艾滋病尿液传递检测在高校大学生中的认知度与可接受性
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摘要
目的了解高校大学生对艾滋病尿液传递检测的认知、态度及可接受度,为进一步在高校开展艾滋病尿液传递检测提供依据和参考。方法 1)采取整群随机抽样方法选取试点及非试点高校学生,利用网络平台,设计、录入网络版"HIV尿液传递检测调查问卷",并通过QQ,微信在电脑或手机端完成调查问卷; 2)通过与高校工作人员、社团骨干面对面定性访谈。结果参与问卷调查的试点高校及非试点高校学生分别是683人及695人,其中,试点高校学生的知晓率是87.6%(598/683),支持率是89.6%(612/683)。非试点高校学生的知晓率是44.5%(309/695),支持率是76.8%(534/695)。大学生知晓"HIV尿液传递检测"的途径呈现多元化趋势,首推互联网媒体。此外,87.4%(597/683)的试点高校学生知晓学校有自助检测服务机出售"匿名尿液HIV筛查服务包",且62.2%(425/683)的学生购买过。83.5%(570/683)的试点高校学生知晓学校有相关机构免费发放"匿名尿液HIV筛查服务包",且73.5%(502/683)的学生免费领取过。结论 "HIV尿液传递检测"在大学生人群中有着很高的认知度和可接受性,对促进HIV检测进校园起到了很好的宣传动员效果,应进一步在更多高校推广。
Objective To understand the cognition, attitude and acceptability of urine self-collection for HIV testing among college students, and to provide a scientific basis and reference for further development of urine self-collection for HIV testing in colleges. Methods A cluster random sampling investigation of students from pilot and non-pilot colleges was conducted with an anonymous questionnaire based on network through face-to-face qualitative interview with college staff and backbone of students' associations. Results 683 students from pilot colleges and 695 students from non-pilot colleges completed the questionnaire. The awareness rate of students from pilot colleges was 87.6%(598/683), and the support rate was 89.6%(612/683). The awareness rate of students from non-pilot colleges was 44.5%(309/695), and the support rate was 76.8%(534/695). College students were aware of urine self-collection for HIV testing from diversified approaches, most notably the new online media. In addition, 87.4%(597/683) of the students in the pilot colleges knew that the college had the vending machine(s) in sale of "anonymous urine collection package" for HIV testing, and 62.2%(425/683) of the students had purchased it. 83.5%(570/683) of the students in the pilot colleges knew that the "anonymous urine collection package" was distributed for free, and 73.5%(502/683) of the students acquired it. Conclusion "Urine self-collection for HIV testing" has a high degree of recognition and acceptability among college students, due to effective publicity and mobilization, and should be further promoted in more colleges.
Objective To understand the cognition, attitude and acceptability of urine self-collection for HIV testing among college students, and to provide a scientific basis and reference for further development of urine self-collection for HIV testing in colleges. Methods A cluster random sampling investigation of students from pilot and non-pilot colleges was conducted with an anonymous questionnaire based on network through face-to-face qualitative interview with college staff and backbone of students' associations. Results 683 students from pilot colleges and 695 students from non-pilot colleges completed the questionnaire. The awareness rate of students from pilot colleges was 87.6%(598/683), and the support rate was 89.6%(612/683). The awareness rate of students from non-pilot colleges was 44.5%(309/695), and the support rate was 76.8%(534/695). College students were aware of urine self-collection for HIV testing from diversified approaches, most notably the new online media. In addition, 87.4%(597/683) of the students in the pilot colleges knew that the college had the vending machine(s) in sale of "anonymous urine collection package" for HIV testing, and 62.2%(425/683) of the students had purchased it. 83.5%(570/683) of the students in the pilot colleges knew that the "anonymous urine collection package" was distributed for free, and 73.5%(502/683) of the students acquired it. Conclusion "Urine self-collection for HIV testing" has a high degree of recognition and acceptability among college students, due to effective publicity and mobilization, and should be further promoted in more colleges.
引文
[1] 吴尊友.我国学校艾滋病防控形势及策略[J].中国学校卫生,2015,36(11):1604-1605.
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[3] Xu JJ, Zhang M, Brown K, et al.Syphilis and HIV Seroconversion Among a 12-Month Prospective Cohort of Men Who Have Sex With Men in Shenyang, China[J]. Sex Transm Dis,2010,37(7):432-439.
[4] Ruan Y,Jia Y,Zhang XL, et al. Incidence of HIV-1 syphilis hepatitis B and hepatitis C virus infections and predictors associated with retention in a 12-month follow-up study among men who have sex with men in Beijing China[J]. J AIDS,2009,52(5):604-610.
[5] 中国疾病预防控制中心性病艾滋病预防控制中心.自我采样传递检测艾滋病指导手册(2018年版)[Z]. 2018.
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[7] 魏士雄,库雄,刘建忠,等. 高校大学生艾滋病感染频发原因初探[J].中国性科学,2018,27(4):146-150.
[8] 张国磊,张夏燕,梁欣. 在MSM中开展基于药店的HIV抗体尿液匿名传递检测结果分析[J].中国艾滋病性病,2016,22(10):810-812.
[9] 张国磊,张夏燕,梁欣,等. 北京市石景山区996 例男男性行为者尿液HIV-1抗体匿名检测结果分析[J]. 现代预防医学,2017,44(11):2080-2083.
[10] He XX, Liu GL, Xia DY, et al.An innovative HIV testing service using the internet: Anonymous urine delivery testing service at drugstores in Beijing, China[J]. PLoS One,2018,13(2):e0192255.
[11] Xia DY, Feng X, He XX, et al.Feasibility of an internet-based HIV testing service: anonymous urine collection from men who have sex with men[J]. AIDS Care,2018,30(10):1228-1230.
[12] Lyu Y, Feng X, He XX, et al. Partner notification based on urine self-sampling for officially-sanctioned HIV testing in cooperation with community-based organizations among men who have sex with men in Beijing, China[C]. 22nd International AIDS Conference (AIDS 2018),Amsterdam,the Netherlands,2018.
[13] 张冬,韩孟杰,陈清峰,等. 利用微信平台对大学生开展艾滋病知识健康教育的效果[J]. 中国艾滋病性病,2016,22(7):550-552.
[14] 沈洁,陆梅,陆珍,等.新媒体平台对青少年性与生殖健康教育需求识别的探索研究[J]. 中国性科学,2016,25(10):147-149.
[15] 王兰兰,李瑶,肖倩.新媒体信息技术在我国医学健康教育中的应用趋势分析[J]. 护理研究,2017,31(12):1481-1484.
[16] He X, Feng X, Liu P, et al. An Innovative Vending Machine-Based HIV Testing and Intervention Service: Anonymous Urine Collection Packs Distributed at Universities in China[C]. 22nd International AIDS Conference (AIDS 2018),Amsterdam,the Netherlands,2018.
[17] 邱兴庆,张静,谢爱齐,等. 男男性接触人群的自我效能对艾滋病知识行为影响分析[J]. 实用预防医学,2013,20(11):1297-1300.
[18] 王毅,李六林,张光贵,等. 男男性行为者艾滋病相关认知态度与行为分离现状和影响因素研究[J]. 中华疾病控制杂志,2014,18(10):951-955.
[19] 刘晓霞,张明辉,叶鲁,等. 镇江市男男性行为人群多性伴性行为影响因素分析[J]. 江苏预防医学,2016,27(4):411-413.
[2] 王秉阳,田晓航. 艾滋病“盯上”青年人,我们该如何应对[EB/OL]. 新华网.http://www.xinhuanet.com//tech/2018-11/30/c_1123791888.htm. 2018.11.30.
[3] Xu JJ, Zhang M, Brown K, et al.Syphilis and HIV Seroconversion Among a 12-Month Prospective Cohort of Men Who Have Sex With Men in Shenyang, China[J]. Sex Transm Dis,2010,37(7):432-439.
[4] Ruan Y,Jia Y,Zhang XL, et al. Incidence of HIV-1 syphilis hepatitis B and hepatitis C virus infections and predictors associated with retention in a 12-month follow-up study among men who have sex with men in Beijing China[J]. J AIDS,2009,52(5):604-610.
[5] 中国疾病预防控制中心性病艾滋病预防控制中心.自我采样传递检测艾滋病指导手册(2018年版)[Z]. 2018.
[6] 王小莉,杨小武,陈远方,等. 南京市某艺术高校大学生对艾滋病歧视情况及影响因素[J]. 中国艾滋病性病,2018,24(8):842-845.
[7] 魏士雄,库雄,刘建忠,等. 高校大学生艾滋病感染频发原因初探[J].中国性科学,2018,27(4):146-150.
[8] 张国磊,张夏燕,梁欣. 在MSM中开展基于药店的HIV抗体尿液匿名传递检测结果分析[J].中国艾滋病性病,2016,22(10):810-812.
[9] 张国磊,张夏燕,梁欣,等. 北京市石景山区996 例男男性行为者尿液HIV-1抗体匿名检测结果分析[J]. 现代预防医学,2017,44(11):2080-2083.
[10] He XX, Liu GL, Xia DY, et al.An innovative HIV testing service using the internet: Anonymous urine delivery testing service at drugstores in Beijing, China[J]. PLoS One,2018,13(2):e0192255.
[11] Xia DY, Feng X, He XX, et al.Feasibility of an internet-based HIV testing service: anonymous urine collection from men who have sex with men[J]. AIDS Care,2018,30(10):1228-1230.
[12] Lyu Y, Feng X, He XX, et al. Partner notification based on urine self-sampling for officially-sanctioned HIV testing in cooperation with community-based organizations among men who have sex with men in Beijing, China[C]. 22nd International AIDS Conference (AIDS 2018),Amsterdam,the Netherlands,2018.
[13] 张冬,韩孟杰,陈清峰,等. 利用微信平台对大学生开展艾滋病知识健康教育的效果[J]. 中国艾滋病性病,2016,22(7):550-552.
[14] 沈洁,陆梅,陆珍,等.新媒体平台对青少年性与生殖健康教育需求识别的探索研究[J]. 中国性科学,2016,25(10):147-149.
[15] 王兰兰,李瑶,肖倩.新媒体信息技术在我国医学健康教育中的应用趋势分析[J]. 护理研究,2017,31(12):1481-1484.
[16] He X, Feng X, Liu P, et al. An Innovative Vending Machine-Based HIV Testing and Intervention Service: Anonymous Urine Collection Packs Distributed at Universities in China[C]. 22nd International AIDS Conference (AIDS 2018),Amsterdam,the Netherlands,2018.
[17] 邱兴庆,张静,谢爱齐,等. 男男性接触人群的自我效能对艾滋病知识行为影响分析[J]. 实用预防医学,2013,20(11):1297-1300.
[18] 王毅,李六林,张光贵,等. 男男性行为者艾滋病相关认知态度与行为分离现状和影响因素研究[J]. 中华疾病控制杂志,2014,18(10):951-955.
[19] 刘晓霞,张明辉,叶鲁,等. 镇江市男男性行为人群多性伴性行为影响因素分析[J]. 江苏预防医学,2016,27(4):411-413.
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