Liu J, Lin P, Xu H F, Li Y, Fu X B, Yao Z L, Xie S L, He S M, Li J R, Pan S Y, Yang F
Department for HIV/AIDS Control and Prevention, Guangdong Center for Disease Control and Prevention,Guangzhou 511430, China.
Guangdong Association of STD/AIDS Prevention and Control, Guangzhou 511430, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2023 Dec 10;44(12):1956-1962. doi: 10.3760/cma.j.cn112338-20230617-00384.
To investigate the risk perception for risky behavior of HIV/AIDS infection among young students and to analyze the related influencing factors. A cross-sectional survey was conducted in 5 different types of Guangzhou colleges from September to November 2021, in which convenience sampling and a minimum number of classes per grade and 600 samples per school were used according to the national unity program. Disordered multi-classification logistic regression was used to construct a risk perception model and analyze influencing factors in different risk perception levels. A total of 7 346 young students were surveyed, and most rated themselves at low risk of HIV/AIDS infections (90.58%, 6 654/7 346). A total of 89.10% (6 545/7 346) of subjects' perception of their HIV/AIDS infection risk was consistent with their risk behavior, while 10.90% (801/7 346) was inconsistent. Among those inconsistent subjects, 19.10% (153/801) showed underestimating their risk , while 80.90% (648/801) seen overestimating their risk. Disordered multi-classification logistic regression analysis showed that, after controlling for other factors, compared with the non-sexual group, respondents whose first sex age under 18 had a higher rate of underestimating their risk of infection (=129.39, 95%: 73.28-228.48), as well as a higher rate of overestimated their risk of infection (=1.76, 95% 1.04-2.99). First sexual intercourse at age 18 or older was a risk factor for underestimating risk (=70.56, 95%: 42.72-116.53), but was not statistically associated with overestimating risk. Being female, other school type, non-heterosexual orientation, and self-rated HIV-related knowledge as fair or no knowledge were risk factors for overestimating risk but were not statistically associated with underestimating risk. Overall, young students in universities of Guangzhou have a good risk perception of HIV/AIDS infection. Individual factors, education factors and sexual experience will influence students' risk perception of HIV/AIDS infection. Raising the awareness rate of HIV/AIDS knowledge and delaying the age of first sexual intercourse will improve the risk perception ability of young students.
为了解青年学生对艾滋病病毒/艾滋病感染危险行为的风险认知，并分析相关影响因素。于2021年9月至11月在广州市5所不同类型的高校开展横断面调查，按照全国统一方案采用便利抽样，每个年级抽取最少班级数且每所学校抽取600个样本。采用无序多分类逻辑回归构建风险认知模型并分析不同风险认知水平的影响因素。共调查7346名青年学生，多数学生自评艾滋病病毒/艾滋病感染风险低（90.58%，6654/7346）。89.10%（6545/7346）的调查对象对自身艾滋病病毒/艾滋病感染风险的认知与风险行为一致，10.90%（801/7346）不一致。在这些不一致的调查对象中，19.10%（153/801）表现为低估风险，80.90%（648/801）表现为高估风险。无序多分类逻辑回归分析显示，在控制其他因素后，与非性行为组相比，首次性行为年龄＜18岁的调查对象低估感染风险的发生率较高（=129.39，95%：73.28 - 228.48），高估感染风险的发生率也较高（=1.76，95% 1.04 - 2.99）。首次性行为年龄≥18岁是低估风险的危险因素（=70.56，95%：42.72 - 116.53），但与高估风险无统计学关联。女性、其他学校类型、非异性恋取向以及自评艾滋病相关知识为一般或无知晓是高估风险的危险因素，但与低估风险无统计学关联。总体而言，广州市高校青年学生对艾滋病病毒/艾滋病感染有较好的风险认知。个体因素、教育因素和性经历会影响学生对艾滋病病毒/艾滋病感染的风险认知。提高艾滋病病毒/艾滋病知识知晓率和推迟首次性行为年龄将提高青年学生的风险认知能力。
