台灣南部某兩所國中學生HIV認知、態度與行為之探討

"HIV Awareness, Attitude, Behavior among Students in Two Junior High Schools in Southern Taiwan"

"本研究目的為探討台灣南部兩所國中生對於愛滋病的認知、態度、行為，及其對愛滋病防治行為的相關因素。為描述性研究設計，採方便取樣，針對參與愛滋病防治教育宣導之國中生進行問卷調查。共收案269人，其愛滋病認知平均正確率為78.33%，其中正確率偏低題目為：共用刮鬍刀、蚊子叮咬等傳播途徑及愛滋篩檢空窗期的認知。對愛滋病的態度偏負向的題目依序為：認為愛滋是不名譽的疾病、羞於與同儕討論愛滋病等歧視態度。在愛滋防治的行為中，偏負向的行為依序為共用刮鬍刀、及保險套使用等。愛滋病知識得分越高的國中生，其態度（r = .17, p = .009）、行為（r = .18, p = .004）越正向，愛滋病態度與行為呈顯著的正相關（r = .28, p ＜ .001）。本研究發現會影響青少年愛滋病防治行為決策的因素包括愛滋病的認知、態度、及曾經由網路尋求愛滋相關訊息等三部分。目前的教育方式大都受限於教學時間與授課內容，建議相關衛生機關與教學單位，應思考運用多元、開放性、提供符合青少年需求且資訊來源正確的網路連結平台等介入措施，來促進國中青少年的正向愛滋防治行為，以達青少年愛滋防治之效。"

"The aim of this study was to investigate the awareness attitude, and behavior regarding AIDS among Taiwanese junior high school students, as well as to explore the relevant factors affecting AIDS prevention behavior. This is a descriptive study using a convenience sample. A questionnaire survey was conducted among students from two junior high schools in southern Taiwan who participated in education promoting AIDS prevention. A total of 269 participants participated in the survey, and the average accuracy rate of AIDS awareness for participants was 78.33%. The knowledge items with low accuracy rates were transmission routes, including sharing of razors and mosquito bites, as well as the AIDS screening window period. The items with high scores on negative attitudes towards AIDS were viewing AIDS as a shameful disease, being embarrassed to discuss AIDS, and discrimination toward those among peer groups. Among AIDS prevention and treatment behaviors, negative behaviors included sharing of razors and the use of condoms. The higher the AIDS knowledge score, the more positive the attitude (r = .17, p = .009) and behavior (r = .18, p = .004) toward AIDS prevention among junior high school students. The more positive the attitude toward AIDS, the more positive the AIDS prevention behavior (r = .28, p ＜ .001). Adolescents' AIDS knowledge and attitudes, as well as whether they have sought AIDS-related information on the Internet, will affect their decision-making regarding AIDS prevention and treatment behavior. Current education methods are limited by class time and course content. In the future, both health and education institutions should consider multiple, open intervention measures and online platforms to promote the effectiveness of positive AIDS prevention behaviors among adolescents in junior high schools."