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STI and HIV testing: examining factors that influence uptake among domestic Australian-born, domestic overseas-born and international tertiary students studying in Australia

OBJECTIVES: Sexual health knowledge among international students in Australia is lower than domestic students, however, little is known about what factors affect the uptake of STI testing, nor if there are differences for overseas-born domestic students. METHODS: We included sexually active responde...

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Autores principales: Engstrom, Teyl, Waller, Michael, Mullens, Amy B, Debattista, Joseph, Durham, Jo, Gu, Zhihong, Wenham, Kathryn, Daken, Kirstie, Ariana, Armin, Gilks, Charles F, Bell, Sara F E, Williams, Owain D, Dingle, Kaeleen, Dean, Judith A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10018943/
https://www.ncbi.nlm.nih.gov/pubmed/36922801
http://dx.doi.org/10.1186/s12889-023-15418-z
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author Engstrom, Teyl
Waller, Michael
Mullens, Amy B
Debattista, Joseph
Durham, Jo
Gu, Zhihong
Wenham, Kathryn
Daken, Kirstie
Ariana, Armin
Gilks, Charles F
Bell, Sara F E
Williams, Owain D
Dingle, Kaeleen
Dean, Judith A
author_facet Engstrom, Teyl
Waller, Michael
Mullens, Amy B
Debattista, Joseph
Durham, Jo
Gu, Zhihong
Wenham, Kathryn
Daken, Kirstie
Ariana, Armin
Gilks, Charles F
Bell, Sara F E
Williams, Owain D
Dingle, Kaeleen
Dean, Judith A
author_sort Engstrom, Teyl
collection PubMed
description OBJECTIVES: Sexual health knowledge among international students in Australia is lower than domestic students, however, little is known about what factors affect the uptake of STI testing, nor if there are differences for overseas-born domestic students. METHODS: We included sexually active respondents from a survey of university students in Australia (N = 3,075). Multivariate regression and mediation analyses investigated associations of STI and HIV testing with STI and HIV knowledge respectively, sexual risk behaviour and demographics, including comparisons among: domestic Australian-born, domestic overseas-born, and international students. RESULTS: STI and HIV knowledge was positively associated with STI and HIV testing respectively (STI OR = 1.13, 95% CI: 1.09, 1.16; HIV OR = 1.37, 95% CI: 1.27, 1.48). STI knowledge was significantly lower for international than domestic Australian-born students (10.8 vs. 12.2 out of 16), as was STI testing (32% vs. 38%); the difference in knowledge accounted for half the difference in STI testing rates between these two groups. International students from Southern Asia, and Eastern Asia reported the lowest STI testing rates. HIV testing was highest amongst international students from Africa and North America. Higher sexual risk behaviour, younger age, and identifying as gay or bisexual were positively associated with higher STI and HIV testing rates. CONCLUSIONS: Our study supports greater investment and commitment by universities for the provision of sexual health education that can promote access to testing to improve the health of their students.
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spelling pubmed-100189432023-03-17 STI and HIV testing: examining factors that influence uptake among domestic Australian-born, domestic overseas-born and international tertiary students studying in Australia Engstrom, Teyl Waller, Michael Mullens, Amy B Debattista, Joseph Durham, Jo Gu, Zhihong Wenham, Kathryn Daken, Kirstie Ariana, Armin Gilks, Charles F Bell, Sara F E Williams, Owain D Dingle, Kaeleen Dean, Judith A BMC Public Health Research OBJECTIVES: Sexual health knowledge among international students in Australia is lower than domestic students, however, little is known about what factors affect the uptake of STI testing, nor if there are differences for overseas-born domestic students. METHODS: We included sexually active respondents from a survey of university students in Australia (N = 3,075). Multivariate regression and mediation analyses investigated associations of STI and HIV testing with STI and HIV knowledge respectively, sexual risk behaviour and demographics, including comparisons among: domestic Australian-born, domestic overseas-born, and international students. RESULTS: STI and HIV knowledge was positively associated with STI and HIV testing respectively (STI OR = 1.13, 95% CI: 1.09, 1.16; HIV OR = 1.37, 95% CI: 1.27, 1.48). STI knowledge was significantly lower for international than domestic Australian-born students (10.8 vs. 12.2 out of 16), as was STI testing (32% vs. 38%); the difference in knowledge accounted for half the difference in STI testing rates between these two groups. International students from Southern Asia, and Eastern Asia reported the lowest STI testing rates. HIV testing was highest amongst international students from Africa and North America. Higher sexual risk behaviour, younger age, and identifying as gay or bisexual were positively associated with higher STI and HIV testing rates. CONCLUSIONS: Our study supports greater investment and commitment by universities for the provision of sexual health education that can promote access to testing to improve the health of their students. BioMed Central 2023-03-16 /pmc/articles/PMC10018943/ /pubmed/36922801 http://dx.doi.org/10.1186/s12889-023-15418-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Engstrom, Teyl
Waller, Michael
Mullens, Amy B
Debattista, Joseph
Durham, Jo
Gu, Zhihong
Wenham, Kathryn
Daken, Kirstie
Ariana, Armin
Gilks, Charles F
Bell, Sara F E
Williams, Owain D
Dingle, Kaeleen
Dean, Judith A
STI and HIV testing: examining factors that influence uptake among domestic Australian-born, domestic overseas-born and international tertiary students studying in Australia
title STI and HIV testing: examining factors that influence uptake among domestic Australian-born, domestic overseas-born and international tertiary students studying in Australia
title_full STI and HIV testing: examining factors that influence uptake among domestic Australian-born, domestic overseas-born and international tertiary students studying in Australia
title_fullStr STI and HIV testing: examining factors that influence uptake among domestic Australian-born, domestic overseas-born and international tertiary students studying in Australia
title_full_unstemmed STI and HIV testing: examining factors that influence uptake among domestic Australian-born, domestic overseas-born and international tertiary students studying in Australia
title_short STI and HIV testing: examining factors that influence uptake among domestic Australian-born, domestic overseas-born and international tertiary students studying in Australia
title_sort sti and hiv testing: examining factors that influence uptake among domestic australian-born, domestic overseas-born and international tertiary students studying in australia
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10018943/
https://www.ncbi.nlm.nih.gov/pubmed/36922801
http://dx.doi.org/10.1186/s12889-023-15418-z
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