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HIV Prevention Cascade and PrEP/PEP Implementation Gaps Among High-Risk University Students - Sichuan Province,
Chunhua Tian1, Rui Shen2, Qian Hu3
1Sichuan Center for Disease Control and Prevention, Chengdu City, Sichuan Province, China.
What Is Already Known About This Topic?:
Chinese university students face elevated human immunodeficiency virus (HIV) risks, yet pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) uptake remain low despite proven efficacy.
What Is Added By This Report?:
Among 645 high-risk students, 12.87% utilized PrEP and 13.02% utilized PEP. High HIV knowledge strongly predicted awareness [PrEP: adjusted odds ratio (aOR)=5.62; PEP: aOR=3.42], yet among students who understood the services, 70% did not access them. This finding indicates that structural barriers, rather than knowledge deficits, represent the primary constraint limiting cascade effectiveness.
What Are The Implications For Public Health Practice?:
Educational interventions alone are insufficient to improve service uptake; comprehensive strategies that simultaneously address both knowledge deficits and systemic barriers are essential for expanding PrEP and PEP access.
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