1. Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou, Inner Mongolia 014040, China; 2. Chaoyang District Center for Disease Control and Prevention, Beijing 100021, China; 3. China Family Planning Association, Beijing 100035, China; 4. School of Journalism, Renmin University of China, Beijing 100872, China; 5. School of Business, Shanghai Normal University, Shanghai 201400, China; 6. School of Traffic and Transportation, Beijing Jiaotong University, Beijing 100044, China; 7. College of Urban and Environmental Science, Peking University, Beijing 100871, China; 8. School of Medicine, Tsinghua University, Beijing 100020, China
Abstract：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.
2020, Vol. 27 
