浙江省535名有性行为的大学生HIV检测意愿及影响因素研究

目的 了解有性行为的大学生HIV检测意愿及影响因素，为校园艾滋病宣传防控工作提供参考信息。方法 选取浙江省11个地市2015年在校的9 615名大学生进行问卷调查，并将其中有性行为（有过阴道交、肛交或口交行为）的学生作为研究对象，了解其HIV检测意愿。使用SPSS 19.0软件对数据进行统计学描述和推断分析。结果 共调查9 615名大学生，其中6.5%（619/9 468）有过性行为。535人符合研究对象纳入标准，其中77.2%的研究对象愿意接受HIV检测，医疗机构、CDC为学生选择的主要检测地点。多因素logistic回归分析结果显示，大学中间阶段（aOR=2.618，95% CI：1.511～4.536）、知道浙江省通过男男性行为感染HIV的学生人数上升很快（aOR=1.879，95% CI：1.153～3.060）和对艾滋病有感染危险感知（aOR=1.701，95% CI：1.041～2.780）与HIV检测意愿相关。结论 建议在校园艾滋病宣传中加强警示性教育，说明并普及艾滋病在大学生中疫情的严重性和传染来源，提高大学生群体的艾滋病危险感知和HIV检测意识；并在校园内外设立HIV咨询检测点，为学生提供便捷、保密的HIV检测服务，满足大学生的检测需求。

Willingness for HIV test and associated factors among 535 college students who had sex in Zhejiang province

Objective To understand the willingness of HIV test uptake and associated factors among sexual active college students. Methods A cross-sectional study were conducted among college students from 11 cities in Zhejiang province, and those who had sexual behaviors were included in this study. Results A total of 9 615 students completed the questionnaire, and 6.5% (619/9 468) of them had sexual behaviors. A total of 535 students were recruited in this study. And 77.2% of them were willing to receive HIV test. Hospitals and CDC were commonly accepted testing sites. Being sophomore and junior (aOR=2.618, 95%CI:1.511-4.536), being aware of rapid growing HIV epidemic among students who are men who have sex with men (MSM) (aOR=1.879, 95%CI:1.153-3.060) and being aware of HIV infection risk (aOR=1.701, 95%CI:1.041-2.780) were associated with HIV test willingness. Conclusions Future effort should be made to increase the awareness of HIV infection, including the severity of AIDS epidemic in college students and infection source, in order to increase their willingness to receive HIV test. School-based HIV counsel and test sites should be set up to provide convenient and private HIV test service.