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      HIV-Related Knowledge, Attitude, and Practices Research Among College Students — Six Chinese Cities, 2021

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          Abstract

          What is already known about this topic?

          The number of newly diagnosed human immunodeficiency virus (HIV) cases among Chinese youth 15–24 years of age shows an upward trend between 2010 and 2019.

          What is added by this report?

          This survey is on a larger scale as compared to previous studies. It shows inadequate HIV knowledge — especially on HIV treatment, self-testing, and post-exposure prophylaxis — among college students. A significant gap exists between knowledge and behavior as indicated by the low condom use rate despite a high knowledge level.

          What are the implications for public health practice?

          Findings suggest priorities for future HIV education and awareness creation of existing services. A low condom use rate at sexual debut suggests that HIV prevention education should start early.

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          Most cited references5

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          HIV/AIDS-Related Knowledge and Attitudes Among Chinese College Students and Associated Factors: A Cross-Sectional Study

          Ling Zhang, Hang Z. Yu, Hong Luo … (2022)
          In recent years, adolescent has become one of the high-risk groups for HIV. Meanwhile, good HIV awareness and positive attitude are essential for HIV prevention. This study aims to evaluate the extent to which college students understand HIV and their attitudes toward HIV-infected patients, as well as the correlative factors. The data used in this study came from a cross-sectional survey. An anonymous online questionnaire was used to investigate the demographic characteristics, HIV/AIDS-related knowledge, and attitudes toward HIV-infected patients of 17,678 students from a university in Henan. Descriptive statistics, Chi-square test and logistic regression were used to analyze differences and connections between variables in SPSS version 25.0. Participants' HIV/AIDS-related knowledge awareness rate was 80.8%. Levels of students' HIV/AIDS-related knowledge correlated with their gender, nationality, marital status, and their grade ( p < 0.01). Female students [OR = 0.757, 95% CI (0.699–0.820)] and minority students (OR = 0.717, 95% CI (0.619–0.832)] had insufficient HIV health education knowledge. Meanwhile, male students (OR = 0.845, 95% CI (0.773–0.924)], and students with good HIV knowledge (OR unaware-ness/awareness = 2.385, 95% CI (2.111–2.694)] were more likely to hold a positive attitude toward HIV-infected patients. The relevant education departments should strengthen and promote the education of AIDS transmission and prevention. Many college students still hold negative attitude toward HIV-infected patients. The government should further make efforts to eliminate social discrimination in HIV-infected patients and lead people to approach HIV-infected patients fairly.
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            Sexual behaviour and early coitarche in a national sample of 17 year old Swedish girls.

            K Edgardh (2000)
            To evaluate sexual behaviour in 17 year old girls, using data from a national survey on adolescent sexuality. The study was based on two samples of 17 year olds, comprising 2% of the population born in 1973 and carried out in 1990. A school sample and a sample of school non-attenders were recruited in a two step procedure. Data were collected by anonymous self administered questionnaires. 2583 questionnaires were distributed. Response rates from students was 92%, for school non-attenders 44%. 1121 female students and 118 female school dropouts responded. 64% of the student girls had experienced their first intercourse; 16% were "early starters" with coitarche before age 15. STD and pregnancy were reported by 15% of early starters and pregnancy by 14%, p < 0.001 and 0.002 respectively when compared with later starters. The number of coital partners, experience of first date intercourse, and of oral and anal sex was higher in the early starters, p < 0.001. Early starters reported menarche at age 11 or earlier more often than the later starters (OR 2.30, 95% CI 1.48-3.56), as well as a perceived social age exceeding the chronological by 2 years (OR 1.94, 95% CI 1.34-2.80). Sexual abuse was reported by 20% of the early and 11% of the later starters, p = 0.002. Among school non-attenders no significant differences were found with regard to age for coitarche. A majority of 83% of the girls had experienced voluntary intercourse, and 49% were early starters. Five girls were mothers. STD was reported by 19% and induced abortion by 14%. Sexual abuse was alleged by 28%. Coitarche before age 15 is related to early menarche and high perceived social age. High number of partners and first date intercourse make early starters at increased risk for STD and unintended pregnancy. Sexual abuse is alleged more often by early starters.
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              Anonymous Linkage Between College Students and Human Immunodeficiency Virus (HIV) Facilities: Systematic Evaluation of Urine Self-Collection for HIV Testing Initiative in China.

              Yi. Lv, Guanqiao Li, Maogui Hu … (2021)
              Identifying young individuals living with human immunodeficiency virus (HIV) who are unaware of their status is a major challenge for HIV control in China. To address this, an innovative, anonymous vending machine-based urine self-collection for HIV testing (USCT) program was implemented in 2016 in colleges across China.
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                Author and article information

                Contributors
                Mengjie Han
                Journal
                Journal ID (nlm-ta): China CDC Wkly
                Journal ID (publisher-id): CCDCW
                Title: China CDC Weekly
                Publisher: Editorial Office of CCDCW, Chinese Center for Disease Control and Prevention (Beijing, China )
                ISSN (Electronic): 2096-7071
                Publication date (Print): 25 November 2022
                Volume: 4
                Issue: 47
                Pages: 1043-1050
                Affiliations
                [1 ] National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing Municipality, China
                [2 ] Chinese Association of STD and AIDS Prevention and Control, Beijing Municipality, China
                [3 ] Beijing Chaoyang Kangzhong Health and Education Center, Beijing Municipality, China
                [4 ] Tianjin Center for Disease Control and Prevention, Tianjin Municipality, China
                [5 ] Jilin Provincial Center for Disease Control and Prevention, Changchun City, Jilin Province, China
                [6 ] Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou City, Zhejiang Province, China
                [7 ] Hunan Provincial Center for Disease Control and Prevention, Changsha City, Hunan Province, China
                [8 ] Guangdong Provincial Association of STD and AIDS Prevention and Control, Guangzhou City, Guangdong Province, China
                [9 ] Chengdu Center for Disease Control and Prevention, Chengdu City, Sichuan Province, China
                Author notes

                * Joint first author

                Article
                Publisher ID: ccdcw-4-47-1043
                DOI: 10.46234/ccdcw2022.210
                PMC ID: 9889222
                PubMed ID: 36751438
                SO-VID: b95ab97f-5115-49b0-ad4e-c3c5f9b5db65
                Copyright © Copyright and License information: Editorial Office of CCDCW, Chinese Center for Disease Control and Prevention 2022
                License:

                This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/

                History
                Date received : 8 October 2022
                Date accepted : 21 November 2022
                Funding
                Provided by the Durex Public Welfare Foundation on college students' AIDS education
                Categories
                Subject: Preplanned Studies

                Keywords: hiv,kap,college students
                Data availability:
                Keywords: hiv, kap, college students

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