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

Overview

Journal Curr HIV Res

Publisher Bentham Science Publishers

Date 2022 Aug 23

PMID 35996265

Authors

Lingxue Chen

Xiaochen Xiang

Fei Yao

Yuting Wan

Junjie Qin

Jiaqi Guo

Jiadun Wang

Wei Zhang

Yin Li

Qiang Wang

Affiliations

Soon will be listed here.

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.

Citing Articles

Cognitive Deficits: Verbal and Semantic Fluency in People Living with HIV and AIDS.

Ivanova G, Alhrahsheh R, Kukov K Curr HIV Res. 2023; 21(3):202-212.

PMID: 37312442 PMC: 10556403. DOI: 10.2174/1570162X21666230613124240.

References

Jiang H, Liu J, Tan Z, Fu X, Xie Y, Lin K . 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. PMC: 7680922. DOI: 10.1002/jia2.25642. View

Garcia-Lerma J, Otten R, Qari S, Jackson E, Cong M, Masciotra S . Prevention of rectal SHIV transmission in macaques by daily or intermittent prophylaxis with emtricitabine and tenofovir. PLoS Med. 2008; 5(2):e28. PMC: 2225435. DOI: 10.1371/journal.pmed.0050028. View

Kharsany A, Cawood C, Khanyile D, Lewis L, Grobler A, Puren A . Community-based HIV prevalence in KwaZulu-Natal, South Africa: results of a cross-sectional household survey. Lancet HIV. 2018; 5(8):e427-e437. PMC: 7498647. DOI: 10.1016/S2352-3018(18)30104-8. View

Cribbs S, Crothers K, Morris A . Pathogenesis of HIV-Related Lung Disease: Immunity, Infection, and Inflammation. Physiol Rev. 2019; 100(2):603-632. DOI: 10.1152/physrev.00039.2018. View

Lipshultz S, Sasaki N, Thompson B, Eidem B, Cheng I, Colan S . Left ventricular diastolic dysfunction in HIV-uninfected infants exposed in utero to antiretroviral therapy. AIDS. 2019; 34(4):529-537. PMC: 8806162. DOI: 10.1097/QAD.0000000000002443. View

Crowell C, Williams P, Yildirim C, Van Dyke R, Smith R, Chadwick E . Safety of in-utero antiretroviral exposure: neurologic outcomes in children who are HIV-exposed but uninfected. AIDS. 2020; 34(9):1377-1387. PMC: 8136420. DOI: 10.1097/QAD.0000000000002550. View

Sluis-Cremer N, Wainberg M, Schinazi R . Resistance to reverse transcriptase inhibitors used in the treatment and prevention of HIV-1 infection. Future Microbiol. 2015; 10(11):1773-82. PMC: 4813512. DOI: 10.2217/fmb.15.106. View

Haas-Kogan D . What HIV/AIDS Taught Me About Pandemics: A Clinician's Perspective. Int J Radiat Oncol Biol Phys. 2020; 108(2):346-347. PMC: 7462786. DOI: 10.1016/j.ijrobp.2020.05.038. View

OReilly K, Fonner V, Kennedy C, Yeh P, Sweat M . The paradox of HIV prevention: did biomedical prevention trials show how effective behavioral prevention can be?. AIDS. 2020; 34(14):2007-2011. PMC: 7606697. DOI: 10.1097/QAD.0000000000002682. View

10.

Fishbein M, Ajzen I . Theory-based behavior change interventions: comments on Hobbis and Sutton. J Health Psychol. 2004; 10(1):27-31. DOI: 10.1177/1359105305048552. View

11.

IJzerman R, van der Vaart R, Evers A . Internet-Based Cognitive Behavioral Therapy Among Psychologists in a Medical Setting: A Survey on Implementation. J Med Internet Res. 2019; 21(8):e13432. PMC: 6713041. DOI: 10.2196/13432. View

12.

Kuribayashi K, Imamura K, Watanabe K, Miyamoto Y, Takano A, Sawada U . 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. PMC: 6686442. DOI: 10.1186/s12888-019-2221-5. View

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. PMC: 6014162. DOI: 10.4102/jamba.v10i1.407. View

14.

Ahmed S, Hassali M, Aziz N . An assessment of the knowledge, attitudes, and risk perceptions of pharmacy students regarding HIV/AIDS. Am J Pharm Educ. 2009; 73(1):15. PMC: 2690879. DOI: 10.5688/aj730115. View

15.

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; 13:557-569. PMC: 8140883. DOI: 10.2147/HIV.S305932. View

16.

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. PMC: 5267391. DOI: 10.1186/s12889-017-4060-y. View

17.

Tagoe M, Aggor R . 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. View

18.

Wu Z . [Characteristics of HIV sexually transmission and challenges for controlling the epidemic in China]. Zhonghua Liu Xing Bing Xue Za Zhi. 2018; 39(6):707-709. DOI: 10.3760/cma.j.issn.0254-6450.2018.06.002. View

19.

Li G, Jiang Y, Zhang L . HIV upsurge in China's students. Science. 2019; 364(6442):711. DOI: 10.1126/science.aay0799. View

20.

Tu F, Yang R, Li R, Du G, Liu Y, Li W . Structural Equation Model Analysis of HIV/AIDS Knowledge, Attitude, and Sex Education Among Freshmen in Jiangsu, China. Front Public Health. 2022; 10:892422. PMC: 9159914. DOI: 10.3389/fpubh.2022.892422. View