我国大学生艾滋病知信行影响因素的meta分析

Meta analysis of influencing factors of AIDS knowledge,attitude and practice among college students in China

目的了解我国大学生艾滋病知信行的影响因素。方法以CNKI、SinoMed、CINAHL、WanFang、VIP、PubMed、Embase、Cochrane Library、Web of Science共9个数据库为文献检索源,检索自建库以来开展的所有研究,对纳入文献提取信息并质量评价,运用Stata 14.0软件进行meta分析。结果共纳入13篇文献,Meta分析结果显示,在知识方面,艾滋病培训(OR=2.38,95%CI:1.86~3.05)、专业类型(OR=0.45,95%CI:0.27~0.72)及性取向(OR=0.78,95%CI:0.69~0.88)是影响因素;在信念态度方面,年龄(OR=0.887,95%CI:0.856~0.918)及艾滋病知识(OR=1.273,95%CI:1.079~1.502)是影响因素;在行为方面,性别(OR=0.555,95%CI:0.425~0.724)、年龄(OR=1.260,95%CI:1.216~0.306)、年级(OR=1.479,95%CI:1.196~1.829)、月消费>1500元(OR=1.448,95%CI:1.155~1.814)、艾滋病知识(OR=1.146,95%CI:1.003~1.310)及饮酒(OR=1.183,95%CI:1.069~1.309)是影响因素。结论我国大学生中未经历过艾滋病培训、非医学专业及性少数是艾滋病知晓的危险因素,年龄20~29岁、不知晓艾滋病知识是正确信念/态度的危险因素,行为方面受性别、年龄、年级、月消费、艾滋病知识及是否饮酒的影响。未来的教育者应该多考虑这些因素,以制定更有针对性的预防策略。

Objective To understand the influencing factors of AIDS knowledge,attitude and practice among college students in China.Method Nine databases including CNKI,SinoMed,CINAHL,WanFang,VIP,PubMed,Embase,Cochrane Library,and Web of Science were used as literature search sources to retrieve all studies conducted since the establishment of the database.Information was extracted from the included literature and quality was evaluated.Meta analysis was performed using Stata 14.0software.Results A total of 13 articles were included.Meta analysis showed that in terms of knowledge,AIDS training(OR=2.38,95%CI:1.86-3.05),professional type(OR=0.45,95%CI:0.27-0.72) and sexual orientation(OR=0.78,95%CI:0.69-0.88) were the influencing factors.In terms of beliefs and attitudes,age(OR=0.887,95%CI:0.856-0.918) and AIDS knowledge(OR=1.273,95%CI:1.079-1.502) were the influencing factors.In terms of behavior,gender(OR=0.555,95%CI:0.425-0.724),age(OR=1.260,95%CI:1.216-0.306),grade(OR=1.479,95%CI:1.196-1.829),monthly consumption >1 500 yuan(OR=1.448,95%CI:1.155-1.814),AIDS knowledge(OR=1.146,95%CI:1.003-1.310) and alcohol consumption(OR=1.183,95%CI:1.069-1.309) were the influencing factors.Conclusion The risk factors of AIDS awareness are that college students in China have not experienced AIDS training,non-medical majors and sexual minorities.The risk factors of correct beliefs/attitudes are that they are 20-29 years old and do not know AIDS knowledge.Behaviors are affected by gender,age,grade,monthly consumption,AIDS knowledge and whether they drink alcohol.Future educators should consider these factors more in order to develop more targeted prevention strategies.