Sarah Warzywoda , Amalie Dyda , Lisa Fitzgerald , Amy Mullens , Joseph Debattista , Jo Durham , Zhihong Gu , Kathryn Wenham , Armin Ariana , Charles F. Gilks , Sara F.E. Bell , Judith A. Dean
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引用次数: 0
Abstract
Objective
University creates unique social environments for many young people that can result in behaviour changes that can impact sexual health-related risks and facilitate transmission of HIV. Little is known about HIV knowledge, risk, and awareness of pre-exposure prophylaxis/post-exposure prophylaxis (PrEP/PEP) among Australian university students.
Methods
A 2019 online survey distributed through Queensland universities, using active recruitment/snowball sampling. Descriptive and logistical regression analysis investigated HIV knowledge/risk and PrEP/PEP awareness.
Results
Of the 4,291 responses, 60.4% were 20–29 years old, 57.0% identified as heterosexual, and 31.8% were born-overseas. Mean HIV knowledge score was 9.8/12. HIV risk scores were higher among men-who-have-sex-with-men (MSM) (mean=5.2/40) compared to all other sexual behaviours (mean=3.1/40). Logistic regression indicated PrEP and PEP awareness was associated with older age (p<0.05), being non-binary/gender-diverse (p<0.05), and MSM (p<0.05). Lower odds of PrEP awareness were associated with international student status (p<0.05).
Conclusion
This study highlights the need for future health promotion targeting younger Australians at risk of HIV to increase uptake of PrEP/PEP, particularly among overseas-born young people and those ineligible for appropriate health care in Australia.
Implications for public health
Addressing these gaps will improve sexual health outcomes for young Australians at risk of HIV and work towards virtual elimination of HIV transmission in Australia.
目标大学为许多年轻人创造了独特的社会环境，这些环境可能会导致行为改变，从而影响与性健康相关的风险并助长艾滋病毒的传播。人们对澳大利亚大学生的艾滋病知识、风险以及暴露前预防/暴露后预防（PrEP/PEP）意识知之甚少。结果在4291名回复者中，60.4%为20-29岁，57.0%为异性恋，31.8%为海外出生。艾滋病知识平均得分为 9.8/12。与所有其他性行为（平均值=3.1/40）相比，男男性行为者（MSM）的 HIV 风险得分更高（平均值=5.2/40）。逻辑回归表明，PrEP 和 PEP 意识与年龄较大（p<0.05）、非二元性/性别多元化（p<0.05）和 MSM（p<0.05）有关。本研究强调，今后需要针对澳大利亚年轻的艾滋病高危人群开展健康宣传，以提高他们对 PrEP/PEP 的接受程度，尤其是在海外出生的年轻人和没有资格在澳大利亚接受适当医疗保健服务的年轻人中。
期刊介绍：
The Australian and New Zealand Journal of Public Health (ANZJPH) is concerned with public health issues. The research reported includes formal epidemiological inquiries into the correlates and causes of diseases and health-related behaviour, analyses of public policy affecting health and disease, and detailed studies of the cultures and social structures within which health and illness exist. The Journal is multidisciplinary and aims to publish methodologically sound research from any of the academic disciplines that constitute public health.
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