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已发表论文
中国浙江省性活跃大学生自愿咨询检测接受度影响因素分析
Authors He J, Zhou X, Chen L, Ma Q, Zhu L, Lou J, Zha L, Lou J, Zheng N, Chen W
Received 5 June 2025
Accepted for publication 12 September 2025
Published 18 September 2025 Volume 2025:17 Pages 313—321
DOI https://doi.org/10.2147/HIV.S539563
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Prof. Dr. Olubunmi Akindele Ogunrin
Jiajin He,1,* Xin Zhou,2,* Lingjuan Chen,3 Qiaoqin Ma,2 Liebo Zhu,1 Junfang Lou,1 Lianqi Zha,1 Jieyun Lou,1 Nan Zheng,1 Weiyong Chen2,4
1Yiwu Center for Disease Control and Prevention, Yiwu, Zhejiang, People’s Republic of China; 2Department of HIV/STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, People’s Republic of China; 3Linhai Center for Disease Control and Prevention, Linhai, Zhejiang, People’s Republic of China; 4Zhejiang Key Laboratory of Vaccine, Infectious Disease Prevention and Control, Hangzhou, Zhejiang, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Weiyong Chen, Department of HIV/STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, People’s Republic of China, Email weiyongchen@cdc.zj.cn
Background: In recent years, China has seen a rapid rise in the HIV epidemic, especially among college students. However, the uptake of HIV testing was low. This study aimed to explore the factors influencing the acceptance of voluntary counseling and testing (VCT) among sexually active college students, in order to provide scientific evidence for the prevention and control of HIV infection on campus.
Methods: A cross-sectional study was completed at 13 colleges in 11 cities by stratified cluster random sampling. We formulated a questionnaire to collect information on demographic characteristics, sexual behaviors, sexual attitudes, HIV-relevant knowledge, and HIV/AIDS interventions. The chi-square test was performed to compare composition ratios. Single-factor logistic regression and multivariate regression analyses were performed to determine the influencing factors.
Results: This study included 3873 college students with sexual experience, of whom 199 had received VCT, accounting for 5.14%. The results of the multivariate logistic regression analysis demonstrated that the participants who were age ≥ 22 (OR = 2.11, 95% CI: 1.36– 3.29), had casual sex in the past year (OR = 1.75, 95% CI: 1.21– 2.52), had received a lecture or health education class on HIV/AIDS at school (OR = 1.80, 95% CI: 1.07– 3.02), had received school information on HIV testing (OR = 2.15, 95% CI: 1.32– 3.50), and had received a school-based HIV risk self-assessment in the last year (OR = 3.47, 95% CI: 2.40– 5.03) were inclined to receive VCT.
Conclusion: The findings revealed that college students who had received health education about AIDS or acquired HIV testing information on campus were inclined to receive VCT, especially those who had engaged in high-risk sexual behaviors. Regarding HIV prevention among college students, it is recommended that health education related to AIDS be conducted regularly on campus and that HIV testing be promoted to increase the testing rate.
Keywords: voluntary counseling and testing, HIV, sexual behavior, college students, influencing factors
1Yiwu Center for Disease Control and Prevention, Yiwu, Zhejiang, People’s Republic of China; 2Department of HIV/STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, People’s Republic of China; 3Linhai Center for Disease Control and Prevention, Linhai, Zhejiang, People’s Republic of China; 4Zhejiang Key Laboratory of Vaccine, Infectious Disease Prevention and Control, Hangzhou, Zhejiang, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Weiyong Chen, Department of HIV/STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, People’s Republic of China, Email weiyongchen@cdc.zj.cn
Background: In recent years, China has seen a rapid rise in the HIV epidemic, especially among college students. However, the uptake of HIV testing was low. This study aimed to explore the factors influencing the acceptance of voluntary counseling and testing (VCT) among sexually active college students, in order to provide scientific evidence for the prevention and control of HIV infection on campus.
Methods: A cross-sectional study was completed at 13 colleges in 11 cities by stratified cluster random sampling. We formulated a questionnaire to collect information on demographic characteristics, sexual behaviors, sexual attitudes, HIV-relevant knowledge, and HIV/AIDS interventions. The chi-square test was performed to compare composition ratios. Single-factor logistic regression and multivariate regression analyses were performed to determine the influencing factors.
Results: This study included 3873 college students with sexual experience, of whom 199 had received VCT, accounting for 5.14%. The results of the multivariate logistic regression analysis demonstrated that the participants who were age ≥ 22 (OR = 2.11, 95% CI: 1.36– 3.29), had casual sex in the past year (OR = 1.75, 95% CI: 1.21– 2.52), had received a lecture or health education class on HIV/AIDS at school (OR = 1.80, 95% CI: 1.07– 3.02), had received school information on HIV testing (OR = 2.15, 95% CI: 1.32– 3.50), and had received a school-based HIV risk self-assessment in the last year (OR = 3.47, 95% CI: 2.40– 5.03) were inclined to receive VCT.
Conclusion: The findings revealed that college students who had received health education about AIDS or acquired HIV testing information on campus were inclined to receive VCT, especially those who had engaged in high-risk sexual behaviors. Regarding HIV prevention among college students, it is recommended that health education related to AIDS be conducted regularly on campus and that HIV testing be promoted to increase the testing rate.
Keywords: voluntary counseling and testing, HIV, sexual behavior, college students, influencing factors