Prevalence and correlates of HIV testing among college students: an exploratory study.

Prevalence and correlates of HIV testing among college students: an exploratory study.
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DOI:
10.1071/sh04047
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发表时间:
2005-01-01
期刊:
影响因子:
1.6
通讯作者:
Noland, Melody
Noland, Melody
中科院分区:
医学4区
文献类型:
--
作者:
Crosby, Richard A;Miller, Kim H;Noland, Melody

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预防措施:最有可能感染艾滋病毒的大学生是否正在接受检测尚不清楚。本研究以903名大学生为样本,采用横断面调查的方法,探讨了大学生HIV检测的流行情况及其相关因素。性风险行为的措施进行了assessed.RESULTS:在接受调查的学生,22.5%的报告说,他们已经进行了艾滋病毒检测。在20岁或以上(27.8% v. 14.7%; P = 0.0001)、女性(25.4% v. 17.8%; P = 0.01)和少数种族/民族成员(42.7% v. 20.3%; P = 0.0001)中,检测的可能性更大。在调整这些协变量后,那些报告曾经有阴道性行为(AOR = 5.5; 95% CI = 3.1-9.6);肛交(AOR = 2.4; 95% CI = 1.6-3.6)和口交(AOR = 6.3; 95% CI = 3.0-13.3)的人更有可能报告接受测试。在过去12个月内有阴道性行为的学生更有可能报告检测(AOR = 5.3; 95% CI = 3.1-9.1)。那些报告阴道首次性行为(AOR = 1.9; 95% CI = 1.2-3.1)或口交首次性行为(AOR= 1.7; 95% CI = 1.1-2.5)<或= 15岁的人更有可能接受测试。学生报告四个或更多的性伴侣显着更有可能被测试比性经验丰富的学生报告较少的合作伙伴(AOR = 3.2; 95%CI = 2.2-4.6)。最后,那些报告至少有一次强迫阴道性行为的人,(AOR = 3.9; 95% CI = 2.1-7.2),并报告至少一次强迫性行为(阴道、肛门、口腔)(AOR = 3.0; 95%CI = 1.8-5.0)的受试者更有可能报告正在接受测试。在这一人群中,人口统计学控制的结果表明,那些最有可能感染艾滋病毒的人确实正在接受病毒检测。
OBJECTIVES: Whether college students who are most at-risk of HIV infection are being tested is unknown. This exploratory study identified the prevalence and correlates of ever having an HIV test among college students.METHODS: A cross-sectional survey was conducted among a probability sample of 903 college students. Measures of sexual risk behaviour were assessed.RESULTS: Of the students surveyed, 22.5% reported they had been tested for HIV. Testing was more likely among those 20 years of age or older (27.8% v. 14.7%; P = 0.0001), females (25.4% v. 17.8%; P = 0.01), and members of racial/ethnic minorities (42.7% v. 20.3%; P = 0.0001). After adjusting for these covariates, those who reported ever having vaginal sex (AOR = 5.5; 95% CI = 3.1-9.6); anal sex (AOR = 2.4; 95% CI = 1.6-3.6), and oral sex (AOR = 6.3; 95% CI = 3.0-13.3) were significantly more likely to report being tested. Students having vaginal sex in the past 12 months were significantly more likely to report testing (AOR = 5.3; 95% CI = 3.1-9.1). Those reporting vaginal sexual debut (AOR = 1.9; 95% CI = 1.2-3.1) or oral sexual debut (AOR= 1.7; 95% CI = 1.1-2.5) < or = age 15 were significantly more likely to be tested. Students reporting four or more sex partners were significantly more likely to be tested than sexually experienced students reporting fewer partners (AOR = 3.2; 95% CI = 2.2-4.6). Finally, those reporting at least one episode of forced vaginal sex (AOR = 3.9; 95% CI = 2.1-7.2) and reporting at least one episode of any forced sex (vaginal, anal, oral) (AOR = 3.0; 95% CI = 1.8-5.0) were significantly more likely to report being tested.CONCLUSIONS: Within this population, demographically controlled findings suggest that those most at-risk of HIV infection are indeed being tested for the virus.