PrEP awareness, willingness, and likelihood to use future HIV prevention methods among undergraduate college students in an ending the HIV epidemic jurisdiction.

IF 1.6 4区 医学 Q2 EDUCATION & EDUCATIONAL RESEARCH Journal of American College Health Pub Date : 2025-02-01 Epub Date: 2023-07-18 DOI:10.1080/07448481.2023.2232885
Meagan Zarwell, Alexandra Patton, Laura H Gunn, Alyssa Benziger, Brian Witt, Patrick A Robinson, Debra F Terrell
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Abstract

Objective: Identify factors associated with PrEP awareness, willingness, and future prevention modalities among undergraduate college students.

Participants: Undergraduates (N = 701) were recruited from a private university, a public research university, and a private historically Black college and university for an online survey.

Methods: Upon multiple imputations, a multivariate logistic model, a multivariate multinomial model, and independent multivariate ordinal logistic models were used to calculate Rubin's rules-pooled adjusted odds ratios for PrEP awareness, willingness, and future HIV prevention methods.

Results: Only 33.4% of students had heard of and 32.4% were willing to take PrEP. PrEP willingness was higher among sexual minority students compared to heterosexual/straight students (OR = 1.65; 95% CI: 1.03-2.63); p = .036). The likelihood to take a future vaccine or antibody prophylaxis treatment was higher than the likelihood to take injectable PrEP or implants.

Conclusions: Interventions to increase PrEP uptake and willingness among undergraduates should emphasize equity in HIV education and include future prevention modalities.

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在一个结束艾滋病毒流行的司法管辖区,本科大学生的PrEP意识、意愿和使用未来艾滋病毒预防方法的可能性。
目的:探讨影响大学生PrEP意识、意愿及未来预防方式的相关因素。参与者:本科生(N = 701)从一所私立大学、一所公立研究型大学和一所私立历史悠久的黑人学院和大学中招募,进行在线调查。方法:采用多变量逻辑模型、多变量多项式模型和独立多变量有序逻辑模型,对PrEP意识、意愿和未来HIV预防方法进行Rubin规则汇总调整比值比的多重归算。结果:仅有33.4%的学生听说过PrEP, 32.4%的学生愿意采取PrEP,性少数学生的PrEP意愿高于异性恋/异性恋学生(OR = 1.65;95% ci: 1.03-2.63);p = .036)。未来接受疫苗或抗体预防治疗的可能性高于接受注射PrEP或植入物的可能性。结论:提高大学生PrEP使用率和意愿的干预措施应强调艾滋病教育的公平性,并包括未来的预防方式。
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来源期刊
CiteScore
5.40
自引率
12.50%
发文量
388
期刊介绍: Binge drinking, campus violence, eating disorders, sexual harassment: Today"s college students face challenges their parents never imagined. The Journal of American College Health, the only scholarly publication devoted entirely to college students" health, focuses on these issues, as well as use of tobacco and other drugs, sexual habits, psychological problems, and guns on campus, as well as the students... Published in cooperation with the American College Health Association, the Journal of American College Health is a must read for physicians, nurses, health educators, and administrators who are involved with students every day.
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