调查。采用卡方检验和非参数检验比较不同特征的受访者在上述方面的差异。此外，采用单因素和多因素 logistic 回归分析探讨与艾滋病知识知晓率相关的因素。置信区间无交叉或 < 0.05 被认为有统计学意义。
共纳入 31782 名参与者。共有 62.62%的受访者被认为了解基本的艾滋病知识，其中本科、专科和中等职业学校分别为 78.44%、62.15%和 52.08%。共有 60.96%的男生和 29.42%的女生接受婚前性行为，15.49%的男生和 6.18%的女生报告有过性行为，只有 57.18%的学生每次性行为都使用避孕套。艾滋病知识知晓率高的学生使用避孕套的比例高于艾滋病知识知晓率低的学生。85.60%的学生认为他们需要艾滋病防控知识，94.60%的学生认为学校需要开展更多的艾滋病预防健康教育活动。入学教育、讲座或咨询热线、微信公众号等媒体平台被评为最能接受的艾滋病预防教育方式。
这些受访者对艾滋病知识的了解不足，越来越多的学生对婚前性行为持开放态度，并进行风险性行为。迫切需要以多种形式加强和广泛传播全面的艾滋病和性健康知识。
