Association between Knowledge, Preventive Attitudes, and HIV/AIDS Preventive Behaviors Among High School Students
https://doi.org/10.53770/medica.v8i6.1113
Keywords
HIV/AIDS High School Students Knowledge Preventive Attitudes Prevention EffortsAbstract
HIV/AIDS remains a major global health problem, particularly among adolescents who are vulnerable to risky behaviors. This study aimed to analyze the association between HIV/AIDS knowledge, preventive attitudes, and HIV/AIDS preventive behaviors among high school students in Jayapura City. A quantitative cross-sectional design was conducted in 17 high schools in Jayapura City from September to October 2025 involving 540 students selected as respondents. Data were collected using a structured questionnaire distributed through Google Forms and analyzed using descriptive statistics and Spearman Rank correlation test with a significance level of p < 0.05. The results showed that most respondents had good HIV/AIDS knowledge (85.6%) and positive preventive attitudes (78.9%), while 65.2% demonstrated good prevention efforts. The Spearman Rank test indicated a significant but weak positive relationship between HIV/AIDS knowledge and prevention efforts (r = 0.230; p = 0.000), and a moderate positive relationship between preventive attitudes and prevention efforts (r = 0.403; p = 0.000). In conclusion, both HIV/AIDS knowledge and preventive attitudes are significantly associated with prevention efforts among high school students in Jayapura City, with preventive attitudes showing a stronger relationship than knowledge, and strengthening school-based HIV/AIDS education programs is recommended to improve adolescent preventive behaviors. This study is limited by its cross-sectional design, which precludes causal inference, and its reliance on self-reported data, which may be subject to social desirability bias.
Downloads
References
Ajzen, I. (2012). The theory of planned behavior. Handbook of Theories of Social Psychology: 1, 438–459. https://doi.org/10.4135/9781446249215.n22
Akello, K. O., Ogendi, J., & Asweto, C. O. (2023). The role of knowledge and attitude on HIV and AIDS prevention practices among secondary school students: a cross-sectional study of Gwassi South Sub-County, Homa Bay County, Kenya. https://doi.org/10.1101/2023.01.10.23284403
Badru, T., Mwaisaka, J., Khamofu, H., Agbakwuru, C., Adedokun, O., Pandey, S. R., Essiet, P., James, E., Chen-Carrington, A., Mastro, T. D., Aliyu, S. H., & Torpey, K. (2020). HIV comprehensive knowledge and prevalence among young adolescents in Nigeria: evidence from Akwa Ibom AIDS indicator survey, 2017. BMC Public Health, 20(1), 45. https://doi.org/10.1186/s12889-019-7890-y
Bekker, L.-G., Beyrer, C., Mgodi, N., Lewin, S. R., Delany-Moretlwe, S., Taiwo, B., Masters, M. C., & Lazarus, J. V. (2023). HIV infection. Nature Reviews Disease Primers, 9(1), 42. https://doi.org/10.1038/s41572-023-00452-3
Bossonario, P. A., Ferreira, M. R. L., Andrade, R. L. de P., Sousa, K. D. L. de, Bonfim, R. O., Saita, N. M., & Monroe, A. A. (2022). Risk factors for HIV infection among adolescents and the youth: a systematic review. Revista Latino-Americana de Enfermagem, 30(spe). https://doi.org/10.1590/1518-8345.6264.3696
Boyd, A. T., Oboho, I., Paulin, H., Ali, H., Godfrey, C., Date, A., & Sean Cavanaugh, J. (2020). Addressing advanced HIV disease and mortality in global HIV programming. AIDS Research and Therapy, 17(1), 40. https://doi.org/10.1186/s12981-020-00296-x
Chory, A., Gillette, E., Callen, G., Wachira, J., Sam-Agudu, N. A., Bond, K., & Vreeman, R. (2023). Gender differences in HIV knowledge among adolescents and young people in low-and middle-income countries: a systematic review. Frontiers in Reproductive Health, 5. https://doi.org/10.3389/frph.2023.1154395
Estifanos, T. M., Hui, C., Tesfai, A. W., Teklu, M. E., Ghebrehiwet, M. A., Embaye, K. S., & Andegiorgish, A. K. (2021). Predictors of HIV/AIDS comprehensive knowledge and acceptance attitude towards people living with HIV/AIDS among unmarried young females in Uganda: a cross-sectional study. BMC Women’s Health, 21(1), 37. https://doi.org/10.1186/s12905-021-01176-w
Folayan, M. O., Sam-Agudu, N. A., & Harrison, A. (2022). Exploring the why: risk factors for HIV and barriers to sexual and reproductive health service access among adolescents in Nigeria. BMC Health Services Research, 22(1), 1198. https://doi.org/10.1186/s12913-022-08551-9
Green, L., Gielen, A., & Kreuter, M. (2022). Epidemiological Assesment I: Population Health. 2022). Health Program Planning, Implementation and Evaluación. Creating Behavioral, Environmental, and Policy Change, 96–118.
Janighorban, M., Boroumandfar, Z., Pourkazemi, R., & Mostafavi, F. (2022). Barriers to vulnerable adolescent girls’ access to sexual and reproductive health. BMC Public Health, 22(1), 2212. https://doi.org/10.1186/s12889-022-14687-4
Jocelyn, Nasution, F. M., Nasution, N. A., Asshiddiqi, M. H., Kimura, N. H., Siburian, M. H. T., Rusdi, Z. Y. N., Munthe, A. R., Chairenza, I., Ginting Munthe, M. C. F. B., Sianipar, P., Gultom, S. P., Simamora, D., Uswanas, I. R., Salim, E., Khairunnisa, K., & Syahputra, R. A. (2024). HIV/AIDS in Indonesia: current treatment landscape, future therapeutic horizons, and herbal approaches. Frontiers in Public Health, 12, 1298297. https://doi.org/10.3389/fpubh.2024.1298297
Libisch, C. A., Marsiglia, F., Kulis, S., Cutrín, O., Gómez-Fraguela, J. A., & Ruiz, P. (2022). The Role of Peer Pressure in Adolescents’ Risky Behaviors. In Cognitive Sciences and Education in Non-WEIRD Populations (pp. 115–133). Springer International Publishing. https://doi.org/10.1007/978-3-031-06908-6_8
Magadi, M., Kaseje, D., Wafula, C., Kaseje, M., Ochola-Odhiambo, P., Ogutu-Owii, S., Orton, B., Onukwugha, F., Hayter, M., & Smith, L. (2022). Sexual and reproductive health knowledge and behaviour of adolescent boys and girls aged 10–19 years in western Kenya: evidence from a cross-sectional pilot survey. Journal of Biosocial Science, 54(5), 792–811. https://doi.org/10.1017/S0021932021000353
Mbengo, F., Adama, E., Towell-Barnard, A., Bhana, A., & Zgambo, M. (2022). Barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide: a systematic review. BMC Infectious Diseases, 22(1), 679. https://doi.org/10.1186/s12879-022-07649-z
Mkhondo, E. P., Mudau, A. G., & Mugware, A. (2026). The complexities of maternal non-adherence to antiretroviral therapy and its impact on mother-to-child transmission of HIV: a scoping review. AIDS Care, 1–19. https://doi.org/10.1080/09540121.2026.2624593
Ofole, N. M., & Ola, A. M. (2026). Risky Sexual Behaviour Among Adolescents in Semi-Urban Settlements in Ibadan, Nigeria: The Role of HIV/AIDS Knowledge and Emotional Intelligence. International Journal of Research and Scientific Innovation, 13(2), 2051–2063. https://doi.org/10.51244/IJRSI.2026.130200190
Paul, S., Sharma, A., Dayal, R., Mehta, M., Maitra, S., Seth, K., Nagrath, M., Ramesh, S., & Saggurti, N. (2024). Vulnerability to Sexually Transmitted Infections (STI) / Human Immunodeficiency Virus (HIV) among adolescent girls and young women in India: A rapid review. PLOS ONE, 19(2), e0298038. https://doi.org/10.1371/journal.pone.0298038
Prabhu, S. R., & van Wagoner, N. (2023). Human Immunodeficiency Virus Infection and Acquired Immunodeficiency Syndrome ( HIV / AIDS ): An Overview. In Sexually Transmissible Oral Diseases (pp. 51–71). Wiley. https://doi.org/10.1002/9781119826781.ch5
Qing, L., Wang, Y., Yang, T., Chen, X., Zhang, M., Bu, Q., Tan, B., & Deng, D. (2022). Study on HIV/AIDS knowledge, sexual attitudes, sexual behaviors, and preventive services among young students in Chongqing, China. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.982727
Saad, R. K., Khader, Y., Aqel, A. J., Satyanarayana, S., Wilson, N., & Abaza, H. (2024). HIV- related knowledge, attitude, practices, and stigma among healthcare providers caring for HIV in Jordan: Identification of several organizational challenges. Heliyon, 10(2), e24423. https://doi.org/10.1016/j.heliyon.2024.e24423
Shamu, S., Khupakonke, S., Farirai, T., Slabbert, J., Chidarikire, T., Guloba, G., & Nkhwashu, N. (2020). Knowledge, attitudes and practices of young adults towards HIV prevention: an analysis of baseline data from a community-based HIV prevention intervention study in two high HIV burden districts, South Africa. BMC Public Health, 20(1), 1249. https://doi.org/10.1186/s12889-020-09356-3
Shangase, N., Kharsany, A. B. M., Ntombela, N. P., Pettifor, A., & McKinnon, L. R. (2021). A Systematic Review of Randomized Controlled Trials of School Based Interventions on Sexual Risk Behaviors and Sexually Transmitted Infections Among Young Adolescents in Sub-Saharan Africa. AIDS and Behavior, 25(11), 3669–3686. https://doi.org/10.1007/s10461-021-03242-8
Ssali, P. W., Kintu, T. M., Kyagambiddwa, T., Karungi, I., Namuyaba, A. K., Namaseruka, R., Agaba, M., Obua, C., Wakida, E. K., & Kabakyenga, J. K. (2025). Influence of education status, age, and gender on HIV prevention awareness and preferences among youth in a rural Ugandan district: a cross-sectional study. BMC Public Health, 25(1), 3608. https://doi.org/10.1186/s12889-025-24952-x
Stewart, J. L., Wallace, D. D., Nance, A., Schalkoff, C. A., Uhrig Castonguay, B. J., Widman, L., Carey, M. P., & Golin, C. E. (2022). Validated HIV Knowledge Scales for Use with Adults and Adolescents: A Systematic Review. AIDS and Behavior, 26(5), 1695–1715. https://doi.org/10.1007/s10461-021-03521-4
Sun, J., Qiao, Y., Zhao, M., Magnussen, C. G., & Xi, B. (2023). Global, regional, and national burden of cardiovascular diseases in youths and young adults aged 15–39 years in 204 countries/territories, 1990–2019: a systematic analysis of Global Burden of Disease Study 2019. BMC Medicine, 21(1), 222. https://doi.org/10.1186/s12916-023-02925-4
Sun, X., Fan, L., Chang, C., & Shi, Y. (2020). HIV/AIDS related perception and behavior: A comparative study among college students of different majors in China. International Journal of Nursing Sciences, 7, S74–S79. https://doi.org/10.1016/j.ijnss.2020.07.010
World Health Organization. (2025). HIV data and statistics. WHO. https://www.who.int/teams/global-hiv-hepatitis-and-stis-programmes/hiv/strategic-information/hiv-data-and-statistics
Yang, C., Lv, J., Kong, X., Chu, F., Li, Z., Lu, W., & Li, X. (2024). Global, regional and national burdens of depression in adolescents and young adults aged 10–24 years, from 1990 to 2019: findings from the 2019 Global Burden of Disease study. The British Journal of Psychiatry, 225(2), 311–320. https://doi.org/10.1192/bjp.2024.69
Zhang, J., Ma, B., Han, X., Ding, S., & Li, Y. (2022). Global, regional, and national burdens of HIV and other sexually transmitted infections in adolescents and young adults aged 10–24 years from 1990 to 2019: a trend analysis based on the Global Burden of Disease Study 2019. The Lancet Child & Adolescent Health, 6(11), 763–776. https://doi.org/10.1016/S2352-4642(22)00219-X
Zhang, Y., Jin, J., Cheng, F., Zhang, X., & Xu, J. (2025). Impact of Knowledge Access on Risky Sexual Behaviors Among Chinese Youths to Improve HIV Prevention: Cross-Sectional Study. JMIR Public Health and Surveillance, 11, e68339–e68339. https://doi.org/10.2196/68339
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 MEDICA (International Medical Scientific Journal)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.




