{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T19:33:20Z","timestamp":1770233600473,"version":"3.49.0"},"reference-count":62,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"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>The prevalence of human immunodeficiency virus (HIV) remains a severe public health issue, especially among young people. To determine whether family functioning and self-monitoring influence HIV\/acquired immunodeficiency syndrome (AIDS)-related preventive behaviors among young students with sexual experience, we conducted a cross-sectional exploratory study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study, which used a convenience sampling method, was conducted in Fuzhou, China. The questionnaires used for this research included the Adaptation\u2013Partnership\u2013Growth\u2013Affection\u2013Resolve (APGAR) scale, the Self-Monitoring Scale, and questions concerning HIV\/AIDS-related preventive behaviors. Binary logistic regression, multiple linear regression, and the Karlson\u2013Holm\u2013Breen method were employed to assess the relationship between family functioning and HIV\/AIDS-related preventive behavior and to identify the mediating role of self-monitoring in this context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 29,038 students participated in the survey, of whom 2,510 had sexual experience. Family functioning had positive effects on students\u2019 attitudes toward HIV testing [odds ratio (OR): 1.763;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01], reading\/hearing HIV\/AIDS news (OR: 2.776;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), seeking online information (OR: 2.815;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), and engaging in discussions about HIV\/AIDS with others (OR: 2.686;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Moreover, the results of the mediation analysis revealed that self-monitoring played a mediating role in the relationship between family functioning and HIV\/AIDS-related preventive behaviors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Family functioning was mediated by self-monitoring and indirectly affected HIV\/AIDS-related preventive behaviors. It is essential to promote family functioning education in public health programs and to develop family intervention tools. Practical activities pertaining to the prevention of HIV\/AIDS should be added to the self-management content of sex education courses for young students.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1741081","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T06:47:59Z","timestamp":1770187679000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Relationships between family functioning and HIV\/AIDS-related preventive behaviors among young students with sexual experience"],"prefix":"10.3389","volume":"14","author":[{"given":"Xinmei","family":"Yang","sequence":"first","affiliation":[{"name":"School of Public Health and Health Management, Fujian Health College","place":["Fuzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Hospital Quality Evaluation and Medical Record Management, The Third People\u2019s Hospital of Chengdu","place":["Chengdu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaojing","family":"Xu","sequence":"additional","affiliation":[{"name":"Disease Control Department, Minhou County Center for Disease Control and Prevention","place":["Fuzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinhua","family":"Jie","sequence":"additional","affiliation":[{"name":"School of Public Health and Health Management, Fujian Health College","place":["Fuzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hailin","family":"Zhuang","sequence":"additional","affiliation":[{"name":"School of Public Health and Health Management, Fujian Health College","place":["Fuzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"982727","DOI":"10.3389\/fpubh.2022.982727","article-title":"Study on HIV\/aids knowledge, sexual attitudes, sexual behaviors, and preventive services among young students in Chongqing, China","volume":"10","author":"Qing","year":"2022","journal-title":"Front Public Health"},{"key":"ref2","volume-title":"Hiv and aids","year":"2015"},{"key":"ref3","volume-title":"UNLCEF data: Monitoring, the situation of children and women","year":"2025"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e54387","DOI":"10.1136\/bmjopen-2021-054387","article-title":"Risky sexual behaviour and HIV testing uptake among male college students: a cross-sectional study in China","volume":"12","author":"Zhao","year":"2022","journal-title":"BMJ 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