aids knowledge and sexual activity among flemish secondary school students a multilevel analysis of the effects of type of education弗兰德中学学生艾滋病知识和性活动的多层次分析类型的教育的影响.pdfVIP

Van Rossem et al. BMC Public Health 2010, 10:30 /1471-2458/10/30 RESEARCH ARTICLE Open Access AIDS knowledge and sexual activity among Flemish secondary school students: a multilevel analysis of the effects of type of education * Ronan Van Rossem , Hans Berten, Charlotte Van Tuyckom Abstract Background: The behavior of adolescents puts them at an increased risk for HIV and other STIs, and their knowledge about HIV/AIDS is often inadequate. An understanding of how AIDS knowledge and sexual activity co- vary among Flemish secondary school students and of how education type, specifically, affects these students is limited. This study addresses the question of whether the effects of education type on HIV/AIDS knowledge and sexual activity are independent of the socio-demographic characteristics of the students. Methods: Data from the Flemish Educational Assessment survey, which collected data from a large representative sample of third- and fifth-grade high school students (N = 11,872), were used. Data were analyzed using multilevel logistic and Poisson regression techniques. Results: There is an indication that type of education affects both an adolescent’s sexual activity and his/her AIDS knowledge; these effects prove robust for differences in socio-economic backgrounds. Students in lower status education types are more likely to be sexually active and to have poorer AIDS knowledge. The relationship between AIDS knowledge and sexual activity is, however, more complex. Although students in education types with poorer AIDS knowledge are more sexually active, within each of these groups the sexually active have better AIDS knowledge than the non-sexually active. There is also evidence of active information seeking by sexually active students, which leads to improved AIDS knowledge. Conclusio