{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T19:39:24Z","timestamp":1792438764232,"version":"4.5.0"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T00:00:00Z","timestamp":1665360000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to describe the HIV\/AIDS knowledge, sexual attitudes, and sexual behaviors of young students (14\u201325 years) in Chongqing, China, and to examine their use of preventive services and related factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      A cross-sectional study was conducted with students from 67 schools from December 2019 to June 2021. The chi-square test, non-parametric test to assess the differences between respondents with different characteristics in the above aspects. Additionally, univariate and multivariate logistic regression analyses were conducted to examine factors associated with the awareness of HIV\/AIDS knowledge. Confidence intervals without crossover or\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.05 was considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 31,782 participants were included in the study. A total of 62.62% of the respondents were considered to be aware of basic HIV\/AIDS knowledge, including 78.44%, 62.15%, and 52.08% in undergraduate colleges, junior colleges and secondary vocational schools, respectively. In total, 60.96% of males and 29.42% of females accepted premarital sex, 15.49% of males and 6.18% of females reported being sexually experienced, and only 57.18% of the students used condoms every time they had sex. The percentage of condom use among students who were aware of HIV\/AIDS knowledge was higher than that among students who were not aware. A total of 85.60% of the students thought they needed HIV\/AIDS prevention and control knowledge, and 94.60% thought more health education activities on HIV\/AIDS prevention needed to be conducted in schools. Entrance education, lectures or consultation hotlines, WeChat official accounts and other media platforms were rated as the most acceptable HIV\/AIDS prevention education methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These respondents lacked knowledge about HIV\/AIDS, and an increasing number of students show an open attitude toward premarital sex and engage in risky sexual behaviors. It is urgent to enhance and widely disseminate comprehensive HIV\/AIDS and sexual health education in multiple formats.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2022.982727","type":"journal-article","created":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T10:46:01Z","timestamp":1665398761000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":22,"title":["Study on HIV\/AIDS knowledge, sexual attitudes, sexual behaviors, and preventive services among young students in Chongqing, China"],"prefix":"10.3389","volume":"10","author":[{"given":"Liyuan","family":"Qing","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunna","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tong","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinrui","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingqing","family":"Bu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Deng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,10,10]]},"reference":[{"key":"B1","unstructured":"WHOHIV"},{"key":"B2","unstructured":"UNAIDSYoung People HIV"},{"key":"B3","unstructured":"Centers for Disease Control and PreventionHIV Information and Youth"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1365","DOI":"10.16462\/j.cnki.zhjbkz.2021.12.001","article-title":"New progress of AIDS epidemiology in China","volume":"25","author":"Na","year":"2021","journal-title":"Chin J Dis Control Prev."},{"key":"B5","doi-asserted-by":"publisher","first-page":"711","DOI":"10.1126\/science.aay0799","article-title":"HIV upsurge in China's students","volume":"364","author":"Li","year":"2019","journal-title":"Science."},{"key":"B6","doi-asserted-by":"publisher","first-page":"1455","DOI":"10.3760\/cma.j.cn112338-20200417-00592","article-title":"Characteristics and trends of newly reported HIV infection in young students in China, 2010-2019","volume":"41","author":"Cai","year":"2020","journal-title":"Chin J Epidemiol."},{"key":"B7","doi-asserted-by":"publisher","first-page":"804626","DOI":"10.3389\/fpubh.2021.804626","article-title":"HIV\/AIDS-related knowledge and attitudes among Chinese college students and associated factors: a cross-sectional study","volume":"9","author":"Zhang","year":"2021","journal-title":"Front Public Health."},{"key":"B8","volume-title":"2021 China Health Statistical Yearbook","year":"2021"},{"key":"B9","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1016\/j.chiabu.2018.07.038","article-title":"Childhood sexual abuse, risky sexual behaviors and adverse reproductive health outcomes among Chinese college students","volume":"84","author":"Tang","year":"2018","journal-title":"Child Abuse Negl."},{"key":"B10","unstructured":"National Health Commission of the People's Republic of ChinaThe Implementation Plan to Curb the Spread of HIV\/AIDS"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1593","DOI":"10.11847\/zgggws1124457","article-title":"Spatial distribution and clustering characteristics of AIDS epidemic in China, 2005-2017","volume":"35","author":"Wang","year":"2019","journal-title":"Chin J Public Health."},{"key":"B12","unstructured":"Ministry of Education of the People's Republic of ChinaList of National Colleges and Universities"},{"key":"B13","unstructured":"Chongqing Vocational Education and Adult Education DivisionChongqing Vocational and Adult Education Network"},{"key":"B14","unstructured":"Chinese Center for Disease Control and Prevention"},{"key":"B15","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1037\/0021-9010.78.1.98","article-title":"What is coefficient alpha?","volume":"78","author":"Cortina","year":"1993","journal-title":"J Appl Psychol."},{"key":"B16","doi-asserted-by":"publisher","first-page":"966","DOI":"10.1016\/j.jneb.2021.05.007","article-title":"Development of food literacy assessment tool targeting adults with low income","volume":"53","author":"Hemmer","year":"2021","journal-title":"J Nutr Educ Behav."},{"key":"B17","doi-asserted-by":"publisher","first-page":"304","DOI":"10.2174\/1570162X18666201218121200","article-title":"Study on knowledge, attitudes and behaviours about AIDS among undergraduates of China","volume":"19","author":"Zhao","year":"2021","journal-title":"Curr HIV Res."},{"key":"B18","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.1186\/s12889-021-11286-7","article-title":"Service acceptance of HIV non-occupational post-exposure prophylaxis(nPEP) among college students: across-sectional study in China","volume":"21","author":"Liu","year":"2021","journal-title":"BMC Public Health."},{"key":"B19","doi-asserted-by":"publisher","first-page":"1582","DOI":"10.4314\/ahs.v20i4.10","article-title":"Effects of health education on HIV\/AIDS related knowledge among first year university students in China","volume":"20","author":"Liu","year":"2020","journal-title":"Afr Health Sci."},{"key":"B20","doi-asserted-by":"publisher","first-page":"S74","DOI":"10.1016\/j.ijnss.2020.07.010","article-title":"HIV\/AIDS related perception and behavior: a comparative study among college students of different majors in China","volume":"7","author":"Sun","year":"2020","journal-title":"Int J Nurs Sci."},{"key":"B21","doi-asserted-by":"publisher","first-page":"22841","DOI":"10.1038\/s41598-021-02090-9","article-title":"A study of awareness on HIV\/AIDS among adolescents: a longitudinal study on UDAYA data","volume":"11","author":"Srivastava","year":"2021","journal-title":"Sci Rep."},{"key":"B22","doi-asserted-by":"publisher","first-page":"820","DOI":"10.1089\/aid.2018.0057","article-title":"AIDS knowledge and gender differences among secondary vocational school students in China","volume":"34","author":"Xie","year":"2018","journal-title":"AIDS Res Hum Retrovir."},{"key":"B23","doi-asserted-by":"publisher","first-page":"2789","DOI":"10.1007\/s10508-021-02169-4","article-title":"Predictors and consequences of early sexual debut among 43,251 university students in China","volume":"50","author":"Liang","year":"2021","journal-title":"Arch Sex Behav."},{"key":"B24","doi-asserted-by":"publisher","first-page":"775","DOI":"10.1080\/09540121.2012.748875","article-title":"Determinants of risky sexual behavior and condom use among college students in China","volume":"25","author":"Sun","year":"2013","journal-title":"Aids Care."},{"key":"B25","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1016\/j.puhe.2016.01.021","article-title":"Association between age at first sexual intercourse and knowledge, attitudes and practices regarding reproductive health and unplanned pregnancy: a cross-sectional study","volume":"135","author":"Shu","year":"2016","journal-title":"Public Health."},{"key":"B26","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1186\/s12978-017-0368-4","article-title":"The relationships of school-based sexuality education, sexual knowledge and sexual behaviors-a study of 18,000 Chinese college students","volume":"14","author":"Li","year":"2017","journal-title":"Reprod Health."},{"key":"B27","doi-asserted-by":"publisher","first-page":"1393","DOI":"10.15585\/mmwr.mm665152a1","article-title":"Sexual intercourse among high school students - 29 states and United States overall, 2005-2015","volume":"66","author":"Ethier","year":"2018","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"B28","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1363\/3819612","article-title":"The timing of sexual debut among Chinese youth","volume":"38","author":"Guo","year":"2012","journal-title":"Int Perspect Sex Reprod Health."},{"key":"B29","doi-asserted-by":"publisher","first-page":"e190","DOI":"10.1097\/JNR.0000000000000466","article-title":"Association between timing of sexual initiation and suicidal ideation among adolescents in South Korea: a cross-sectional study","volume":"30","author":"Yeo","year":"2021","journal-title":"The J Nurs Res."},{"key":"B30","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1186\/s12978-021-01219-3","article-title":"Factors associated with risk sexual behaviours of HIV\/STDs infection among university students in Henan, China: a cross-sectional study","volume":"18","author":"Du","year":"2021","journal-title":"Reprod Health."},{"key":"B31","doi-asserted-by":"publisher","first-page":"e44398","DOI":"10.1136\/bmjopen-2020-044398","article-title":"Effectiveness of school-based interventions in delaying sexual debut among adolescents in sub-Saharan Africa: a protocol for a systematic review and meta-analysis","volume":"11","author":"Maina","year":"2021","journal-title":"BMJ Open."},{"key":"B32","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1016\/S1473-3099(15)00494-6","article-title":"Sex education in China leaves young vulnerable to infection","volume":"16","author":"Burki","year":"2016","journal-title":"Lancet Infect Dis."},{"key":"B33","doi-asserted-by":"publisher","first-page":"6716","DOI":"10.3390\/ijerph17186716","article-title":"Sexual knowledge, attitudes and behaviours among undergraduate students in China-implications for sex education","volume":"17","author":"Lyu","year":"2020","journal-title":"Int J Environ Res Public Health."},{"key":"B34","doi-asserted-by":"publisher","first-page":"534","DOI":"10.1016\/j.jadohealth.2016.11.025","article-title":"Associations between sex education and contraceptive use among heterosexually active, adolescent males in the United States","volume":"60","author":"Jaramillo","year":"2017","journal-title":"J Adolesc Health."},{"key":"B35","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1002\/hec.3315","article-title":"The effects of state-mandated abstinence-based sex education on teen health outcomes","volume":"26","author":"Carr","year":"2017","journal-title":"Health Econ."},{"key":"B36","doi-asserted-by":"publisher","first-page":"2321","DOI":"10.1007\/s10508-020-01867-9","article-title":"The effect of state-level sex education policies on youth sexual behaviors","volume":"50","author":"Atkins","year":"2021","journal-title":"Arch Sex Behav."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2022.982727\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T10:46:09Z","timestamp":1665398769000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2022.982727\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,10]]},"references-count":36,"alternative-id":["10.3389\/fpubh.2022.982727"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2022.982727","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,10]]},"article-number":"982727"}}