Email Alert | RSS

Journal of Peking University (Health Sciences) ›› 2021, Vol. 53 ›› Issue (3): 511-517. doi: 10.19723/j.issn.1671-167X.2021.03.012

Previous Articles     Next Articles

Comparison of acquired immure deficiency syndrome-related knowledge and behavior between persons with and without human immunodeficiency virus-infection among young male students who have sex with men

LI Yuan-cheng,CUI Wen-xin,GUO Xue-er,ZHU Fan,LIU Si-chen,JIA Bi-bo,WANG Pei,MA Ying-huaΔ()   

  1. Institute of Child and Adolescent Health, Peking University School of Public Health, Beijing 100191, China
  • Received:2021-02-28 Online:2021-06-18 Published:2021-06-16
  • Contact: Ying-hua MA E-mail:yinghuama@bjmu.edu.cn
  • Supported by:
    National Natural Science Foundation of China(81673245)

RICH HTML

 14   

PDF (PC)

211

Abstract:

Objective: To understand the differences between young male students who have sex with men (MSM) with and without human immunodeficiency virus (HIV)-infection in acquired immure deficiency syndrome (AIDS)-related knowledge and behavior, and to provide a scientific reference to make targeted and effective measures in AIDS prevention. Methods: Using snow balling sampling combined with participants’ referral, we conducted a questionnaire survey among 548 young MSM students (in whom there were both HIV-positive and HIV-negative) in Harbin, Tianjin, Xi’an, and Chongqing cities from April 2017 to March 2018. The chi-square test and binary Logistic regression were used to compare the differences in AIDS-related knowledge and behavior between males with and without HIV-infection. Results: A total of 583 questionnaires were obtained, of which 548 were valid, with an effective rate of 94.0%. Having a junior college education or below (P=0.002), a monthly consumption level of less than 2 000 RMB (P=0.021), and living off campus (P=0.004) were associated with being tested positive for HIV. In any period of schooling, receiving AIDS prevention education was a protective factor for HIV infection [Primary school OR=0.203 (0.073-0.561), junior high school OR=0.287 (0.142-0.581), senior high school OR=0.271 (0.142-0.518), and university OR=0.322 (0.168-0.616)]. There was no statistical difference between HIV positive and negative young MSM students in the cognition of “AIDS-related Knowledge for Public”(P=0.907) and “AIDS-related Knowledge for Youth”(P=0.782), with the awareness rate all about 90%. There was a statistical difference in the need for some specific knowledge (For “AIDS prevention and treatment policy”, P=0.012, for “Ways to identify and prevent high-risk sexual behavior”, P<0.001). HIV-positive males had a younger age of first sexual activity (P=0.006), had more sexual partners in the early (P<0.001) and had lower frequency of condom use (P<0.001). However, there was no statistical difference in the later number of sexual partners (P=0.247) and the frequency of condom use (For regular sex partners, P=0.735, and for casual sex partners, P=0.765), which might be related to the change of sexual behavior characteristics caused by HIV infection (For regular sex partners, P<0.001, and for casual sex partners, P=0.006). Conclusion: There was no statistical difference between HIV positive and negative young MSM students in the cognition of “AIDS-related Knowledge for Public” and “AIDS-related Knowledge for Youth”, which were both lower than 95% required by the state. However, the specificity in the knowledge needs was certainly shown. There was no significant difference in the recent sexual behavior between the two groups, but HIV positive students were more likely to have high-risk sexual behaviors in the early stage, so we should strengthen and move forward the sex education and AIDS prevention education with adjusted contents, and prevent high-risk sexual behaviors within young MSM students in the early stage.

Key words: Acquired immune deficiency syndrome, Men who have sex with men, Students, Knowledge, Behavior

CLC Number: 

  • R183

Table 1

Comparison of demographic characteristics between young MSM students with and without HIV-infection"

Demographic characteristic HIV-positive HIV-negative χ2 P
n % n %
Nationality 0.055 0.815
Han 170 95.0 343 94.5
Other 9 5.0 20 5.5
Education 14.516 0.002
High school or less 15 8.5 12 3.3
Junior college 35 19.9 45 12.5
Undergraduate 106 60.2 240 66.5
Graduate student or higher 20 11.4 64 17.7
Major 5.886 0.117
Liberal arts 62 36.9 115 33.0
Science and engineering 79 47.0 186 53.4
Medicine 5 3.0 19 5.5
Art and athletics 22 13.1 28 8.0
Monthly consumption/Yuan 7.694 0.021
<1 000 35 19.7 48 13.1
1 000-1 999 120 67.4 242 65.9
≥2 000 23 12.9 77 21.0
Main residence 8.239 0.004
On campus 107 61.1 269 73.3
Off campus 68 38.9 98 26.7

Table 2

Logistic regression analysis of the answers of AIDS-related knowledge between young MSM students with and without HIV-infection (n=537)"

AIDS-related knowledge β SE Wald χ2 P OR 95%CI
①AIDS can be cured -0.380 0.220 2.982 0.084 0.684 0.445-1.053
②At present, the prevalence of AIDS among youth students is growing rapidly in
China. The main transmission mode is homosexual orientation among men,
followed by heterosexual behavior		 0.266 0.232 1.316 0.251 1.305 0.828-2.054
③HIV-positive individuals can be recognized from his appearance 0.544 0.359 2.303 0.129 1.723 0.853-3.481
④Eating meal with HIV-positive individuals can get infected with HIV -0.284 0.319 0.794 0.373 0.753 0.403-1.406
⑤The correct use of condoms can reduce the risk of getting infected with HIV -0.179 0.515 0.120 0.729 0.836 0.305-2.296
⑥Using new-type drugs (such as methamphetamine) can increase the risk of
getting infected with HIV		 0.066 0.289 0.052 0.820 1.068 0.606-1.882
⑦After unprotected sexual behavior, one should take HIV testing and counseling
actively		 -0.972 0.627 2.401 0.121 0.379 0.111-1.293
⑧The rights and interests of marriage, employment and being educated of HIV-
positive individuals are protected by laws in China		 -0.321 0.255 1.580 0.209 0.725 0.440-1.197
⑨Insect bites can spread HIV 0.852 0.281 9.203 0.002 2.344 1.352-4.064
⑩Sharing syringes with HIV-positive individuals can get infected with HIV -0.440 0.558 0.621 0.431 0.644 0.216-1.923
?The HIV-positive women may give birth to a HIV-positive baby -0.121 0.370 0.108 0.743 0.886 0.429-1.829
?Transfusing blood with HIV can get infected with HIV -0.228 0.610 0.139 0.709 0.796 0.241-2.633
?Having sexual relations with only one sexual partner can reduce the risk of
getting infected with HIV		 -0.287 0.223 1.666 0.197 0.750 0.485-1.161

Figure 1

The ROC curve of the total scores of all 13 items to distinguish young MSM students with and without HIV-infection"

Table 3

Logistic regression analysis of the influence of initiatory phase of receiving AIDS prevention education to HIV-infection (n=545)"

Initiatory phase of receiving AIDS prevention education β SE Wald χ2 P value OR 95%CI
Primary school -1.595 0.519 9.434 0.002 0.203 0.073-0.561
Junior high school -1.248 0.360 12.032 0.001 0.287 0.142-0.581
Senior high school -1.307 0.331 15.615 <0.001 0.271 0.142-0.518
University -1.133 0.331 11.741 0.001 0.322 0.168-0.616

Table 4

Comparison of difference of sexual behavior between young MSM students with and without HIV-infection"

Sexual behavior HIV-positive HIV-negative χ2 P
n % n %
Age of first penetrative sex behavior 7.574 0.006
Before 20 years old 133 76.4 234 64.6
At or older than 20 years old 41 23.6 128 35.4
Number of sexual partners before college 18.481 <0.001
1 or less 87 52.4 257 71.6
more than 1 79 47.6 102 28.4
Number of sex partners after college* 1.338 0.247
1 or less 16 13.6 55 18.3
more than 1 102 86.4 246 81.7
Using condom every sexual act with regular sex partners 3 months before diagnosis of
AIDS		 49.733 <0.001
Yes 33 31.4 170# 72.0#
No 72 68.6 66# 28.0#
Using condom every sexual act with casual sex partners 3 months before diagnosis of
AIDS		 40.167 <0.001
Yes 21 27.3 131# 69.7#
No 56 72.7 57# 30.3#
Using condom every sexual act with regular sex partners in recent 3 months 0.115 0.735
Yes 46 74.2 170 72.0
No 16 25.8 66 28.0
Using condom every sexual act with casual sex partners in recent 3 months 0.089 0.765
Yes 21 72.4 131 69.7
No 8 26.7 57 30.3
The frequency of sexual behavior in recent 3 months (times each month) 86.462 <0.001
0 89 51.4 51 14.3
1 37 21.4 134 37.6
2-5 40 23.1 162 45.5
6-10 4 2.3 6 1.7
More than 10 3 1.7 3 0.8
[1] The Joint United Nations Programme on HIV/AIDS. Global HIV and AIDSstatistics[EB/OL]. (2020-02-18) [2021-02-26]. https://www.avert.org/global-hiv-and-aids-statistics.
[2] 马迎华. 推进中国青少年学生艾滋病综合防控策略的实施[J]. 中国学校卫生, 2017,38(9):1281-1284.
[3] The Joint United Nations Programme on HIV/AIDS. UNAIDS data 2020[EB/OL]. (2020-07-06) [2021-02-26]. https://www.unaids.org/en/resources/documents/2020/unaids-data.
[4] 中国疾病预防控制中心. 艾滋病防治宣传教育核心知识[EB/OL]. (2019-10-24) [2021-02-26]. http://www.chinacdc.cn/jkzt/crb/zl/azb/zstd/201910/t20191024_206462.html.
[5] 中国疾病预防控制中心. 中国疾病预防控制中心关于印发艾滋病宣传教育核心知识与艾滋病知识知晓率问卷的通知[EB/OL]. (2016-04-06) [2021-02-26]. 中国疾病预防控制中心. http://www.ahcdc.cn/content/detail/5ac426b2e1ff8cdc21007fa8.html.
[6] 张文静, 黄晓玲, 高迪思, 等. 青年学生男男性行为人群HIV相关知识认知现状及HIV感染影响因素分析[J]. 中国公共卫生, 2019,35(12):1598-1602.
[7] The Joint United Nations Programme on HIV/AIDS. UNAIDS welcomes the United Nations General Assembly decision to hold a high-level meeting on HIV and AIDS in 2021[EB/OL]. (2021-02-25) [2021-02-26]. https://www.unaids.org/en/resources/presscentre/pressreleaseandstatementarchive/2021/february/high-level-meeting.
[8] The Joint United Nations Programme on HIV/AIDS. Prevailing against pandemics by putting people at the centre: World AIDS Day report 2020[EB/OL]. (2020-11-26) [2021-02-26]. https://www.unaids.org/en/resources/documents/2020/prevailing-against-pandemics.
[9] 中华人民共和国中央人民政府. 关于印发遏制艾滋病传播实施方案(2019—2022年)的通知[EB/OL]. (2019-09-11) [2021-02-26]. http://www.gov.cn/zhengce/zhengceku/2019-11/13/content_5451669.htm.
[10] 王怡欣, 马迎华, 李恬静, 等. 同性交友平台上青年学生的艾滋病知识和艾滋病相关行为现状[J]. 北京大学学报(医学版), 2017,49(3):469-475.
[11] 谢颖倩, 丁亮蕾, 李艳, 等. 广州市大学生新旧版艾滋病知识知晓情况与性行为研究[J]. 中国艾滋病性病, 2018,24(7):718-720, 739.
[12] 郑婵娟, 马兰心, 谭业丰, 等. 长沙市MSM艾滋病知识知晓情况、性行为现状分析[J]. 中华疾病控制杂志, 2019,23(1):106-109.
[13] 杨晴, 罗雅凌, 廖清华. 江西省2011—2015年青年学生艾滋病监测结果[J]. 中国学校卫生, 2016,37(7):1079-1081.
[14] 王毅, 李六林, 周万明, 等. 年轻男男性行为者首次同性性行为现状及安全套使用影响因素[J]. 现代预防医学, 2019,46(2):310-313, 331.
[15] 董文斌, 赵金仙, 李世福, 等. 2010—2019年云南省玉溪市男男性行为者艾滋病哨点监测结果及知行分离影响因素分析[J]. 中国皮肤性病学杂志, 2021,35(2):160-166.
[16] 陈嘉祥, 李标雄, 章冬, 等. 集美区男男性行为人群安全套使用知行分离影响因素分析[J]. 海峡预防医学杂志, 2021,27(1):32-34.
[17] 杨娟, 徐慧芳, 程伟彬, 等. 男男性行为人群个体社会网络中关系强度及其相关因素分析[J]. 中华流行病学杂志, 2018,39(4):478-482.
[18] 陈天麒, 吴静, 高迪思, 等. 青年学生男男性行为人群个体中心社会网络与HIV感染状况的关联[J]. 中国学校卫生, 2020,41(12):1776-1780.
[1] DONG Yan-hui,CHEN Man-man,WANG Li-ping,XING Yi,SONG Yi,ZOU Zhi-yong,DONG Bin,LI Zhong-jie,MA Jun. Epidemiological characteristics of infectious diseases of group A, B and C among Chinese students’ population [J]. Journal of Peking University (Health Sciences), 2021, 53(3): 498-505.
[2] Shuang-jia WANG,Ting-ting WANG,Jun-bo WANG. Nutritional knowledge, attitudes and dietary behaviors of teachers and students in a medical college in Beijing and their influencing factors [J]. Journal of Peking University (Health Sciences), 2020, 52(5): 881-885.
[3] Xiao-na NA,Zhu ZHU,Yang-yang CHEN,Dong-ping WANG,Hao-jie WANG,Yang SONG,Xiao-chuan MA,Pei-yu WANG,Ai-ping LIU. Associations of distribution of time spent in physical activity and sedentary behavior with obesity [J]. Journal of Peking University (Health Sciences), 2020, 52(3): 486-491.
[4] Yi SONG,Dong-mei LUO,Pei-jin HU,Xiao-jin YAN,Jing-shu ZHANG,Yuan-ting LEI,Bing ZHANG,Jun MA. Trends of prevalence of excellent health status and physical fitness among Chinese Han students aged 13 to 18 years from 1985 to 2014 [J]. Journal of Peking University (Health Sciences), 2020, 52(2): 317-322.
[5] Shan-shan BAI,Si-yi MO,Xiao-xiang XU,Yun LIU,Qiu-fei XIE,Ye CAO. Characteristics of orofacial operant test for orofacial pain sensitivity caused by occlusal interference in rats [J]. Journal of Peking University(Health Sciences), 2020, 52(1): 51-57.
[6] SONG Yi,LEI Yuan-ting, HU Pei-jin, ZHANG Bing, MA Jun. Situation analysis of physical fitness among Chinese Han students in 2014 [J]. Journal of Peking University(Health Sciences), 2018, 50(3): 436-442.
[7] LIU Sheng-lan, NA He-ya, LI Wei-hao, YUN Qing-ping, JIANG Xue-wen, LIU Jing-nan, CHANG Chun. Effectiveness of self-management behavior intervention on type 2 diabetes based on self-determination theory#br# [J]. Journal of Peking University(Health Sciences), 2018, 50(3): 474-481.
[8] CHENG Yin-chu， PAN Yong-ping， ZHANG Yang，PAN Yu-ting， DING Cheng-yi， CAO Yu， ZHUO Lin， FANG Ren-fei， GAO Ai-yu， GUO Jing， LI Ai-jun， FU Qiang， MA Jun， ZHAN Si-yan. Investigation of the cognition and behavior on drug safety in Beijing middle school students [J]. Journal of Peking University(Health Sciences), 2017, 49(6): 1038-1043.
[9] WANG Yi-xin, MA Ying-hua, LI Tian-jing, HU Yi-fei, PENG Hua-can. Present situation of awareness of acquired immune deficiency syndrome (AIDS) knowledge and AIDS-related behaviors among youth students in gay dating sites#br# [J]. Journal of Peking University(Health Sciences), 2017, 49(3): 469-475.
[10] ZHANG Xin, NA He-ya, YE Mo, WANG Meng-nan, WEI Shao-ming, SUN Ya-hui, ZHANG Fu-bing, SUN Xin-ying, CHANG Chun, SHI Yu-hui. Changes of acquired immune deficiency syndrome related knowledge, attitudes, behaviors and their influencing factors among college students in Beijing [J]. Journal of Peking University(Health Sciences), 2017, 49(3): 462-468.
[11] REN Qiao-meng, WANG Li-min, PENG Dan-lu, GUO Yan. Influence of awareness on the behaviors of Chinese adults with diabetes mellitus [J]. Journal of Peking University(Health Sciences), 2017, 49(3): 451-454.
[12] SONG Yi, HU Pei-jin, DONG Yan-hui, ZHANG Bing, MA Jun. Prevalence of reduced visual acuity among Chinese Han students in 2014 [J]. Journal of Peking University(Health Sciences), 2017, 49(3): 433-438.
[13] ZHOU Jing, ZHOU Qian, WANG Dong-ping, ZHAGN Ting, WANG Hao-jie, SONG Yang, HE Hai-zhen, WANG Meng, WANG Pei-yu, LIU Ai-ping. Associations of sedentary behavior and physical activity with dyslipidemia [J]. Journal of Peking University(Health Sciences), 2017, 49(3): 418-423.
[14] GUO Yu-si, LI Shuo, LYU Ming-yue, YANG Di, HUA Hong. Analysis of type C behavior in patients with oral lichen planus [J]. Journal of Peking University(Health Sciences), 2017, 49(1): 120-124.
[15] LIU Guo-feng, SUN Mei-ping, WANG Zhi-yong, JIAN Wei-yan. Association analysis between urbanization and non-communicable diseases and health-related behavior [J]. Journal of Peking University(Health Sciences), 2016, 48(3): 478-482.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] Author. English Title Test[J]. Journal of Peking University(Health Sciences), 2010, 42(1): 1 -10 .
[2] . [J]. Journal of Peking University(Health Sciences), 2009, 41(3): 376 -379 .
[3] . [J]. Journal of Peking University(Health Sciences), 2009, 41(4): 459 -462 .
[4] . [J]. Journal of Peking University(Health Sciences), 2010, 42(1): 82 -84 .
[5] . [J]. Journal of Peking University(Health Sciences), 2007, 39(3): 319 -322 .
[6] . [J]. Journal of Peking University(Health Sciences), 2007, 39(3): 333 -336 .
[7] . [J]. Journal of Peking University(Health Sciences), 2007, 39(3): 337 -340 .
[8] . [J]. Journal of Peking University(Health Sciences), 2007, 39(4): 351 -354 .
[9] . [J]. Journal of Peking University(Health Sciences), 2007, 39(4): 361 -364 .
[10] . [J]. Journal of Peking University(Health Sciences), 2007, 39(4): 377 -380 .
Copyright © Journal of Peking University (Health Sciences), All Rights Reserved.
Powered by Beijing Magtech Co. Ltd