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To understand the disconnection between knowledge and action regarding HIV Pre-Exposure Prophylaxis (Pr EP) among university students with multiple sexual partners in Nanning, Guangxi, and analyze its influencing factors.
A cross-sectional survey was conducted in Nanning from November 19 to December 4, 2023, recruiting young university students who had at least one sexual partner in the past six months to investigate their knowledge and usage behaviors related to Pr EP. Students with only one sexual partner were used as a control group. Multivariate logistic regression models were employed to analyze the influencing factors of the knowledge-action disconnection.
A total of 5 630 university students with at least one sexual partner were surveyed, among which 4 494 (79.8%) had one partner, 572 (10.2%) had 2-3 partners, and 564 (10.0%) had four or more partners. The occurrence of knowledge-action disconnection among students with one sexual partner was 1 558 (34.7%), among those with 2-3 partners was 201 (35.1%), and among those with four or more partners was 144 (25.5%). The multivariate logistic regression results indicated that sexual orientation (gay or bisexual) (OR=1.436, 95%CI: 1.150-1.793), testing frequency of less than six months (OR=1.423, 95%CI: 1.198-1.691), and testing frequency of more than six months (OR=1.386, 95%CI: 1.113-1.725) were factors influencing the knowledge-action disconnection regarding PrEP.
There is a significant disconnection between knowledge and action regarding PrEP among university students in Nanning with multiple sexual partners. PrEP education should focus on gay individuals and HIV testing behaviors to enhance the willingness to use PrEP and promote its actual implementation, thereby reducing the occurrence of knowledge-action disconnection.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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