Chen W Y, Chen L J, Zhou X, Chen W J, Jiang T T, Wang H, Ma Q Q
Institute of AIDS/STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China Zhejiang Key Laboratory of Vaccine, Infectious Disease Prevention and Control, Hangzhou 310051, China.
Division of AIDS/Tuberculosis Prevention and Control, Zhejiang Linhai City Center for Disease Control and Prevention, Linhai 317099, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2025 Feb 10;46(2):232-238. doi: 10.3760/cma.j.cn112338-20240711-00414.
To analyze differences on characteristics of HIV/AIDS knowledge, beliefs and behavior among female college students who reported having sex in Zhejiang Province between 2018 and 2020, and provide reference for HIV/AIDS prevention and control among female college students. Cross-sectional surveys were conducted in October-November 2018 and November-December 2020 among female college students in 13 universities in 11 cities in Zhejiang Province, and female college students who self-reported having sexual intercourse in the past year were included as study subjects, with sample size estimates of 5 265 and 9 466 for the two surveys, respectively. The factors related to the change of relevant characteristics of the two survey subjects were analyzed. The test was used for univariate analysis and logistic regression model was used for multivariate analysis.Statistical analyses were performed with SPSS 23.0 software. Of the 17 354 and 20 675 female college students surveyed in 2018 and 2020, respectively, the proportion who self-reported having had sex in the past year was 6.56% (1 139/17 354) and 4.19% (866/20 675). Multivariate logistic regression analysis showed that compared with female college students in 2018, the students who have sexual behaviour, receiving health education class by their university in the past year (a=1.57, 95%:1.29-1.91), receiving HIV testing promotion by the university in the past year (a=2.59,95%:2.13-3.14), receiving self-assessment of HIV risk by the university in the past year (a=2.97,95%:2.43-3.65), high self-efficacyfor condom use (a=2.00, 95%:1.66-2.41), receiving voluntary counseling and HIV testing (VCT) (a=1.81,95%: 1.41-2.87), perceived risk of HIV infection (a=2.44, 95%:1.32-4.54), using condoms whenever having casual sexual behaviour in the past year (a=3.35,95%:1.66-6.77) were significantly higher in 2020. Compared with female college students in 2018, the proportion of female college students who self-reported sexual activity decreased slightly in 2020, and the proportion of receiving HIV/AIDS lectures or health education classes, the proportion of self-rated at risk of HIV infection, the proportion of receiving VCT, the proportion of using condoms with very high confidence in self-efficacy and condom use had an increased.
分析2018年至2020年浙江省有性行为的女大学生在艾滋病知识、信念和行为特征上的差异，为女大学生艾滋病防控提供参考。于2018年10月至11月和2020年11月至12月对浙江省11个市13所高校的女大学生进行横断面调查，将过去一年自我报告有过性行为的女大学生作为研究对象，两次调查的样本量估计分别为5265人和9466人。分析两次调查对象相关特征变化的影响因素。采用检验进行单因素分析，采用logistic回归模型进行多因素分析。使用SPSS 23.0软件进行统计分析。在2018年和2020年分别调查的17354名和20675名女大学生中，过去一年自我报告有过性行为的比例分别为6.56%（1139/17354）和4.19%（866/20675）。多因素logistic回归分析显示，与2018年的女大学生相比，2020年有性行为、过去一年接受学校健康教育课程（a=1.57，95%CI：1.29-1.91）、过去一年接受学校艾滋病检测宣传（a=2.59，95%CI：2.13-3.14）、过去一年接受学校艾滋病风险自我评估（a=2.97，95%CI：2.43-3.65）、避孕套使用自我效能感高（a=2.00，95%CI：1.66-2.41）、接受自愿咨询和艾滋病检测（VCT）（a=1.81，95%CI：1.41-2.87）、感知艾滋病感染风险（a=2.44，95%CI：1.32-4.54）、过去一年有随意性行为时每次都使用避孕套（a=3.35，95%CI：1.66-6.77）的学生比例显著更高。与2018年的女大学生相比，2020年自我报告有性活动的女大学生比例略有下降，而接受艾滋病讲座或健康教育课程的比例、自我评定有感染艾滋病风险的比例、接受VCT的比例、对避孕套使用自我效能感非常高且使用避孕套的比例有所增加。
