1
|
Ruan L, Zhao R, Ong JJ, Fu X, Xiong Y, Chen Y, He D, Chen Y, Zhuang X, Zhang L. A national survey of HIV knowledge, sexual practices and attitude towards homosexuality for HIV elimination among young people in China. Sex Health 2021; 18:64-76. [PMID: 33632383 DOI: 10.1071/sh20122] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Accepted: 09/04/2020] [Indexed: 11/23/2022]
Abstract
Background Elimination of HIV is a public health priority in China, but there has been reports of an upsurge in HIV among young people. A nationwide cross-sectional survey was conducted to assess the awareness of HIV knowledge, attitudes towards homosexuality and practice of sexual behaviours among Chinese aged 15-24 years. METHODS The face-to-face survey was conducted from June to August 2017, collecting data on sociodemographic characteristics, HIV-related knowledge, attitudes towards homosexuality and practice of sexual behaviours among Chinese senior high school and university students. A generalised linear model (GLM) was used to assess the different levels of HIV knowledge between groups, and identify the key contributors to HIV knowledge scores. RESULTS The survey was completed by 73.6% (1355/1840) of the students approached. The overall level of HIV-related knowledge was low (58.9%, 10.6/18); 48.0% (650/1355) supported same-sex marriage; and 6.9% (93/1355) self-identified as homosexual or bisexual. The major factors associated with higher scores [mean ± standard deviation (s.d.)] in HIV knowledge among students included: having received school-based HIV education (11.47 ± 3.51 vs 9.02 ± 4.14, P < 0.05); support for same-sex marriage (11.69 ± 3.33 vs 9.49 ± 4.29, P < 0.05) and older age (11.61 ± 2.78 vs 9.87 ± 4.17, P < 0.05). Compared with females, males were significantly more likely (all P < 0.05) to report masturbation (60.7% vs 7.6%), pornography experiences (77.4% vs 35.3%), sexual encounters (24.6% vs 12.3%), casual sex (37.0% vs 18.1%) and sex under the influence of alcohol (29.5% vs 12.8%). CONCLUSIONS There is is still much room for improvement in terms of HIV/AIDS prevention and health education for Chinese young people, and more comprehensive and diverse models of education for HIV prevention are urgently needed.
Collapse
Affiliation(s)
- Luanqi Ruan
- Department of Epidemiology and Biostatistics, School of Public Health, Nantong University, Nantong, Jiangsu, PR China; and Melbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia; and Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China
| | - Rui Zhao
- China-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, PR China
| | - Jason J Ong
- Melbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia; and China-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, PR China; and Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK; and Central Clinical School, Faculty of Medicine, Monash University, Melbourne, Vic., Australia
| | - Xiaoxing Fu
- School of Sociology and Population Studies, Renmin University of China, Beijing, PR China
| | - Ying Xiong
- Delan Bright Charity Foundation, Changsha, Hunan, PR China
| | - Yan Chen
- Delan Bright Charity Foundation, Changsha, Hunan, PR China
| | - Da He
- Delan Bright Charity Foundation, Changsha, Hunan, PR China
| | - Yujia Chen
- Department of Epidemiology and Biostatistics, School of Public Health, Nantong University, Nantong, Jiangsu, PR China
| | - Xun Zhuang
- Department of Epidemiology and Biostatistics, School of Public Health, Nantong University, Nantong, Jiangsu, PR China; and Corresponding authors. Emails: ;
| | - Lei Zhang
- Melbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia; and Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China; and China-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, PR China; and Central Clinical School, Faculty of Medicine, Monash University, Melbourne, Vic., Australia; and Corresponding authors. Emails: ;
| |
Collapse
|
2
|
Stephen N, Gusen NJ, Kumzhi PR, Gaknung B, Auta DA, Bulndi LB, Mbursa C, Kumari VP, Nanvyat N. Effectiveness of structured teaching programme on transmission and prevention of human immunodeficiency virus/acquired immune deficiency syndrome among adolescent girls in Lowry Memorial High School, Bengaluru. Indian J Sex Transm Dis AIDS 2020; 41:73-82. [PMID: 33062987 PMCID: PMC7529178 DOI: 10.4103/ijstd.ijstd_102_17] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2017] [Accepted: 07/01/2018] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Adolescence is a critical stage in human development. Most young people become sexually active during adolescence and are more likely to have multipartner and unprotected sex with high-risk behavior that predisposes them to sexually transmitted infections such as human immunodeficiency virus (HIV). OBJECTIVES The objective of the study was to evaluate the effectiveness of a structured teaching programme on transmission and prevention of HIV/acquired immune deficiency syndrome (HIV/AIDS) among adolescent girls. METHODS An evaluative research approach was adopted, in which a preexperimental, one group pre- and post-test research design was used to evaluate the effectiveness of the structured teaching programme on transmission and prevention of HIV/AIDS among adolescent girls studying at Lowry Memorial High School, Bengaluru. A self-administered structured questionnaire was used for data collection. Data were presented in frequency tables and statistical graphs (bar charts) and analyzed using descriptive statistics (mean, standard deviation) and inferential statistical methods (Chi-square and paired "t"-tests) using SPSS version 21. RESULTS The findings of the study revealed that the mean percentage difference in the pre- and post-test knowledge scores was statistically significant at 5% level (P < 0.05). The overall mean post-test knowledge score of adolescent girls on transmission and prevention of HIV/AIDS was 88.83%. It is apparently higher compared to the pretest knowledge score, which was 67.67% with enhancement of 21.16%. This implies that the structured teaching programme was effective in gaining knowledge of adolescent girls regarding transmission and prevention of HIV/AIDS. CONCLUSION Our study suggests that structured teaching programme enhanced the knowledge of the adolescent girls on transmission and prevention of HIV/AIDS. We, therefore, recommend that structured teaching programmes on transmission and prevention of HIV/AIDS should be encouraged among adolescents and youths to reduce the spread of HIV infection.
Collapse
Affiliation(s)
- Nanbur Stephen
- Department of Nursing Sciences, Faculty of Medical Sciences, University of Jos, Plateau State, Nigeria
| | - Nanle Joseph Gusen
- Department of Nursing Sciences, Faculty of Medical Sciences, University of Jos, Plateau State, Nigeria
| | - Patience Ringkat Kumzhi
- Department of Nursing Sciences, Faculty of Medical Sciences, University of Jos, Plateau State, Nigeria
| | - Bonji Gaknung
- Department of Nursing Sciences, Faculty of Medical Sciences, University of Jos, Plateau State, Nigeria
| | - Dauda Abimiku Auta
- Department of Nursing Sciences University of Benin Teaching Hospital, Benin City, Nigeria
| | - Lydia B. Bulndi
- Department of Nursing Sciences, Lincoln University College, 47301 Selangor, Malaysia
| | - Champion Mbursa
- Department of Paediatric Nursing, Faculty of Nursing Sciences, Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India
| | - Vasantha P. Kumari
- Department of Paediatric Nursing, Faculty of Nursing Sciences, Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India
| | - Nannim Nanvyat
- Department of Zoology, Applied Parasitology Unit, Faculty of Natural Sciences, University of Jos, Jos, Plateau State, Nigeria
| |
Collapse
|
3
|
Liu Z, Wei P, Huang M, Liu YB, Li L, Gong X, Chen J, Li X. Determinants of consistent condom use among college students in China: application of the information-motivation-behavior skills (IMB) model. PLoS One 2014; 9:e108976. [PMID: 25265390 PMCID: PMC4181955 DOI: 10.1371/journal.pone.0108976] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2014] [Accepted: 08/26/2014] [Indexed: 11/26/2022] Open
Abstract
Background Due to the increase incidents of premarital sex and the lack of reproductive health services, college students are at high risk of HIV/AIDS infections in China. This study was designed to examine the predictors of consistency of condom use among college students based on the Information-Motivation-Behavioral Skills (IMB) model and to describe the relationships between the model constructs. Methods A cross-sectional study was conducted to assess HIV/AIDS related information, motivation, behavioral skills and preventive behavior among college students in five colleges and universities in Nanjing, China. An anonymous questionnaire survey was conducted for data collection, and the structural equation model (SEM) was used to assess the IMB model. Results A total of 3183 participants completed this study. The average age was 19.90 years (SD = 1.43, range 16 to 25). 342 (10.7%) participants of them reported having had premarital sex, among whom 30.7% reported having had a consistent condom use, 13.7% with the experience of abortion (including the participants whose sex partner has the same experience), 32.7% of participants had experience of multiple sex partners. The final IMB model provided acceptable fit to the data (CFI = 0.992, RMSEA = 0.028). Preventive behavior was significantly predicted by behavioral skills (β = 0.754, P<0.001). Information (β = 0.138, P<0.001) and motivation (β = 0.363, P<0.001) were indirectly affected preventive behavior, and was mediated through behavioral skills. Conclusions The results of the study demonstrate the utility of the IMB model for consistent condom use among college students in China. The main influencing factor of preventive behavior among college students is behavioral skills. Both information and motivation could affect preventive behavior through behavioral skills. Further research could develop preventive interventions based on the IMB model to promote consistent condom use among college students in China.
Collapse
Affiliation(s)
- Zhihao Liu
- Institute for Health Education, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu Province, P.R. of China
| | - Pingmin Wei
- Department of Epidemiology and Health Statistics, School of Public Health, Southeast University of China, Nanjing, Jiangsu Province, P.R. of China
| | - Minghao Huang
- Institute for Health Education, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu Province, P.R. of China
| | - Yuan bao Liu
- Institute for Health Education, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu Province, P.R. of China
| | - Lucy Li
- Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville, Florida, United States of America
| | - Xiao Gong
- Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong Province, P.R. of China
| | - Juan Chen
- Institute of Medical Information & Library, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, P.R. of China
| | - Xiaoning Li
- Institute for Health Education, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu Province, P.R. of China
- * E-mail:
| |
Collapse
|
4
|
Cai Y, Ye X, Shi R, Xu G, Shen L, Ren J, Huang H. Predictors of consistent condom use based on the Information-Motivation-Behavior Skill (IMB) model among senior high school students in three coastal cities in China. BMC Infect Dis 2013; 13:262. [PMID: 23734860 PMCID: PMC3686691 DOI: 10.1186/1471-2334-13-262] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2012] [Accepted: 05/23/2013] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND High prevalence of risky sexual behaviors and lack of information, skills and preventive support mean that, adolescents face high risks of HIV/AIDS. This study applied the information-motivation-behavioral skills (IMB) model to examine the predictors of consistent condom use among senior high school students from three coastal cities in China and clarify the relationships between the model constructs. METHODS A cross-sectional study was conducted to assess HIV/AIDS related information, motivation, behavioral skills and preventive behaviors among senior high school students in three coastal cities in China. Structural equation modelling (SEM) was used to assess the IMB model. RESULTS Of the 12313 participants, 4.5% (95% CI: 4.2-5.0) reported having had premarital sex and among them 25.0% (95% CI: 21.2-29.1) reported having used a condom in their sexual debut. Only about one-ninth of participants reported consistent condom use. The final IMB model provided acceptable fit to the data (CFI = 0.981, RMSEA = 0.014). Consistent condom use was significantly predicted by motivation (β = 0.175, P < 0.01) and behavioral skills (β = 0.778, P < 0.01). Information indirectly predicted consistent condom use, and was mediated by behavioral skills (β = 0.269, P < 0.05). CONCLUSIONS The results highlight the importance of conducting HIV/AIDS preventive health promotion among senior high school students in China. The IMB model could predict consistent condom use and suggests that future interventions should focus on improving motivation and behavioral skills.
Collapse
Affiliation(s)
- Yong Cai
- School of Public Health affiliated with School of Medicine, Shanghai Jiaotong University, No.227, South Chongqing Road, Shanghai 200025, PR China
| | | | | | | | | | | | | |
Collapse
|
5
|
Knowledge, attitudes and behaviour of students from a medicine faculty, dentistry faculty, and medical technology Vocational Training School toward HIV/AIDS. Int J Occup Med Environ Health 2010; 23:153-60. [PMID: 20630832 DOI: 10.2478/v10001-010-0008-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVES With increasing numbers of HIV/AIDS patients, physicians, dentists, and nurses taking care of these patients should have sufficient knowledge of the disease, and their attitude and behaviour should be proper. In our study, we aimed to examine the level of knowledge about HIV/AIDS among students from a medicine faculty, dentistry faculty, and medical technology vocational training school, to investigate attitudes and behaviour, and differences between first- and last-year students (if any) and to determine students' perception of the importance of this disease for our country and our world. MATERIAL AND METHODS This descriptive study comprised first-year and last-year students of Akdeniz University Faculty of Medicine, Akdeniz University Medical Technology Vocational Training School (MTVTS), and Süleyman Demirel University Faculty of Dentistry. A questionnaire was administered to a total of 357 students. RESULTS Lack of the relevant education is obvious among all three occupational groups in our study. CONCLUSIONS The importance of HIV/AIDS as a public health problem all over the world should be emphasized more, and awareness of all humanity should be augmented.
Collapse
|