Generic placeholder image

Current HIV Research

Editor-in-Chief

ISSN (Print): 1570-162X
ISSN (Online): 1873-4251

Research Article

Research on the Necessity of AIDS Intervention for College Students Based on Cognitive Behavioral Therapy

Author(s): Lingxue Chen, Xiaochen Xiang, Fei Yao*, Yuting Wan, Junjie Qin, Jiaqi Guo, Jiadun Wang, Wei Zhang, Yin Li* and Qiang Wang*

Volume 20, Issue 6, 2022

Published on: 10 October, 2022

Page: [430 - 440] Pages: 11

DOI: 10.2174/1570162X20666220822111050

Price: $65

Abstract

Background: Despite abundant research on AIDS prevention and intervention, many residual factors influence the actual impact of the intervention at a population level. Misconceptions held by subjects lead to patterns of behavior, which do not reflect levels of cognition.

Methods: Cognition and behavioral patterns relating to HIV were investigated without intervention in freshmen before and after a two-year study period. A total of 461 freshmen studying at the university in Wuhan, Hubei Province, China, were enrolled in September 2019. Data management and analysis were performed by SPSS 25.0 software.

Results: Throughout the two years’ study, no significant changes in the cognitive level regarding AIDS were found while the frequency of sexual behavior increased significantly. A trend of inconsistency between cognition and behavior was identified.

Conclusion: During a two-year period without intervention, it was found that the sexual behavior of university students gradually increased, perceptions regarding AIDS-related subjects were incomplete and awareness of HIV infection risk was still weak. A phenomenon described as the separation of knowledge from behavior was detected. Misconceptions that influenced behavioral patterns were identified as critical factors. Therefore, we propose that cognitive behavioral therapy may change the actual impact of AIDS prevention interventions.

Keywords: ART, AIDS, prevention, non-intervention situation, cognitive behavior therapy, separation of knowledge and behaviors.

Graphical Abstract
[1]
Jiang H, Liu J, Tan Z, et al. Prevalence of and factors associated with advanced HIV disease among newly diagnosed people living with HIV in Guangdong Province, China. J Int AIDS Soc 2020; 23(11): e25642.
[http://dx.doi.org/10.1002/jia2.25642] [PMID: 33225623]
[2]
García LJG, Otten RA, Qari SH, et al. Prevention of rectal SHIV transmission in macaques by daily or intermittent prophylaxis with emtricitabine and tenofovir. PLoS Med 2008; 5(2): e28.
[http://dx.doi.org/10.1371/journal.pmed.0050028] [PMID: 18254653]
[3]
Kharsany ABM, Cawood C, Khanyile D, et al. Community based HIV prevalence in KwaZulu Natal, South Africa: Results of a cross sectional household survey. Lancet HIV 2018; 5(8): e427-37.
[http://dx.doi.org/10.1016/S2352-3018(18)30104-8] [PMID: 30021700]
[4]
Cribbs SK, Crothers K, Morris A. Pathogenesis of HIV related lung disease: Immunity, infection, and inflammation. Physiol Rev 2020; 100(2): 603-32.
[http://dx.doi.org/10.1152/physrev.00039.2018] [PMID: 31600121]
[5]
Lipshultz SE, Sasaki N, Thompson B, et al. Left ventricular diastolic dysfunction in HIV-uninfected infants exposed in utero to antiretroviral therapy. AIDS 2020; 34(4): 529-37.
[http://dx.doi.org/10.1097/QAD.0000000000002443] [PMID: 31764073]
[6]
Crowell CS, Williams PL, Yildirim C, et al. Safety of in-utero antiretroviral exposure: Neurologic outcomes in children who are HIV-exposed but uninfected. AIDS 2020; 34(9): 1377-87.
[http://dx.doi.org/10.1097/QAD.0000000000002550] [PMID: 32310900]
[7]
Sluis CN, Wainberg MA, Schinazi RF. Resistance to reverse transcriptase inhibitors used in the treatment and prevention of HIV-1 infection. Future Microbiol 2015; 10(11): 1773-82.
[http://dx.doi.org/10.2217/fmb.15.106] [PMID: 26517190]
[8]
Haas KDA. What HIV/AIDS taught me about pandemics: A clinician’s perspective. Int J Radiat Oncol Biol Phys 2020; 108(2): 346-7.
[http://dx.doi.org/10.1016/j.ijrobp.2020.05.038] [PMID: 32890508]
[9]
O’Reilly KR, Fonner VA, Kennedy CE, Yeh PT, Sweat MD. The paradox of HIV prevention: Did biomedical prevention trials show how effective behavioral prevention can be? AIDS 2020; 34(14): 2007-11.
[http://dx.doi.org/10.1097/QAD.0000000000002682] [PMID: 32910064]
[10]
Fishbein M, Ajzen I. Theory based behavior change interventions: Comments on Hobbis and Sutton. J Health Psychol 2005; 10(1): 27-31.
[http://dx.doi.org/10.1177/1359105305048552] [PMID: 15576497]
[11]
IJzerman RVH. van der VR, Evers AWM. Internet based cognitive behavioral therapy among psychologists in a medical setting: A survey on implementation. J Med Internet Res 2019; 21(8): e13432.
[http://dx.doi.org/10.2196/13432] [PMID: 31400101]
[12]
Kuribayashi K, Imamura K, Watanabe K, et al. Effects of an internet-based cognitive behavioral therapy (iCBT) intervention on improving depressive symptoms and work-related outcomes among nurses in Japan: A protocol for a randomized controlled trial. BMC Psychiatry 2019; 19(1): 245.
[http://dx.doi.org/10.1186/s12888-019-2221-5] [PMID: 31391029]
[13]
Kunguma O, Pelser A, Tanyi P, Muhame C. Social and structural vulnerability as a barrier in HIV and/or AIDS communication campaigns: Perceptions of undergraduate students at a South African tertiary institution. Jamba 2018; 10(1): 407.
[http://dx.doi.org/10.4102/jamba.v10i1.407] [PMID: 29955253]
[14]
Lin L, Ren M. Xintong Lv, Shang N, Liu H, Ling Z. A survey of AIDS cognition and related behaviors among college students. China Pub Health 2018; 34(04): 571-3.
[15]
Ahmed SI, Hassali MA, Aziz NA. An assessment of the knowledge, attitudes, and risk perceptions of pharmacy students regarding HIV/AIDS. Am J Pharm Educ 2009; 73(1): 15.
[http://dx.doi.org/10.5688/aj730115] [PMID: 19513153]
[16]
Xin Z, Ma X, Li Y. Survey on AIDS knowledge and sexual behaviors of male college students in Luoyang City at the time of entry and graduation. AIDS and STDs in China 2021; 27(06): 641-3.
[17]
Wang H, Yu S, Cross W, Lam L, Banik B, Zhang K. Condom use consistency and associated factors among college student men who have sex with men from seven colleges in Changsha city: A cross sectional survey. HIV AIDS (Auckl) 2021; 13: 557-69.
[http://dx.doi.org/10.2147/HIV.S305932] [PMID: 34040452]
[18]
Woldeyohannes D, Asmamaw Y, Sisay S, Hailesselassie W, Birmeta K, Tekeste Z. Risky HIV sexual behavior and utilization of voluntary counseling and HIV testing and associated factors among undergraduate students in Addis Ababa, Ethiopia. BMC Public Health 2017; 17(1): 121.
[http://dx.doi.org/10.1186/s12889-017-4060-y] [PMID: 28122536]
[19]
Yang W, Huang Y, Zhang S, Zhai W, Yao Y, Zhang J. The status of life skills and its influencing factors in the prevention and control of AIDS among students in Chengdu University. China AIDS and STDs 2018; 24(01): 87-9.
[20]
Tagoe M, Aggor RA. Knowledge, behaviour, perceptions and attitudes of University of Ghana students towards HIV/AIDS: What does behavioural surveillance survey tell us? J Health Hum Serv Adm 2009; 32(1): 51-84.
[PMID: 19558033]
[21]
Ngubane L. Understanding influences surrounding sexual initiation among female university students. Honours Research Dissertation Academia 2009; 11(21): 514-32.
[22]
Wu Z. New characteristics of sexually transmitted AIDS in my country and the challenges of prevention and treatment. Zhonghua Liu Xing Bing Xue Za Zhi 2018; 39(06): 707-9.
[PMID: 29936732]
[23]
Li G, Jiang Y, Zhang L. HIV upsurge in China’s students. Science 2019; 364(6442): 711.
[http://dx.doi.org/10.1126/science.aay0799] [PMID: 31123112]
[24]
Tu F, Yang R, Li R, et al. Structural equation model analysis of HIV/AIDS knowledge, attitude, and sex education among freshmen in Jiangsu, China. Front Public Health 2022; 10: 892422.
[http://dx.doi.org/10.3389/fpubh.2022.892422] [PMID: 35664113]
[25]
Sun X, Fan L, Chang C, Shi Y. HIV/AIDS related perception and behavior: A comparative study among college students of different majors in China. Int J Nurs Sci 2020; 7(1): S74-9.
[http://dx.doi.org/10.1016/j.ijnss.2020.07.010] [PMID: 32995383]
[26]
Ngwewondo A, Nkengazong L, Ambe LA, et al. Knowledge, attitudes, practices of/towards COVID 19 preventive measures and symptoms: A cross sectional study during the exponential rise of the outbreak in Cameroon. PLoS Negl Trop Dis 2020; 14(9): e0008700.
[http://dx.doi.org/10.1371/journal.pntd.0008700] [PMID: 32886678]
[27]
Cortés AJ. On how role versatility boosts an STI. J Theor Biol 2018; 440: 66-9.
[http://dx.doi.org/10.1016/j.jtbi.2017.12.018] [PMID: 29273545]
[28]
Wang P. Health Management. Beijing: Peking University Medical Press 2012; pp. 58-64.
[29]
Yi W, Li L, Zhang G, et al. Study on the status and influencing factors of AIDS related cognitive attitude and behavioral separation among men who have sex with men. Chinese J Dis Cont 2014; 18(10): 951-5.
[30]
Lewis-Smith H, Diedrichs PC, Halliwell E. Cognitive behavioral roots of body image therapy and prevention. Body Image 2019; 31: 309-20.
[http://dx.doi.org/10.1016/j.bodyim.2019.08.009]
[31]
Safren SA, Bedoya CA, O’Cleirigh C, et al. Cognitive behavioural therapy for adherence and depression in patients with HIV: A three-arm randomised controlled trial. Lancet HIV 2016; 3(11): e529-38.
[http://dx.doi.org/10.1016/S2352-3018(16)30053-4] [PMID: 27658881]
[32]
Horne R, Glendinning E, King K, et al. Protocol of a two arm randomised, multi-centre, 12-month controlled trial: Evaluating the impact of a Cognitive Behavioural Therapy (CBT)-based intervention Supporting UPtake and Adherence to antiretrovirals (SUPA) in adults with HIV. BMC Public Health 2019; 19(1): 905.
[http://dx.doi.org/10.1186/s12889-019-6893-z] [PMID: 31286908]
[33]
The Lancet HIV. HIV status disclosure in a digital age. Lancet HIV 2018; 5(6): e265.
[http://dx.doi.org/10.1016/S2352-3018(18)30109-7] [PMID: 29893237]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy