Zarwell Meagan, Patton Alexandra, Gunn Laura H, Benziger Alyssa, Witt Brian, Robinson Patrick A, Terrell Debra F
Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA.
Academy for Population Health Innovation, Department of Public Health Sciences, University of North Carolina at Charlotte and Mecklenburg County Public Health, Charlotte, NC, USA.
J Am Coll Health. 2025 Feb;73(2):700-709. doi: 10.1080/07448481.2023.2232885. Epub 2023 Jul 18.
Identify factors associated with PrEP awareness, willingness, and future prevention modalities among undergraduate college students.
Undergraduates ( = 701) were recruited from a private university, a public research university, and a private historically Black college and university for an online survey.
Upon multiple imputations, a multivariate logistic model, a multivariate multinomial model, and independent multivariate ordinal logistic models were used to calculate Rubin's rules-pooled adjusted odds ratios for PrEP awareness, willingness, and future HIV prevention methods.
Only 33.4% of students had heard of and 32.4% were willing to take PrEP. PrEP willingness was higher among sexual minority students compared to heterosexual/straight students (OR = 1.65; 95% CI: 1.03-2.63); = .036). The likelihood to take a future vaccine or antibody prophylaxis treatment was higher than the likelihood to take injectable PrEP or implants.
Interventions to increase PrEP uptake and willingness among undergraduates should emphasize equity in HIV education and include future prevention modalities.
确定与本科大学生中暴露前预防（PrEP）知晓率、意愿及未来预防方式相关的因素。
从一所私立大学、一所公立研究型大学和一所历史悠久的私立黑人学院及大学招募了本科生（n = 701）参与在线调查。
在多次插补后，使用多变量逻辑模型、多变量多项模型和独立多变量有序逻辑模型来计算鲁宾规则合并调整后的暴露前预防知晓率、意愿及未来艾滋病毒预防方法的优势比。
只有33.4%的学生听说过暴露前预防，32.4%的学生愿意接受暴露前预防。与异性恋/直性恋学生相比，性少数群体学生接受暴露前预防的意愿更高（优势比 = 1.65；95%置信区间：1.03 - 2.63；P = 0.036）。未来接种疫苗或接受抗体预防治疗的可能性高于接受注射用暴露前预防或植入物的可能性。
提高本科生暴露前预防接受率和意愿的干预措施应强调艾滋病毒教育的公平性，并纳入未来的预防方式。
