期刊论文详细信息
BMC Research Notes
Perception of risk of HIV and sexual risk behaviors among University students: implication for planning interventions
Misiker Amare2  Etsegenet Gibermedhin2  Berihun Tesfaye2  Abate Assefa1  Abebe Alemu1  Yitayal Shiferaw1 
[1] Department of Medical Microbiology, College of medicine and health sciences, School of biomedical and laboratory sciences, University of Gondar, PO Box ET196, Gondar, Ethiopia;Department of Medical Laboratory science, College of medicine and health sciences, School of biomedical and laboratory sciences, University of Gondar, Gondar, Ethiopia
关键词: Ethiopia;    Students;    Risky sexual behavior;    HIV risk perception;   
Others  :  1134224
DOI  :  10.1186/1756-0500-7-162
 received in 2013-02-12, accepted in 2014-03-07,  发布年份 2014
PDF
【 摘 要 】

Background

The university environment offers great opportunity for HIV high-risk behaviors, including unsafe sex and multiple partnerships. Despite recently gained decline of the overall incidence of HIV infection, still significant proportion of youth population are at high risk of HIV infection. The aims of this study were to assess the perception of HIV risk and factors associated with risk perception among students at University of Gondar, Northwest Ethiopia.

Methods

A cross sectional study was conducted between February and April, 2012 among health science students. A total of 384 students were involved in the study using stratified sampling technique. Chi-square test and logistic regression analysis were employed. P-value < 0.05 was considered statistically significant for all cases.

Results

Of the total 384 participated students, 200(52.1%) were females. Out of the total study respondents, 202(52.6%) were sexually experienced. One hundred and nine (59.2%) out of 184 males and 93(46.5%) out of 200 females had had sexual experience. About 23(57.5%) of those age below 20 years, 70(52.2%) of 20-24 years old, and 13(61.9%) of those ages of 25 years or older were perceived themselves as if they have no chance of acquiring HIV infection. Students initiated sexual intercourse at early age (≤8 years) were significantly associated with having multiple partnerships (crude OR =3.6, p = 0.002 for male and crude OR = 1.7, p = 0.04 for female). Statistically significant difference was observed in the distribution of condom use during sexual intercourse among various age groups (p-value = 0.001). Sexual initiation at younger age, having multiple partnerships, inconsistent condom use and alcohol and/or drug abuse were significantly perceived as predictor for an increased risks for HIV infection.

Conclusion

Students were engaged in various HIV risk behaviors. Early sexual initiation and alcohol and/or drug abuse were important factors for having multiple partnerships. Poor agreement between having HIV risk behaviors and perception of HIV risk were observed. Attention has to be given on the role of alcohol and/or drug abuse in the participation of HIV risk behaviors in the design and implementation of HIV prevention for university students.

【 授权许可】

   
2014 Shiferaw et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150305122932807.pdf 195KB PDF download
【 参考文献 】
  • [1]UNAIDS/WHO: Global AIDS epidemic continues to grow. http://www.who.int/hiv/mediacentre/news62/en/ webcite
  • [2]AIDS in Ethiopia: Disease prevention and control department. Ethiopia: Ministry of Health; 2002.
  • [3]AIDS in Ethiopia: Technical Document for the Sixth Report, MOH and FHAPCO. Addis Ababa: Federal Ministry of Health; Addis Ababa; 2006.
  • [4]UNFPA: Preventing HIV infection. Global Youth Partners. Advocating for increased access by young people to information, education and services in the area of HIV prevention. http://www.unfpa.org/hiv/gyp/index.htm webcite
  • [5]Centers for Disease Control and Prevention: Young people at risk: HIV/ AIDS among America’s Youth. 2002. http://www.cdc.gov/hiv/pubs/facts/youth.htm webcite
  • [6]Abebe G, Fekadu A: A health concerns and challenges among high school adolescents. Ethiop J Health Dev 2000, 10(1):37-40.
  • [7]Lewis JE, Malow RM, Ireland SJ: HIV/AIDS Risk in heterosexual college students - a review of a decade of literature. J Am Coll Health 1997, 45(4):147-158.
  • [8]Duncan C, Miller DM, Borskey EJ, Fomby B, Dawson P, Davis L: Barriers to safer sex practices among African American college students. J Natl Med Assoc 2002, 94:944-951.
  • [9]Nakornkhet N, Crowe JW, Torabi MR, Ding KD: Sexual behaviours and alcohol use among college students [Abstract 60047]. International Conference on AIDS Abstracts 1998, 12:1010.
  • [10]Lavra B: Determinant of individual AIDS risk perception: knowledge, behavioral control and social influence. MPIDR working paper. 2002. http://www.Demogr.mpg.de./papers/working/wp-2002-0297/9/2004 webcite
  • [11]UNAIDS: The global strategy framework on HIV/AIDS. Geneva; Switzerland: UNAIDS; 2001.
  • [12]Eisenberg M: Differences in sexual risk behaviors between college students with same-sex and opposite-sex experience: results from a national survey. Arch Sexual Beh 2001, 30(6):575-589.
  • [13]Prince A, Bernard AL: Sexual behaviors and safer sex practices of college students at a commuter campus. J Am Coll Health 1998, 47(1):11-21.
  • [14]Ford CA, James J, Susan GM, Philip EB, William CM: Perceived risk of chlamydia and gonococcal infection among sexually experienced young adults in the United States. Perspect Sex Reprod Health 2004, 36(6):258-264.
  • [15]Carey MP, Schroeder KEE: Development and psychometric evaluation of the brief HIV knowledge questionnaire (HIV-KQ-18). AIDS Educ Prev 2002, 14:174-184.
  • [16]Shrum J, Turner N, Bruce K: AIDS Attitude Scale. AIDS Educ Prev 1989, 1:222-230.
  • [17]National college health risk behavior survey codebook 1995. ftp://ftp.cdc.gov/pub/data/yrbs/college/nchrbs95.pdf
  • [18]Centers for Disease Control and Prevention: Risk factors for HIV transmissionhttp://www.cdc.gov/hiv/topics/basic/index.htm#risk webcite
  • [19]Priscilla AA, Nyovani JM, Andrew H: Perception of risk of HIV/AIDS and sexual behaviour in Kenya. J Biosoc Sci 2003, 35:385-411.
  • [20]Ahimbisibwe E, Odwee J, Ayiga N: Risk perception and condom use in Uganda. Afr Popul Stud 2003, 18(1):68-80.
  • [21]Tadesse E, Gudunfa A, Mengistu G: A survey of adolescent reproductive health in the city of Addis Ababa. Ethiop J Health Dev 1996, 10(1):35-39.
  • [22]Fantahun M, Chala F: Sexual behaviour, and knowledge and attitude towards HIV/AIDS among out-of-school youth in Bahir Dar Town, Northwest Ethiopia. Ethiop Med J 1996, 34(4):233-242.
  • [23]Karra A, Haile M: Sexual behavior and level of awareness on reproductive health among youths: evidence from Harar, Eastern Ethiopia. Ethiop J Health Dev 1999, 13(2):107-113.
  • [24]Adefuye SA, Abiona TC, Balogun JA, Amosun SL, Frantz J, Yakut Y: Perception of risk of HIV and sexual risk behaviours among students in the United States, Turkey and South Africa. Journal of Social Aspects of HIV/AIDS 2011, 8(1):19-26.
  • [25]Adefuye SA, Abiona TC, Balogun JA, Lukobo-Durrell M: HIV sexual risk behaviors and perception of risk among college students: implications for planning interventions. BMC Public Health 2009, 9:281. doi:10.1186/1471-2458-9-281 BioMed Central Full Text
  • [26]Agardh A, Cantor-Graae E, Östergren PO: Youth, sexual risk-taking behavior, and mental health: a study of university students in Uganda. Int J Behav Med 2012, 19:208-216.
  • [27]Klanger B, Tyden T, Ruusuvaara L: Sexual behaviour among adolescents in Uppsala, Sweden. J Adolesc Health 1993, 14:468-474.
  • [28]DeHovitz JA, Kelly P, Feldman J, Sierra MF, Clarke L, Bromberg J, Wan JY, Vermund SH, Landesman S: Sexually transmitted diseases, sexual behaviour, and cocaine use in innercity women. Am J Epidemiol 1994, 140(12):1125-1134.
  • [29]Adimora AA, Schoenbach VJ, Martinson FE, Donaldson KH, Fullilove RE, Aral SO: Social context of sexual relationships among rural African Americans. Sex Transm Dis 2001, 28(2):69-76.
  • [30]Opt S, Loffredo D, Knowles L, Fletcher C: College students and HIV/AIDS: a comparison of non-traditional and traditional student perspectives. J Am Coll Health 2007, 56:165-174.
  • [31]Bruce KE, Walker LJ: College students’ attitudes about AIDS: 1986-2000. AIDS Educ Prev 2001, 13(5):428-437.
  • [32]Lance L: HIV/AIDS perceptions and knowledge: heterosexual college students within the context of sexual activity: suggestions for the future. Coll Stud J 2001, 35:401-410. 48,49
  • [33]Witte K, Berkowitz JM, Cameron KA: Preventing the spread of genital warts: using fear appeals to promote self-protective behaviors. Health Educ Behav 1998, 25:571-585.
  • [34]Eiser R: Social Psychology: Attitudes, Cognition and Social Behavior. Cambridge, UK: Cambridge University Press; 1986.
  • [35]Macintyre K, Rutenberg N, Brown L, Karim A: Understanding perceptions of HIV risk among adolescents in KwaZulu-Natal. AIDS Behav 2004, 8(3):237-250.
  • [36]Maharaj P: Perception of risk of HIV infection in marital and cohabiting partnerships. Afr J Aids Res 2004, 3(2):131-137.
  • [37]Varga CA: Coping with HIV/AIDS in Durban’s commercial sex industry. AIDS Care 2001, 13(3):351-365.
  文献评价指标  
  下载次数:7次 浏览次数:14次