Uptake of HIV testing and its correlates among sexually experienced college students in Southwestern, China: a Web-Based online cross-sectional study
Abstract Background The prevalence of human immunodeficiency virus (HIV) is becoming more common among college students in China. However, latest data on the prevalence and correlates of HIV testing among sexually experienced college students is rarely. Methods An online survey was conducted among c...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-16638-z |
| _version_ | 1827707830612787200 |
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| author | Jinfeng He Ping Cen Jiao Qin Weiao Qin Xiudong Xu Yuanhong Yang Jinglan Wu Mu Li Rongjing Zhang Tong Luo Zhifeng Lin Xinju Huang Chuanyi Ning Hao Liang Li Ye Bin Xu Bingyu Liang |
| author_facet | Jinfeng He Ping Cen Jiao Qin Weiao Qin Xiudong Xu Yuanhong Yang Jinglan Wu Mu Li Rongjing Zhang Tong Luo Zhifeng Lin Xinju Huang Chuanyi Ning Hao Liang Li Ye Bin Xu Bingyu Liang |
| author_sort | Jinfeng He |
| collection | DOAJ |
| description | Abstract Background The prevalence of human immunodeficiency virus (HIV) is becoming more common among college students in China. However, latest data on the prevalence and correlates of HIV testing among sexually experienced college students is rarely. Methods An online survey was conducted among college students aged 18 years or older using multistage stratified cluster sampling from 16 colleges. Data on socio-demographic, HIV testing, HIV-related awareness, attitudes, sexual education and behaviors were collected. Propensity score matching (PSM) and logistic regression model were used to identify factors associated with HIV testing. Result A total of 108,987 students participated the survey, of which 13,201 sexually experienced college students were included in this study. 1,939 (14.69%) college students with sexual experience reported uptake of HIV testing in the preceding year. The uptake of HIV testing increased for college students with a rising HIV knowledge score and sexual health knowledge. Being awareness of HIV-related knowledge (aOR = 1.15, 95%CI: 1.01–1.30), accepting one-night stands (aOR = 1.16, 95%CI:1.03–1.32), obtaining satisfactory sexual interpretation from parent(s) (aOR = 1.24, 95%CI: 1.07–1.43), ever had unintended pregnancy (aOR = 1.78, 95%CI: 1.32–2.38), ever had received HIV-related preventive service(s) (aOR = 1.37, 95%CI: 1.10–1.70), ever had participated HIV-related preventive services (aOR = 3.76, 95%CI: 2.99–4.75) and ever had anal sex (aOR = 2.66, 95%CI: 2.11–3.34) were positively associated with uptake of HIV testing. However, accepting premarital sex (aOR = 0.76, 95%CI: 0.66–0.88), accepting cohabitation (aOR = 0.75, 95%CI: 0.61–0.92), occasionally discussing sex with parent(s) (aOR = 0.68, 95%CI: 0.50–0.91), and being with moderate satisfaction of school sex courses (aOR = 0.74, 95%CI: 0.58–0.95) were negatively associated with uptake of HIV testing. Conclusion The prevalence of HIV testing was relatively low. Participation in HIV-related services and high-risk sexual behaviors were important enablers for testing. Improving sex education for students, increasing HIV preventive services on campus, and improving family sex education are necessary to increase HIV testing among college sexually experienced students. |
| first_indexed | 2024-03-10T16:54:09Z |
| format | Article |
| id | doaj.art-a519760277e848eaac247d051244cbd7 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-10T16:54:09Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-a519760277e848eaac247d051244cbd72023-11-20T11:12:50ZengBMCBMC Public Health1471-24582023-09-0123111210.1186/s12889-023-16638-zUptake of HIV testing and its correlates among sexually experienced college students in Southwestern, China: a Web-Based online cross-sectional studyJinfeng He0Ping Cen1Jiao Qin2Weiao Qin3Xiudong Xu4Yuanhong Yang5Jinglan Wu6Mu Li7Rongjing Zhang8Tong Luo9Zhifeng Lin10Xinju Huang11Chuanyi Ning12Hao Liang13Li Ye14Bin Xu15Bingyu Liang16Guangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical UniversityGuangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical UniversityGuangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical UniversityNanning Center for Disease Prevention and ControlNanning Center for Disease Prevention and ControlNanning Center for Disease Prevention and ControlNanning Center for Disease Prevention and ControlGuangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical UniversityGuangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical UniversityGuangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical UniversityGuangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical UniversityGuangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical UniversityGuangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical UniversityGuangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical UniversityGuangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical UniversityNanning Center for Disease Prevention and ControlGuangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical UniversityAbstract Background The prevalence of human immunodeficiency virus (HIV) is becoming more common among college students in China. However, latest data on the prevalence and correlates of HIV testing among sexually experienced college students is rarely. Methods An online survey was conducted among college students aged 18 years or older using multistage stratified cluster sampling from 16 colleges. Data on socio-demographic, HIV testing, HIV-related awareness, attitudes, sexual education and behaviors were collected. Propensity score matching (PSM) and logistic regression model were used to identify factors associated with HIV testing. Result A total of 108,987 students participated the survey, of which 13,201 sexually experienced college students were included in this study. 1,939 (14.69%) college students with sexual experience reported uptake of HIV testing in the preceding year. The uptake of HIV testing increased for college students with a rising HIV knowledge score and sexual health knowledge. Being awareness of HIV-related knowledge (aOR = 1.15, 95%CI: 1.01–1.30), accepting one-night stands (aOR = 1.16, 95%CI:1.03–1.32), obtaining satisfactory sexual interpretation from parent(s) (aOR = 1.24, 95%CI: 1.07–1.43), ever had unintended pregnancy (aOR = 1.78, 95%CI: 1.32–2.38), ever had received HIV-related preventive service(s) (aOR = 1.37, 95%CI: 1.10–1.70), ever had participated HIV-related preventive services (aOR = 3.76, 95%CI: 2.99–4.75) and ever had anal sex (aOR = 2.66, 95%CI: 2.11–3.34) were positively associated with uptake of HIV testing. However, accepting premarital sex (aOR = 0.76, 95%CI: 0.66–0.88), accepting cohabitation (aOR = 0.75, 95%CI: 0.61–0.92), occasionally discussing sex with parent(s) (aOR = 0.68, 95%CI: 0.50–0.91), and being with moderate satisfaction of school sex courses (aOR = 0.74, 95%CI: 0.58–0.95) were negatively associated with uptake of HIV testing. Conclusion The prevalence of HIV testing was relatively low. Participation in HIV-related services and high-risk sexual behaviors were important enablers for testing. Improving sex education for students, increasing HIV preventive services on campus, and improving family sex education are necessary to increase HIV testing among college sexually experienced students.https://doi.org/10.1186/s12889-023-16638-zHIVHIV testingCollege sexually experienced studentsSexual educationAnal sex |
| spellingShingle | Jinfeng He Ping Cen Jiao Qin Weiao Qin Xiudong Xu Yuanhong Yang Jinglan Wu Mu Li Rongjing Zhang Tong Luo Zhifeng Lin Xinju Huang Chuanyi Ning Hao Liang Li Ye Bin Xu Bingyu Liang Uptake of HIV testing and its correlates among sexually experienced college students in Southwestern, China: a Web-Based online cross-sectional study BMC Public Health HIV HIV testing College sexually experienced students Sexual education Anal sex |
| title | Uptake of HIV testing and its correlates among sexually experienced college students in Southwestern, China: a Web-Based online cross-sectional study |
| title_full | Uptake of HIV testing and its correlates among sexually experienced college students in Southwestern, China: a Web-Based online cross-sectional study |
| title_fullStr | Uptake of HIV testing and its correlates among sexually experienced college students in Southwestern, China: a Web-Based online cross-sectional study |
| title_full_unstemmed | Uptake of HIV testing and its correlates among sexually experienced college students in Southwestern, China: a Web-Based online cross-sectional study |
| title_short | Uptake of HIV testing and its correlates among sexually experienced college students in Southwestern, China: a Web-Based online cross-sectional study |
| title_sort | uptake of hiv testing and its correlates among sexually experienced college students in southwestern china a web based online cross sectional study |
| topic | HIV HIV testing College sexually experienced students Sexual education Anal sex |
| url | https://doi.org/10.1186/s12889-023-16638-z |
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