| Backgrounds:AIDS is a severe infectious disease that still cannot be cured. With rapid transmission and high case fatality rate, AIDS has become a worldwide public health and social problem. The AIDS epidemic among youth population has become a top priority of the national AIDS prevention and control work. College students is a very important group in young people. In recent years, with the increasing accessibility of higher education, colleges and universities will be the main venues for fighting AIDS, and the control results among college students will affect the success of the national HIV/AIDS prevention and control response. Although a large number of studies have shown that college students’ knowledge of HIV/AIDS is good, there are still many misconceptions.. Different models of health education on college students’ AIDS knowledge, attitude, and behaviors, showed positive effects, but some of them are difficult to generalize, and the true effect of these models are still controversial. To date, there is a limited number of studies comparing the effect of different health education models.Zhangqiu, a satellite city of the provincial capital city Jinan, currently has 13 universities which included 110000 students. Similar to the national AIDS epidemic situation, the infection rate of the students in Zhangqiu also increased year by year, the prevention and control of AIDS among college students will become the focus of future work. In this study, we chose students in the Qilu Normal College as subjects to investigate the knowledge about HIV/AIDS status, to compare the effect of different intervention models, and to provide decision-making basis for our city colleges and universities to develop and carry out AIDS prevention and control strategy in the future.Objectives:To understand the the degree of awareness on relevant knowledge and behaviors about AIDS among college students to identify problems of AIDS prevention education; To compare the change of knowledge and attitude about AIDS before and after interventions to explore the effectiveness of different intervention models on AIDS health education, so as to provide the scientific basis for the future AIDS health education and behavioral intervention among college students.Methods:By stratified cluster sampling method,713 students in a normal college were selected and interviewed using a baseline survey questionnaire. Then health education and behavioral intervention on AIDS were conducted among selected objects by multimedia lectures, community volunteer publicity, campus network, issuing a prescription and other forms of health education. A month after the intervention, questionnaire survey was conducted again, Scores of the various parts of the questionnaire before and after the intervention were compared to find the change of knowledge and attitude by different interventions. After the data compilation, Epi Data3.1 was used to establish a database for data entry. Logic checks were conducted to finalize the database. SPSS statistical software was used to conduct data analysis, and x2 test is used to compare rates.Results:It was found that the rate of knowledge about AIDS before intervention was 82.6%(589/713), and was 95.8%(683/713) after intervention; The difference was statistically significant(x2=149.21, P<0.01). Effects of different interventions were:Multimedia lecture group> Volunteer advocacy group> Campus network group> Health education prescription group. The rates of condom use were 25.5%(13/51) and 76.5%(39/51) before and after the interventions respectively.. The rate of having sympathetic and helping attitude to AIDS increased from 56.7%(404/713)to91.0%(649/713)after interventions. Before intervention, TV (54.8%,391/713),Newspapers and journals(48.0%, 342/713), Internet(29.6%,211/713)and school study(24.1%,172/713) were the main sources of getting AIDS knowledge. After intervention, the main sources were by school study (96.3%), free publicity materials(57.8%) and television (55.5%). The preferred way of getting knowledge was school education (72.0%), followed by networks (57.8%). The preferred ways to get HIV services were publicity materials (86.8%) and AIDS lectures (84.0%).Conclusions:1.College students’knowledge of AIDS was not comprehensive, being short of the ability to prevent AIDS. Some people have discrimination for the AIDS. Students were eager to learn more about AIDS knowledges.2.Four kinds of health education and intervention models have achieved significant results. Comparison of the overall educational results after the intervention, the effectiveness of volunteer advocacy group, and multimedia lectures group had better effects than campus network group and health education prescription group. Schools should organize more multimedia teaching-related knowledge and activities through community for behavior intervention among college students in order to curb the spread of AIDS in schools. |
PDF Full Text Request