Evaluation of the college-based HIV/AIDS education policy in Beijing, China: a mixed method approach
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(2020) 25:50
Environmental Health and Preventive Medicine
RESEARCH ARTICLE
Open Access
Evaluation of the college-based HIV/AIDS education policy in Beijing, China: a mixed method approach Yunting Zheng1, Xin Zhang2, Xinying Sun1, Yuhui Shi1*
and Chun Chang1
Abstract Background: From 2010 to 2015, there was a twofold growth of new HIV/AIDS infection in Beijing among young students aged 15–24. HIV/AIDS education was found effective in promoting positive behavior change related to HIV/AIDS prevention. However, little evidence was found on the evaluation of HIV/AIDS education policy. This study aimed to evaluate the college-based HIV/AIDS education policy in Beijing. Methods: By using a mixed method approach, the current study reviewed college-based HIV/AIDS education policy at national level and in Beijing from 1985 to 2016 and conducted policy content analysis to evaluate the policy ability to structure implementation. Cross-sectional surveys in 2006 and 2016 were used to evaluate college’s implementation of relevant policies. T test, χ2 test, and logistic regression were used to analyze college students’ perception of HIV/AIDS education provided in their colleges and their knowledge of HIV/AIDS and their risk factors. Results: Fourteen pieces of national policy and four pieces of Beijing’s policy were identified. Policy’s ability to structure implementation was at moderate level. The percentage of students in Beijing who ever perceived HIV/ ADIS education at colleges decreased from 71.14 to 39.80%, and the percentage of students with comprehensive knowledge of HIV/AIDS dropped from 50.00% in 2006 to 40.42% in 2016. Conclusions: HIV/AIDS education in college had drawn considerable attentions from the Chinese government, while the policy implementation needs further strengthening. Keywords: Adolescents, HIV, AIDS, Health education, Health policy, Mixed method approach, China
Introduction In 2015, all United Nations Member States adopted the 2030 Agenda for Sustainable Development with one ambitious target to end the epidemics of AIDS by 2030 [1]. In 2016, there were roughly 1.8 million new HIV infections—down from 1.9 million in 2015 [2]. However, the situation of HIV/AIDS epidemic is not that optimistic. Adolescents and young people represent a growing share of people living with HIV worldwide. In 2017 alone, 590, * Correspondence: [email protected] 1 Department of Social Medicine and Health Education, School of Public Health, Peking University, NO. 38 Xueyuan Road, Haidian District, Beijing 100191, People’s Republic of China Full list of author information is available at the end of the article
000 young people between the ages of 15 and 24 were newly infected with HIV, of whom 250,000 were adolescents between the ages of 15 and 19 [3]. Apart from their high risk of HIV infection, adolescents are seen as a window of hope to change toward a positive attitude and behavior which indicates investing in them is likely to be the most effective approach to confronting the epidemic. According to the Health Dev
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