Research On Aids-related Knowledge, Attitude And Behavior Among Non-medical College Students From The Perspective Of Social Gender

Background: As a major public health problem worldwide, HIV/AIDS has been paidmuch attention by all the nations because of its serious hazards. The number of HIVinfections in young students showed an increasing trend, the Chinese Ministry of Healthofficials reminds the public that students in the sexual transmission has become thefocus of AIDS prevention and control. College students have become susceptiblepopulations and the major population in China. The physiological differences in the sexitself do not determine the differences in thinking and behavior, however, the acquiredsocialization plays a decisive role in shaping gender roles. Analyze the socializedimpact in AIDS prevention in gender perspective. In this paper, gender theory isintroduced to AIDS prevention in college students, to explore the gender impact onAIDS-related knowledge, attitude and behavior among college students.Aim: To know the basic situation of AIDS-related knowledge, attitude and behavioramong non-medical college students in Hefei. Analysis the differences and influencefactors of AIDS-related knowledge, attitude and behavior among non-medical collegestudents on gender perspective.Methods: Cluster random sampling was used to choose the registered non-medicalcollege students of HeFei University of Technology, Anhui University, AnhuiAgricultural University and Anhui University of Architecture in Anhui province duringFeb.2012to Mar.2012. The questionnaires were accomplished by grade one to grade three college students on campus. Epi Data3.0was used to do the data input， andSPSS15.0was used to do the data analysis. Quantitative data were expressed by mean±standard deviation. Qualitative data were expressed by ratio or proportion andcompared by χ2test Fisher exact test. The test level wasα=0.05. Logistic regression ofbinary classification were used to analysis the influence factorsResults:(1)2554of the total2646college students were investigated; the response rate was96.52%;(2) Differences of basic situation: This study showed no significant differences in maleand female students of religion, ethnicity, marital status, family income; the average ageof male college students (20.75±1.30years) was lager than girls average age (20.46±1.23years), the majors of male college student were mainly on architecture (23.5%) andscience and engineering major (23.2%), the ration of female college students’ types ofinterests and hobbies≥2species (89.0%) was more than boys (75.0%), female studentswere more from local province (66.3%), male college students time spent online (2.202±1.84hours) were longer than female students (1.976±1.73), the proportion of femalecollege students participated in organizations (82.0%) was larger than boys (71.6%),these differences were statistically significance.(3) AIDS-related educations and demand: the proportion of the female students acceptAIDS prevention education was more than male college students (χ2=14.869, P<0.001), the proportion of female college students thinking it is necessary to get furtherthe understanding of AIDS-related knowledge, and that schools should strengthen AIDShealth education were higher than male students (χ2=17.121, P <0.001; χ2=13.861,P <0.001).(4) Awareness rate of AIDS related knowledge: the proportion of male college studentsoverall awareness of AIDS knowledge (78.7%) was higher than female students (72.1%), the difference was statistically significant (χ2=14.466, P <0.001).(5) Differences of AIDS related attitude: the rate of female students thinking theyshould adhere to use condom (75.7%) was higher than male students (50.8%), the rateof male students that will continue to contact with the people living with AIDS orinfected proportion (38.0%) was higher than female students (28.0%), the differenceswere statistically significant (P <0.001), the attitude of learning or working with AIDSand infected persons was no significant difference. Male college students in favor oflove and premarital sex ratio were higher than female students, the difference wasstatistically significant (P <0.001).(6) Sexual behavior: the sex ratio of male college students (11.6%) was significantlyhigher than female students (3.3%), the difference was statistically significant (P <0.001)the proportion of male college students use condoms when having sex (41.6%) waslower than female students (43.3%), the difference was not statistically significant.(7) Influence factors of having sex: factors affecting sexual behavior by male collegestudents were age (OR=1.14), and internet access to AIDS-related knowledge (OR=1.89), smoking status (OR=1.69), and whether in favor of strenthening AIDS education(OR=2.31), attitude toward premarital sex (OR=3.12). The female students’ influencefactors were age (OR=1.43), alcohol (OR=0.22) and premarital sex (OR=0.74).(8) Differences of the influence factors in condom use intention: female college studentscondom use intention factors includes strengthen AIDS education (OR=2.12), collegestudents’ love attitudes (OR=0.60), the attitude of premarital sex (OR=1.97),knowledge about AIDS (OR=2.34); Internet access to AIDS-related information (OR=0.67), the participating in organizations (OR=1.30), strengthen AIDS education (OR=1.92), college students’ love attitude (OR=0.77), and AIDS-related knowledge (OR=1.36).Conclusions:(1) AIDS knowledge in general awareness is low, in which male college students awareness is higher than female students;(2) Students on AIDS-related issues,there is a certain amount of discrimination which is different in gender;(3) The ratio ofmale college students pre-marital sex is significantly higher than female students;(4)There are some differences in the impact of factors that affect male and female collegestudents having sex and willingness of condom use.Suggestions:(1) Enhance the study of gender and Students’ AIDS;(2) Strengthenschool education and to explore effective management mechanism on college students;(3) Students AIDS prevention and treatment of long-term mechanism to build aharmonious social environment.