广西高校新生对HIV尿液自助采样包的使用意愿及关注因素调查

目的了解广西高校新生对HIV尿液自助采样包的使用意愿及关注因素,为进一步在高校开展HIV尿液自我采样传递检测提供依据和参考。方法采取整群随机抽样方法,分别选取广西A、B两所高校新生进行匿名问卷调查,其中,A校在健康教育讲座前问卷调查,B校在健康教育讲座后问卷调查。结果本次调查中,共发放问卷500份,A、B两所高校新生的问卷回收率分别是88.0%(132/150),96.9%(339/350),差异有统计学意义(P<0.001)。A、B两所高校新生艾滋病基本知识平均知晓率分别为73.7%,87.7%,差异有统计学意义(P<0.001)。受访的大学新生中有2.3%(11/471)曾接受过HIV检测。A、B两所高校新生对HIV尿液自助采样包的使用意愿率分别是63.6%(84/132),88.5%(300/339),差异有统计学意义(P<0.001)。男生对HIV尿液自助采样包的使用意愿率均要稍高于女生,但差异无统计学意义(P>0.05)。在阻碍HIV尿液自助采样包的使用因素调查中,54.0%(47/87)认为操作流程不方便,37.9%(33/87)怀疑结果的准确性,8.1%(7/87)认为容易污染。此外,在大学新生对HIV尿液自助采样包的关注因素调查中,首要关注的是保密性(85.4%,402/471),其次是准确性(72.4%,341/471)。超过一半的新生认为100~150元是HIV尿液自助采样包的可接受价格范围,高达97%的新生认为检测结果的反馈时长应小于7 d。结论广西高校新生对HIV尿液自助采样包的态度积极,使用意愿较高,对HIV尿液自我采样传递检测持相对开放态度。HIV尿液自助采样包的保密性和准确性是大学新生最为关注的两个因素。举办健康教育讲座对HIV尿液自助采样包进行适当的介绍和宣传,可有效提高使用意愿。

Willingness to use urine self-collection package for HIV testing and its concerned factors among college freshmen in Guangxi

Objective To explore the willingness to use urine self-collection package for HIV testing and its concerned factors among college freshmen in Guangxi, and to provide a basis and references for further developing urine self-collection for HIV testing in colleges. Methods A cluster random sampling method was used to select college freshmen from colleges A and B in Guangxi. An anonymous questionnaire survey was conducted in college A before the health education lectures, while a questionnaire survey was conducted anonymously in college B after the health education lectures. Resultss A total of 500 questionnaires were distributed, and the questionnaire recovery rates of colleges A and B were 88.0% (132/150) and 96.9% (339/350), respectively, with a statistically significant difference (P<0.001). The average awareness rates of basic knowledge of AIDS in freshmen of colleges A and B were 73.7% and 87.7%, respectively, with a statistically significant difference (P<0.001). Among the freshmen surveyed, 2.3% (11/471) had been tested for HIV. The willingness rates of using urine self-collection package for HIV testing in freshmen of colleges A and B were 63.6% (84/132) and 88.5% (300/339), respectively, showing a statistically significant difference (P<0.001). The willingness rates of using urine self-collection package for HIV testing in the two colleges were slightly higher in male students than in female students, but no statistically significant difference was found (P>0.05). In the survey on the factors hindering the use of urine self-collection package for HIV testing, 54% (47/87) freshmen considered that the operation process was inconvenient, 37.9% (33/87) doubted the accuracy of the results, and 8.1% (7/87) thought that it was easy to be contaminated. In addition, in the survey on factors influencing college freshmen to concern themselves with urine self-collection package for HIV testing, the first concern was confidentiality (85.4%, 402/471), followed by accuracy (72.4%, 341/471). More than half of the freshmen thought that the acceptable price range for urine self-collection package for HIV testing was RMB 100-150 Yuan, and up to 97.0% of the freshmen thought that the time for feedback of testing results could be less than 7 days. Conclusions The college freshmen in Guangxi hold a positive attitude toward urine self-collection package for HIV testing, have a high willingness to use it, and are relatively open to the urine self-collection for HIV testing. The confidentiality and accuracy of urine self-collection package for HIV testing are the two major factors that the freshmen are most concerned about. Holding health education lectures regarding proper introduction and publicity of urine self-collection package for HIV testing in the freshmen can effectively improve their usage intention.