Understanding Individual Barriers to HIV Testing Among Undergraduate University Students: Results From a Cross-Sectional Study in Italy

BackgroundIn Europe during 2019, just over half of those with HIV were diagnosed at a late stage of infection. Even though HIV testing is crucial for all strategies related to care, prevention and treatment of HIV/AIDS, we hypothesized that it is less practiced among university students, and, theref...

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Main Authors: Francesca Licata, Silvia Angelillo, Carmelo Giuseppe Angelo Nobile, Gianfranco Di Gennaro, Aida Bianco
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.882125/full
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author Francesca Licata
Silvia Angelillo
Carmelo Giuseppe Angelo Nobile
Gianfranco Di Gennaro
Aida Bianco
author_facet Francesca Licata
Silvia Angelillo
Carmelo Giuseppe Angelo Nobile
Gianfranco Di Gennaro
Aida Bianco
author_sort Francesca Licata
collection DOAJ
description BackgroundIn Europe during 2019, just over half of those with HIV were diagnosed at a late stage of infection. Even though HIV testing is crucial for all strategies related to care, prevention and treatment of HIV/AIDS, we hypothesized that it is less practiced among university students, and, therefore, this study aimed to assess the uptake and factors associated with HIV testing in southern part of Italy.MethodsA cross-sectional study was conducted from 1st to 31st July 2020 among undergraduate university students aged 18–29 years. Data were collected through an anonymous online questionnaire and included questions on socio-demographic and sexual history characteristics, knowledge and attitudes toward HIV infection, sexual and testing behaviors, and sources of information about HIV.FindingsAmong 1007 students, 41.5 and 54.7% knew that in Italy the test for early detection of HIV infection has not to be prescribed by a physician and that it is provided to anyone free of charge, respectively. Only 16.2% of the eligible students reported having ever tested for HIV and a very similar proportion (17.8%) was displayed among those who reported risky sexual behaviors. The multiple logistic regression analysis results indicated that the strongest predictor of HIV testing was attending medical or life sciences majors.InterpretationThe uptake of HIV testing was low among Italian university students. Effective strategies to increase HIV testing and diagnoses have to aim at overarching individual barriers, such as lack of knowledge about information around the test itself.FundingThis research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
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spelling doaj.art-3fe7d90ffba648e7b6742ea9979904492022-12-22T02:40:35ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-04-01910.3389/fmed.2022.882125882125Understanding Individual Barriers to HIV Testing Among Undergraduate University Students: Results From a Cross-Sectional Study in ItalyFrancesca Licata0Silvia Angelillo1Carmelo Giuseppe Angelo Nobile2Gianfranco Di Gennaro3Aida Bianco4Department of Health Sciences, School of Medicine, University of Catanzaro “Magna Græcia”, Catanzaro, ItalyDepartment of Health Sciences, School of Medicine, University of Catanzaro “Magna Græcia”, Catanzaro, ItalyDepartment of Pharmacy, Health and Nutritional Sciences, University of Calabria, Cosenza, ItalyDepartment of Health Sciences, School of Medicine, University of Catanzaro “Magna Græcia”, Catanzaro, ItalyDepartment of Health Sciences, School of Medicine, University of Catanzaro “Magna Græcia”, Catanzaro, ItalyBackgroundIn Europe during 2019, just over half of those with HIV were diagnosed at a late stage of infection. Even though HIV testing is crucial for all strategies related to care, prevention and treatment of HIV/AIDS, we hypothesized that it is less practiced among university students, and, therefore, this study aimed to assess the uptake and factors associated with HIV testing in southern part of Italy.MethodsA cross-sectional study was conducted from 1st to 31st July 2020 among undergraduate university students aged 18–29 years. Data were collected through an anonymous online questionnaire and included questions on socio-demographic and sexual history characteristics, knowledge and attitudes toward HIV infection, sexual and testing behaviors, and sources of information about HIV.FindingsAmong 1007 students, 41.5 and 54.7% knew that in Italy the test for early detection of HIV infection has not to be prescribed by a physician and that it is provided to anyone free of charge, respectively. Only 16.2% of the eligible students reported having ever tested for HIV and a very similar proportion (17.8%) was displayed among those who reported risky sexual behaviors. The multiple logistic regression analysis results indicated that the strongest predictor of HIV testing was attending medical or life sciences majors.InterpretationThe uptake of HIV testing was low among Italian university students. Effective strategies to increase HIV testing and diagnoses have to aim at overarching individual barriers, such as lack of knowledge about information around the test itself.FundingThis research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.https://www.frontiersin.org/articles/10.3389/fmed.2022.882125/fullHIV testingsexual behaviorshigh-risk behaviorsuniversity studentItaly
spellingShingle Francesca Licata
Silvia Angelillo
Carmelo Giuseppe Angelo Nobile
Gianfranco Di Gennaro
Aida Bianco
Understanding Individual Barriers to HIV Testing Among Undergraduate University Students: Results From a Cross-Sectional Study in Italy
Frontiers in Medicine
HIV testing
sexual behaviors
high-risk behaviors
university student
Italy
title Understanding Individual Barriers to HIV Testing Among Undergraduate University Students: Results From a Cross-Sectional Study in Italy
title_full Understanding Individual Barriers to HIV Testing Among Undergraduate University Students: Results From a Cross-Sectional Study in Italy
title_fullStr Understanding Individual Barriers to HIV Testing Among Undergraduate University Students: Results From a Cross-Sectional Study in Italy
title_full_unstemmed Understanding Individual Barriers to HIV Testing Among Undergraduate University Students: Results From a Cross-Sectional Study in Italy
title_short Understanding Individual Barriers to HIV Testing Among Undergraduate University Students: Results From a Cross-Sectional Study in Italy
title_sort understanding individual barriers to hiv testing among undergraduate university students results from a cross sectional study in italy
topic HIV testing
sexual behaviors
high-risk behaviors
university student
Italy
url https://www.frontiersin.org/articles/10.3389/fmed.2022.882125/full
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