2018年我国青年学生对艾滋病自愿咨询检测服务接受意愿及其影响因素分析

目的 了解与分析我国青年学生对艾滋病自愿咨询检测(voluntary counseling and testing,VCT)服务的相关情况,为VCT服务的有效开展和卫生资源的合理分配提供依据。 方法 采用方便抽样的方法,在2018年11月15日—12月1日对全国222所高等院校的59 473名在校青年学生进行匿名自填问卷调查,采用logistic回归模型分析影响学生对VCT服务接受意愿的因素。 结果 62.4%(37 107/59 473)的青年学生愿意接受VCT服务,3.1%(1 857/59 473)曾做过HIV/AIDS检测。多因素logistic回归分析显示,女性0.639(95%CI:0.612～0.668),理工类0.929(95%CI:0.878～0.982)、农学类0.827(95%CI:0.723～0.946)和其他专业0.905(95%CI:0.855～0.959),VCT服务首要考虑因素中的保密性0.665(95%CI:0.622～0.711)、医生的态度0.696(95%CI:0.607～0.799)、检测的准确性0.766(95%CI:0.720～0.815)和其他因素0.688(95%CI:0.575～0.823),认为目前自己感染HIV/AIDS的可能性比较小0.728(95%CI:0.631～0.841)和根本不可能0.488(95%CI:0.424～0.563)等10个因素是青年学生接受VCT服务的保护因素;本科生1.137(95%CI:1.029～1.184),医科类1.126(95%CI:1.065～1.190),检测地点为购买“艾滋病检测包”自检1.857(95%CI:1.035～3.330),VCT不应该保密1.562(95%CI:1.458～1.673)等4个因素是青年学生接受VCT服务的危险因素。 结论 青年学生对VCT服务接受意愿良好,但普遍低估自身感染HIV/AIDS风险且检测率低,应加强女性、理工类和农学类等学生的VCT动员检测。

Willingness to accept HIV/AIDS voluntary counseling and testing service and its influencing factors among young students in China, 2018

Objective To understand and analyze the status of accepting HIV/AIDS voluntary counseling and testing(VCT)service among young students in China,and to provide a basis for effective development of VCT service and rational allocation of health resources.Methods Using the method of convenience sampling,an anonymous self-administered questionnaire survey was conducted among 59,473 students from 222 universities between November 15 and December 1,2018.The factors affecting students’willingness to accept VCT service were analyzed by Logistic regression model.Results Among the young students surveyed,62.4%(37,107/59,473)were willing to receive VCT service,and 3.1%(1,857/59,473)had ever received HIV/AIDS testing.Multivariate logistic regression analysis showed that females(OR=0.639,95%CI:0.612-0.668),science and technology major(OR=0.929,95%CI:0.878-0.982),agronomy major(OR=0.827,95%CI:0.723-0.946)and other majors(OR=0.905,95%CI:0.855-0.959),confidentiality as the primary consideration factor for receiving VCT service(OR=0.665,95%CI:0.622-0.711),doctors’attitude(OR=0.696,95%CI:0.607-0.799),detection accuracy(OR=0.766,95%CI:0.720-0.815),and other factors(OR=0.688,95%CI:0.575-0.823),considering that they were less likely(OR=0.728,95%CI:0.631-0.841)and impossible(OR=0.488,95%CI:0.424-0.563)to be infected with HIV/AIDS were protective factors for willingness to accept VCT service in the young students.Undergraduate students(OR=1.137,95%CI:1.029-1.184),medicine major(OR=1.126,95%CI:1.065-1.190),purchasing AIDS testing kit for self-examination(OR=1.857,95%CI:1.035-3.330),and VCT result not being kept in secret(OR=1.562,95%CI:1.458-1.673)were risk factors for willingness to accept VCT service in the young students.Conclusions The young students had a good willingness to accept VCT service,but they generally underestimated their risks for HIV/AIDS infection and had a low detection rate.It is necessary to strengthen VCT service among females and students with majors in science&technology as well as agronomy.