【摘要】 目的 了解我国大学生的艾滋病检测意愿和检测行为现状，并分析其影响因素。方法 采用分层单纯随机抽样法，于2022年12月—2023年4月在全国大学生中进行电子问卷调查，采用描述性分析、卡方检验、t检验和二元Logistic回归分析艾滋病检测意愿和检测行为现状及其影响因素。结果 4451个有效样本纳入分析。大学生有较高的艾滋病检测意愿(77.1%),但检测率仅为6.8%。多因素分析结果显示，女生(OR=1.521,95%CI:1.305～1.772)、有性行为(OR=1.454,95%CI:1.193～1.772)和艾滋病相关知识得分高(OR=1.144,95%CI:1.115～1.173)的大学生艾滋病检测意愿更高，大学前居住在农村地区(OR=0.846,95%CI:0.728～0.983)、大学三年级(OR=0.736,95%CI:0.596～0.909)、大学四年级(OR=0.701,95%CI:0.547～0.900)大学生的艾滋病检测意愿更低；西部地区(OR=1.569,95%CI:1.133～2.171)、有性行为(OR=3.199,95%CI:2.465～4.153)大学生的艾滋病检测率更高，东北部地区(OR=0.269,95%CI:0.084～0.862)、普通院校(OR=0.589,95%CI:0.444～0.779)、专科院校(OR=0.481,95%CI:0.267～0.866)大学生的艾滋病检测率更低。结论 我国大学生艾滋病检测意愿较高但检测率低，应在校园加强对重点学生群体的艾滋病健康教育，完善校内艾滋病检测服务，探索“互联网+”自检模式，进而提高大学生高危行为后的艾滋病的检测意愿和实际检测率。更多还原

【Abstract】 Objective To investigate the status of HIV/AIDS testing related willingness and behavior among college students, and to analyze their influencing factors.Methods A stratified simple random sampling method was used to conduct an electronic questionnaire survey among college students across our country from December 2022 to April 2023.Descriptive analysis, chi-square test, t-test and binary logistic regression were used to analyze the current status of willingness and behavior and their influencing factors.Results A total of 4451 valid samples were included in the analysis.The students had high willingness to take HIV/AIDS testing（77.1%）,but the actual testing rate was only 6.8%.The results of multivariate analysis showed that the students who was girl（OR=1.521,95%CI:1.305-1.772）,or had sexual behavior（OR=1.454,95%CI:1.193-1.772）,or had higher HIV-related knowledge scores（OR=1.144,95%CI:1.115-1.173）had higher willingness to take testing.However, the students who lived in rural areas before entering college（OR=0.846,95%CI:0.728-0.983）,or who was in Grade 3^rd（OR=0.736,95%CI:0.596-0.909）or Grade 4^th（OR=0.701,95%CI:0.547-0.900）had lower willingness to take testing.For actual testing behavior, students studied in western region（OR=1.569,95%CI:1.133-2.171）,and those who had sexual behavior（OR=3.199,95%CI:2.465-4.153）were positive associated with testing behavior rate.The students who studied in northeastern region（OR=0.269,95%CI:0.084-0.862）,or regular colleges（OR=0.589,95%CI:0.444-0.779）or junior colleges（OR=0.481,95%CI:0.267-0.866）had lower rate of HIV testing.Conclusion Among college students, the willingness of HIV/AIDS testing is high while the actual testing rate is low.It is necessary to strengthen HIV/AIDS health education on key students populations in campus.It is suggested to improve on-campus HIV/AIDS testing services and explore the “Internet+” self-testing model in order to increase the willingness and actual testing rate of HIV/AIDS among students with high-risk behaviors related to HIV/AIDS.更多还原