HIV knowledge, sexual practices, condom use and its associated factors among international students in one province of China: a cross-sectional study

Zhou, Qidi; Wu, Weizi; Yi, Mengyao; Shen, Yan; Goldsamt, Lloyd A.; Alkhatib, Asem; Jiang, Wenjing; Li, Xianhong

doi:10.1136/bmjopen-2021-058108

Cited by 8 publications

(5 citation statements)

References 50 publications

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“…In each study, more than 50% of respondents were aware that condom use can prevent HIV transmission. Knowledge of condom using as a transmission reduction for HIV was higher in a study among international students in China [ 26 ]. Blood, breast milk, semen, and vaginal secretions are just a few of the bodily fluids from infected people that can spread HIV.…”

Section: Discussionmentioning

confidence: 99%

Knowledge of HIV/AIDS among married women in Bangladesh: analysis of three consecutive multiple indicator cluster surveys (MICS)

et al. 2022

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Married women have a higher risk of contracting human immunodeficiency virus (HIV) or develop acquired immune deficiency syndrome (AIDS) than men. Knowledge of HIV/AIDS contributes significantly to describing the prevalence and consequences of such virus/disease. The study aimed to investigate the level of HIV/AIDS knowledge and the socio-demographic variables that influence HIV/AIDS knowledge among married women in Bangladesh. We used three waves of Multiple Indicator Cluster Survey (MICS), which included 33,843, 20,727, and 29,724 married women from 2006, 2012, and 2019 MICS. A score was prepared through their interrogation to determine the level of knowledge and logistic regression models were used for analyzing the data. This study found that the prevalence of knowledge level of HIV/AIDS in different questions increased from 55.20% in 2006 to 58.69% in 2019. In our study, respondents having highest education had 4.03 (95% CI 3.50–4.64) times more chance to obtain “High Score” in 2019 MICS which is 5.30 times in 2012 MICS (95% CI 4.41–6.37) and 2.58 times in 2006 MICS (95% CI 2.28–2.93) compared to illiterate married women. Moreover, respondents from urban area were 1.13 times more likely to obtain “High Score” in 2019 MICS which is 1.14 times in 2012 MICS and 1.16 times in 2006 MICS, respectively than the rural married women. This study also found respondent’s age, division, mass media access, and wealth status have played an important role in HIV/AIDS knowledge. Although a significant proportion of women had adequate knowledge of HIV/AIDS, more knowledge is still required to protect against such viruses/diseases. Thus, we advocate for the implementation of educational program in the curriculum, counselling, particularly in rural areas, and mass media access to ensure quality knowledge throughout the country.

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Section: Discussionmentioning

confidence: 99%

Knowledge of HIV/AIDS among married women in Bangladesh: analysis of three consecutive multiple indicator cluster surveys (MICS)

et al. 2022

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“…Sichuan province has one of the highest rates of HIV-1 infection in China and a high incidence of thrombocytopenia [9–10] . Thrombocytopenia, a common hematological disease, may be the first clinical sign in HIV-1-infected patients.…”

Section: Discussionmentioning

confidence: 99%

“…Table 2 and Figure 3 compared patients with HAT-related neuroinflammation and without neuroinflammation. Sichuan province has one of the highest rates of HIV-1 infection in China and a 160 high incidence of thrombocytopenia [9][10] . Thrombocytopenia, a common hematological disease, may be the first clinical sign in HIV-1-infected patients.…”

Section: The Clinical and Laboratory Characteristicsmentioning

confidence: 99%

Analysis of clinical manifestations and risk factors of HIV-1 associated thrombocytopenia in a general teaching hospital in western China

Tang

Wang

et al. 2022

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Background: Thrombocytopenia is one of the hematologic disorders that frequently accompany HIV-1 infection. The interaction of HIV-1 and platelets is crucial in the Blood-Brain Barrier's (BBB) degeneration and causes neuroinflammation. The research aims to evaluate the prevalence and risk factors for HAT (HIV-1 associated thrombocytopenia) and summary the features of HAT-related neuroinflammation. Method: A retrospective study including 221 HAT patients was conducted in West China Hospital from 2017 to 2021. Clinical and laboratory data was analyzed the prevalence and risk factors for HAT and HAT-related neuroinflammation. Results: The prevalence of HAT was 11.06% and most patients were men (76.92%), elderly (≥50, 55.21%) and 63.80% patients were mild thrombocytopenia. CD4+T cell count, platelet crit (PCT) and the rate of large platelets (P-LCR) were significantly different between HAT group and control group (P<0.001, P<0.001, P=0.002). CD4+T cell count <200 cell/μL (P=0.001) was an important risk factor in the occurrence of HAT while advanced age and high viral load were closely related to the occurrence of HAT. HAT-related neuroinflammation patients were mostly distributed in male (X2=10.066, P=0.007), with higher viral load (X2=12.297, P=0.006) and advanced age (X2=11.721, P=0.02) with neuropsychiatric symptoms and rising level of inflammatory factors like IL-6 and proteins in CSF. Conclusion: HAT and HAT with neuroinflammation cannot be ignored in HIV-1 infection because of the activation of monocytes, macrophages and microglia, further causing thrombocytopenia and neuroinflammation. Advanced age, lower CD4+T cell count and high viral load were closely related to the occurrence of HAT and HAT-related neuroinflammation.

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“…HIV prevention knowledge was measured by a number of 8 items, which was designed by National Center for AIDS/STD Control and Prevention, China CDC (27), and widely used in national surveillance (14,28,29). The answers to each item included three options (true, false and unclear).…”

Section: Knowledgementioning

confidence: 99%

“…The correct answer was given one score. If the scores reach 6 or above, it implied that the participant had a good knowledge of HIV prevention (29).…”

Section: Knowledgementioning

confidence: 99%

Factors associated with risk sexual behaviors among sexually active college students in Sichuan, China: a cross- sectional survey

Dai

Zhou

et al. 2023

Preprint

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Background Males account for a significant share of new infections among young people in China. This study aimed to identify the factors associated with risk sexual behaviours, and provide evidence of leverage for effective interventions among male college students. Methods The cross-sectional study was conducted from December 2020 to December 2021 in 16 colleges, located in Sichuan Province, one of the high-risk areas in China. Overall 1640 male college students who reported sexually experienced were analyzed in this study. Multivariable logistic regression analysis was applied to determine factors associated with risk sexual behaviours. Results The average age of included male students was 19.95 ± 1.56. Of them, 27.74% initiated sexual behavior early, and 16.52% did not use condoms at the latest sexual intercourse. Students who were older (age 20-21, AOR=0.43, 95%CI: 0.33-0.55; age≥22, AOR=0.13, 95%CI: 0.08-0.21) (versus age ≤ 19) were less likely to have early sexual debut. The likelihood of engaging in condomless sex at the latest sexual intercourse was lower among male college students who had a senior high school educated mother (vs junior high school and below, AOR=0.47, 95%CI: 0.28-0.80), were knowledgeable about sex and reproductive health (vs unknowledgeable, AOR=0.48, 95%CI: 0.27-0.85), and held a higher level of condom use efficacy confident vs unconfident, AOR=0.50, 95%CI: 0.35-0.71; very confident vs unconfident, AOR=0.26, 95%CI: 0.16-0.42). The odds of condomless sex at the latest sexual intercourse increased among participants reporting perceived risk of HIV infection (vs no, AOR=1.96, 95%CI: 1.27-3.03) and early sexual debut (vs no, AOR=1.61, 95%CI: 1.12-2.32). Conclusion Comprehensive sex education curricula might be an effective approach by emphasizing fundamental sex and reproductive information and empowering students with assertiveness and negotiation skills with regard to condom use during or before college.

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HIV knowledge, sexual practices, condom use and its associated factors among international students in one province of China: a cross-sectional study

Cited by 8 publications

References 50 publications

Knowledge of HIV/AIDS among married women in Bangladesh: analysis of three consecutive multiple indicator cluster surveys (MICS)

Knowledge of HIV/AIDS among married women in Bangladesh: analysis of three consecutive multiple indicator cluster surveys (MICS)

Analysis of clinical manifestations and risk factors of HIV-1 associated thrombocytopenia in a general teaching hospital in western China

Factors associated with risk sexual behaviors among sexually active college students in Sichuan, China: a cross- sectional survey

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