"Influence of HIV/AIDS knowledge on HIV testing behavior among young students (14-27 years) with a history of sexual activity: chain mediation analysis of social discrimination, self-efficacy, and sexual behavior characteristics"

作者全名："Yang, Tong; Qing, Liyuan; Wang, Yunna; Bu, Qingqing; Zhang, Meng; Tan, Bo; Chen, Xinrui; Deng, Dan"

作者地址："[Yang, Tong] Shapingba Dist Ctr Dis Control & Prevent, Chongqing, Peoples R China; [Qing, Liyuan] Jiulongpo Dist Ctr Dis Control & Prevent, Chongqing, Peoples R China; [Yang, Tong; Qing, Liyuan; Wang, Yunna; Bu, Qingqing; Zhang, Meng; Tan, Bo; Chen, Xinrui; Deng, Dan] Chongqing Med Univ, Sch Publ Hlth, Dept Hlth Stat, Chongqing, Peoples R China; [Deng, Dan] Chongqing Med Univ, Sch Publ Hlth, Dept Hlth Stat, 61 Chengzhong Rd, Chongqing, Peoples R China"

通信作者："Deng, D (通讯作者)，Chongqing Med Univ, Sch Publ Hlth, Dept Hlth Stat, 61 Chengzhong Rd, Chongqing, Peoples R China."

来源：AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:001126403900001

JCR分区：Q3

影响因子：1.2

年份：2023

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Article; Early Access

关键词：Young students; HIV/AIDS knowledge; social discrimination; HIV testing behavior; chain mediation analysis

摘要："This study used a self-administered questionnaire to investigate the relationship between HIV/AIDS knowledge, social discrimination, HIV self-efficacy, sexual behavioral characteristics and HIV testing behavior among young students with a history of sexual activity in Chongqing. Propensity score matching was used to construct a control group with similar demographic characteristics to the HIV testing group, only without HIV testing behaviors. Structural equation modeling was used to conduct chain-mediated effect analysis. The HIV testing rate among young students with a history of sexual behavior was 17.16%. Young students with HIV testing behavior had higher levels of HIV/AIDS knowledge, lower social discrimination, better self-efficacy, and no difference in sexual behavior characteristic scores between the two groups (P = 0.062). The mediated effect values of social discrimination and self-efficacy were 0.022 and 0.063, respectively, while their chain mediated effect value was 0.007. There was no mediated effect of sexual behavior characteristics. The level of young students' HIV/AIDS knowledge does not directly influence their HIV testing behavior but plays a complete chain mediating effect on HIV testing behavior through social discrimination and self-efficacy. HIV testing behavior should be promoted through the perspectives of enhancing HIV/AIDS knowledge level, reducing social discrimination, and improving self-efficacy."

基金机构："Chongqing Science and Technology Bureau [cstc2022ycjh-bgzxm0015, CSTB2022NSCQ-MSX0804]"

基金资助正文：This study was supported by the project of Chongqing Science and Technology Bureau [grant no cstc2022ycjh-bgzxm0015] and the project of Chongqing Science and Technology Bureau [grant no CSTB2022NSCQ-MSX0804].