School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Aust N Z J Public Health. 2024 Apr;48(2):100136. doi: 10.1016/j.anzjph.2024.100136. Epub 2024 Mar 2.
University creates unique social environments for many young people that can result in behaviour changes that can impact sexual health-related risks and facilitate transmission of HIV. Little is known about HIV knowledge, risk, and awareness of pre-exposure prophylaxis/post-exposure prophylaxis (PrEP/PEP) among Australian university students.
A 2019 online survey distributed through Queensland universities, using active recruitment/snowball sampling. Descriptive and logistical regression analysis investigated HIV knowledge/risk and PrEP/PEP awareness.
Of the 4,291 responses, 60.4% were 20-29 years old, 57.0% identified as heterosexual, and 31.8% were born-overseas. Mean HIV knowledge score was 9.8/12. HIV risk scores were higher among men-who-have-sex-with-men (MSM) (mean=5.2/40) compared to all other sexual behaviours (mean=3.1/40). Logistic regression indicated PrEP and PEP awareness was associated with older age (p<0.05), being non-binary/gender-diverse (p<0.05), and MSM (p<0.05). Lower odds of PrEP awareness were associated with international student status (p<0.05).
This study highlights the need for future health promotion targeting younger Australians at risk of HIV to increase uptake of PrEP/PEP, particularly among overseas-born young people and those ineligible for appropriate health care in Australia.
Addressing these gaps will improve sexual health outcomes for young Australians at risk of HIV and work towards virtual elimination of HIV transmission in Australia.
大学为许多年轻人创造了独特的社会环境，这些环境可能导致行为发生变化，从而影响与性健康相关的风险，并促进艾滋病毒的传播。目前，人们对澳大利亚大学生的艾滋病毒知识、风险和对暴露前预防/暴露后预防（PrEP/PEP）的认识知之甚少。
2019 年，通过昆士兰大学进行了一项在线调查，采用主动招募/滚雪球抽样法。描述性和逻辑回归分析调查了艾滋病毒知识/风险和 PrEP/PEP 意识。
在 4291 份回复中，60.4%的人年龄在 20-29 岁之间，57.0%的人自认为是异性恋，31.8%的人出生在海外。艾滋病毒知识得分平均为 9.8/12。与所有其他性行为者（平均 3.1/40）相比，男男性行为者（MSM）的艾滋病毒风险评分更高（平均 5.2/40）。逻辑回归表明，PrEP 和 PEP 的认识与年龄较大（p<0.05）、非二元性别/性别多样化（p<0.05）和 MSM（p<0.05）有关。PrEP 认识率较低与国际学生身份（p<0.05）有关。
本研究强调了未来针对有艾滋病毒风险的澳大利亚年轻人进行健康促进的必要性，以增加 PrEP/PEP 的使用，特别是针对在海外出生的年轻人和在澳大利亚无法获得适当医疗保健的年轻人。
解决这些差距将改善有艾滋病毒风险的澳大利亚年轻人的性健康结果，并朝着在澳大利亚消除艾滋病毒传播的目标迈进。
