浙江省2017-2021年青年学生HIV自我检测意愿变化趋势及相关因素分析

徐云; 杨介者; 程伟; 蒋均; 王憓; 陈婉君; 潘晓红

Abstract

徐云,杨介者,程伟,蒋均,王憓,陈婉君,潘晓红.浙江省2017-2021年青年学生HIV自我检测意愿变化趋势及相关因素分析[J].Chinese journal of Epidemiology,2023,44(1):128-132

浙江省2017-2021年青年学生HIV自我检测意愿变化趋势及相关因素分析

Analysis on trends and related factors of HIV self-testing willingness in young students in Zhejiang Province, 2017-2021

Received:August 06, 2022

DOI：10.3760/cma.j.cn112338-20220806-00694

KeyWord: 艾滋病病毒/艾滋病自我检测意愿青年学生

English Key Word: HIV/AIDS Self-testing Willingness Young student

FundProject:浙江省青少年和青少年工作研究课题

Author Name	Affiliation	E-mail
Xu Yun	Department of AIDS/STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Yang Jiezhe	Department of AIDS/STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Cheng Wei	Department of AIDS/STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Jiang Jun	Department of AIDS/STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Wang Hui	Department of AIDS/STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Chen Wanjun	Department of AIDS/STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Pan Xiaohong	Department of AIDS/STD Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China	xhpan@cdc.zj.cn

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Abstract:

目的了解浙江省青年学生HIV自我检测意愿变化趋势及相关因素，为制定青年学生艾滋病防控措施提供参考依据。方法从2017年开始在浙江省11个城市高等院校开展青年学生艾滋病哨点监测，每个市选取1所大学或职业技术学院（校）作为监测哨点学校，每年4-6月在每所学校采用分阶段整群抽样方法进行匿名式问卷调查，调查对象为≥16岁在读学生，每所学校样本量为800人。收集调查对象社会人口学、性行为、接受艾滋病宣传和检测服务等信息，分析青年学生HIV自我检测意愿的变化趋势及相关因素。使用SPSS 23.0软件进行统计学分析。结果 2017-2021年共调查青年学生45 483人，有HIV自我检测意愿的比例分别为0.4%（35/9 107）、3.7%（334/9 150）、5.2%（475/9 203）、6.3%（563/8 962）和7.4%（674/9 061）（趋势χ²=582.74，P<0.001）。多因素logistic回归分析结果显示，在有性行为的青年学生中，HIV自我检测意愿较高的相关因素包括医学专业（OR=1.57，95%CI：1.06~2.33）、通过互联网/交友软件寻找性伴（OR=1.96，95%CI：1.33~2.89）、最近1年接受预防艾滋病宣传服务（OR=1.33， 95%CI：1.02~1.74）、听说过HIV检测试剂自动售卖机（OR=1.80，95%CI：1.34~2.41）；HIV自我检测意愿较低的相关因素为最近1年性伴类型为多种异性性伴（OR=0.57，95%CI：0.36~0.89）。结论 2017-2021年浙江省青年学生HIV自我检测意愿逐年升高，其中有性行为的青年学生自我检测意愿相对较高，但仍处于较低水平。建议加强青年学生艾滋病防治知识与技能的宣传教育，提供更好的HIV检测服务，促进HIV自我检测服务的利用。

English Abstract:

Objective To analyze the trends and related factors of HIV self-testing willingness in young students in Zhejiang Province, and provide evidence for the development of AIDS prevention and control measures in young students. Methods From 2017 to 2021, HIV/AIDS sentinel surveillance was carried out in students of colleges and universities in all 11 cities of Zhejiang Province. One university or vocational and technical college in each city was selected as a sentinel school. An anonymous questionnaire survey was conducted among 800 students aged ≥16 years and selected by phased cluster sampling in each university or college from April to June in each year to collect information about their social demographic characteristics, sexual behavior, HIV prevention and test services acceptance. The HIV self-testing willingness and the influencing factors were analyzed.Results A total of 45 483 students were surveyed from 2017 to 2021, and the proportions of those with willingness of HIV self-testing were 0.4% (35/9 107), 3.7% (334/9 150), 5.2% (475/9 203), 6.3% (563/8 962)and 7.4% (674/9 061) respectively (trend χ²=582.74, P< 0.001). Among young students who had sexual contact history, the multivariate logistic regression analysis showed that factors related with higher willingness of HIV self-testing included those majoring in medicine (OR=1.57, 95%CI:1.06-2.33), seeking sexual partners through internet or social-dating application (OR=1.96, 95%CI:1.33-2.89), receiving HIV prevention services in the last year (OR=1.33, 95%CI:1.02-1.74), and being heard of vending machines selling HIV test kits (OR=1.80, 95%CI:1.34-2.41). The factors related with lower willingness of HIV self-testing inclued those who had multiple heterosexual partners (OR=0.57, 95%CI: 0.36-0.89). Conclusions The willingness of HIV self-testing in young students increased in Zhejiang during 2017-2021, the young students who had sex were more willing to self-test among them but the level was still low. It is necessary to further strengthen the health education of HIV/AIDS prevention and control and provide better testing services to promote HIV self-testing.

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