HIV sexual risk behaviors and perception of risk among college students: implications for planning interventions
HIV sexual risk behaviors and perception of risk among college students: implications for planning interventions
复制标题
DOI：
10.1186/1471-2458-9-281
复制
发表时间：
2009-08-04
影响因子：
4.5
通讯作者：
Lukobo-Durrell, Mainza
中科院分区：
文献类型：
--
作者：
Adefuye, Adedeji S.;Abiona, Titilayo C.;Lukobo-Durrell, Mainza
背景：大学环境为艾滋病毒高危行为提供了很大的机会，包括不安全性行为和多伴侣关系。虽然艾滋病毒感染的总体发病率近年来有所下降，但年轻人的艾滋病毒感染率并没有出现相应的下降。同一般人口一样，非洲裔美国青年不成比例地受到艾滋病毒/艾滋病流行病的影响。本研究调查了中西部一所以非裔美国人为主的城市通勤大学学生的性风险行为和对艾滋病毒风险的认知。方法：随机选择通识教育课程的学生完成纸笔调查。数据于2007年秋季收集，使用SPSS for Windows v. 16进行单因素、双因素和多因素分析。结果：样本包括390名学生，其中大多数（83%）从未结婚，87%有过性经验。在报告有伴侣关系的男性中，使用大麻（OR = 17.5, p = 0.01）和同时使用酒精和非法药物（OR = 8.8, p = 0.03）的男性报告有多重伴侣关系的可能性更大。在报告有男性伴侣的女性中，30岁及以上的女性报告有多个男性伴侣的可能性显著降低（OR = 0.09, p = 0.03）。不同年龄组在最后一次性行为中使用避孕套的情况（p = 0.01）和一贯使用避孕套的情况（p = 0.002）差异有统计学意义。年龄较大的学生报告使用安全套的可能性较小。30岁及以上的女性（OR = 3.74, p = 0.05）和2029岁的女性（OR = 2.41, p = 0.03）比20岁以下的女性更容易报告不一致的安全套使用情况。在女性中，大麻的使用与不使用避孕套相关（p = 0.02），酒精与最后一次性行为不使用避孕套相关。对艾滋病毒风险的认识普遍较差，30岁及以上的人中有54%，2029岁的人中有48.1%，20岁以下的人中有57.9%认为自己没有任何感染艾滋病毒的机会。对艾滋病毒风险有中等/良好认识的预测因素是吸毒和酗酒、不一致地使用避孕套和多重伙伴关系。结论：研究样本中的学生从事各种艾滋病毒风险行为，但对其感染艾滋病毒的风险认识较差。虽然年龄较大的学生（30岁及以上）安全套使用率低是一个问题，但多伴侣关系在年轻学生中更为常见，大麻和酒精的使用与女性安全套使用率低有关。我们的研究结果支持了在大学校园进行有针对性的艾滋病预防干预的必要性。
Background: The college environment offers great opportunity for HIV high-risk behaviors, including unsafe sex and multiple partnerships. While the overall incidence of HIV infection has seen some decline in recent years, rates of HIV infection among young adults have not seen a proportionate decline. As in the general population, African American young adults have been disproportionately affected by the HIV/AIDS epidemic. This study examined the sexual risk behaviors and perception of HIV risk of students in a predominantly African American commuter urban university in the Midwest.Methods: Students enrolled in randomly selected general education courses completed a paper and pencil survey. Data were collected in Fall 2007, and univariate, bivariate, and multivariate analyses were conducted using SPSS for Windows v. 16.Results: The sample included 390 students, the majority (83%) of whom were never married and 87% were sexually experienced. Among males reporting male partnerships those who used marijuana (OR = 17.5, p = 0.01) and those who used alcohol along with illegal drugs (OR = 8.8, p = 0.03) were significantly more likely to report multiple partnerships. Among females reporting male partnerships, those 30 years and older were significantly less likely (OR = 0.09, p = 0.03) to report having multiple male partners. There were significant differences in condom use last sex (p = 0.01) and consistent condom use (p = 0.002) among the different age groups. Older students were less likely to report condom use. Females age 30 years and older (OR = 3.74, p = 0.05) and respondents age 2029 years (OR = 2.41, p = 0.03) were more likely to report inconsistent condom use than those below 20 years. Marijuana use was correlated with inconsistent condom use (p = 0.02) and alcohol with not using condom last sex among females. Perception of HIV risk was generally poor with 54% of those age 30 years and older, 48.1% of 2029 year olds, and 57.9% of those below the age of 20 years perceived themselves as not having any chance of being infected with HIV. Predictors of moderate/good perception of HIV risk were drug and alcohol use, inconsistent condom use, and multiple partnerships.Conclusion: Students in the study sample engaged in various HIV risk behaviors but have a poor appreciation of their risk of HIV infection. While low rates of condom use was a problem among older students (30 years and older), multiple partnerships were more common among younger students, and marijuana and alcohol use were related to low condom use among females. Our findings support the need for targeted HIV prevention interventions on college campuses.