Correlations of AIDS Knowledge, Self-esteem, Sense of Control, Optimistic Bias toward AIDS, and Condom Use among Male College Students in China

중국 남자 대학생의 에이즈 지식, 자아존중감, 자기통제감, 에이즈에 대한 낙관적 편견, 콘돔 사용의 관계

  • Received : 2018.02.24
  • Accepted : 2018.04.20
  • Published : 2018.04.28


This study investigated the correlations of the AIDS knowledge, self-esteem, sense of control, optimistic bias toward AIDS, and condom use in the Chinese male college students. A cross-sectional survey was used, and 307 male students were recruited from anonymous universities in cities of two provinces in China. The data were analyzed according to descriptive statistics, ANOVA, Pearson's correlations. The Chinese male college students had an optimistic bias toward AIDS. The score of AIDS knowledge was 73%, and the self-esteem and sense of control scores were all rated higher than the median. The difference among groups according to grade and age were statistically significant in this study. The self-esteem, sense of control, and optimistic bias toward AIDS showed significant positive correlations, but AIDS knowledge, optimistic bias, and condom use have no correlations. The studies that examine psychological variables with condom use among various groups should be followed in the Chinese context.


  1. National Health and Family Planning Commission of the People's Republic of China. (2015). 2015 China AIDS Response Progress Report.(Online).
  2. QuartzMedia. (2016). HIV infections in China are rising sharply among students, gay men, and men over 60. (Online).
  3. Financial Times. (2016). Increase in number of HIV cases in China raises concerns. (Online).
  4. WHO. (2016). CHINA-WHO Country Cooperation Strategy 2016-2020. (Online).
  5. M. B. Huang et al. (2016). Characterizing the HIV/AIDS Epidemic in the United States and China. International Journal of Environmental Research and Public Health. 13(1), 30. DOI: 10.3390/ijerph13010030
  6. S. Zha. (2016). Analysis of Current Situation of HIV Epidemic in China in the Year 2012-2015. Journal of Weinan Normal University, 31(8), 25-30. DOI: 10.15924/j.cnki.1009-5128.2016.08.005
  7. CNN. (2016). China's lack of sex education is putting millions of young people at risk.(Online).
  8. (2016).Fast-track towards ending the AIDS epidemic in China 2016.(Online).
  9. Centers for Disease Control & Prevention. (2013). Vital Signs : HIV among youth in the US. Atlanta CDC(Online).
  10. UNAIDS. (2016). Prevention Gap Report. (Online).
  11. S. D. Pinkerton, P.R. Abramson, S.C. Kalichman, S.L. Catz & Johnson-Masotti AP. (2000). Secondary HIV transmission rates in a mixed-gender sample. International Journal of STD & AIDS, 11, 38-44.
  12. H. Zou, H. Xu, X. Wang & D. Lu. (2012). Condom use in China: Prevalence, policies, issues and barriers. Sexual Health, 9, 27-33. DOI: 10.1071/SH11021
  13. Q. Kong, Y. Wang & X. Zhang. (2016). AIDS related knowledge, attitude and sexual behavior among college freshmen. Chin J Public Health. 32(9), 1252-1254. DOI: 10.11847/zgggws2016-32-09-31
  14. T. Burki. (2016). Sex education in China leaves young vulnerable to infection. The Lancet. Infectious Diseases, 16(1), 26. DOI: 10.1016/S1473-3099(15)00494-6
  15. W. C. Tung, T. D. Serratt & M. Lu. (2015). Evidence-based HIV pilot program for Chinese college studyents: Differences by gender. Nurising and Health Sciences, 17, 263-268
  16. G. M. Herek, J. P. Capitanio & K.F. Widaman. (2002). HIV-related stigma and knowledge in the United States: Prevalence and trends, 1991-1999. American Journal of Public Health, 92(3), 371-377.
  17. J. D. Fisher & W. A. Fisher. (2000). Theoretical approaches to individual-level change in HIV risk behavior. In Peterson & DiClemente (Eds.), Handbook of HIV Prevention. New York: Kluwer Academic/Plenum.
  18. K. S. Ndugwa & B. G. Berg. (2015). The association between HIV/AIDS related knowledge and perception of risk for infection: a systematic review. Perspectives in Public Health, 135(6), 299-308. DOI: 10.1177/1757913915595831
  19. L. Popova & B. L. Halpen-Felsher. (2016). A Longitudinal Study of Adolescents' Optimistic Bias about Risks and Benefits Cigarette Smoking. Am J Health Behav, 40(30), 341-351. DOI: 10.5993/AJHB.40.3.6.
  20. S. H. Lee & E. M. Ham. (2010). The Relationship between the Optimistic Bias about Cancer and Cancer Preventive Behavior of the Korean, Chinese, American, and Japanese Adult Residing in Korea. J Korean Acad Nurs, 40(1), 52-59. DOI: 10.4040/jkan.2010.40.1.52
  21. M. R. Leary & G. McDonald. (2003). Individual differences in self-esteem: A review and theoretical integration. In Leary MR, Tangney JP, editors. Handbook of Self and Identity.
  22. A. Sohn, S. Chun & E. A. Reid. (2012). Adolescent optimistic bias toward HIV/AIDS in Seoul, South Korea. Asia-Pacific Journal of Public Health, 24(5), 816-825. DOI: 10.1177/1010539511404395
  23. G. S. Seo. (2008). Health Behavior in the Aged and Related Variables. Journal of the Korean Gerontological Society, 28(4), 1201-1212.
  24. J. R. Lim, Y. K. Han & H. H. Kim. (2017). The Relationship of Acculturative Stress, Self-esteem and Oral Management Ability of Vietnam Marriage Migrant Women. Journal of the Korea Convergence Society, 8(6), 109-119. DOI: 10.15207/JKCS.2017.8.6.109
  25. C. T. F. Klein & M. Helweg-Larsen. (2002). Perceived control and the optimistic bias: A meta-analytic review. Psychology and Health, 17(4), 437-446. DOI: 10.1080/0887044022000004920
  26. S. H. Song, Y. K. Jang & J. H. Kim.(2009). The Relationship between Self-control Behavior, Social Comparison Attitude, Self-efficacy and Health Promotion Activities of College Students. Journal of Korean Public Health Nursing, 23(1), 27-39.
  27. B. C. Kim, Y. H. Choi & M. I. Choi. (2006). AIDS prevention campaign and optimistic bias: self-esteem and a sense of control as social psychological factors, The Korean Journal of Advertising, 17(2), 43-58.
  28. Korea Centers for Disease Control & Prevention. (2014). National survey on HIV/AIDS, attitudes, beliefs, and behaviors in the general population 2013, Osong: CDC,
  29. M. Y. Kwon & S. K. Jeong. (2017). Converged Study on Development and Evaluation of Sexually Transmitted Infections Knowledge Scale for Korean Adolescents. Journal of the Korea Convergence Society, 8(5), 53-60. DOI: 10.15207/JKCS.2017.8.5.053
  30. Y. Huang, Y. Ma, J. Zhou, T. Li & X. Li. (2016). The Awareness of AIDS Prevention and Treatment Knowledge Among College Students of 15 Provinces and Cities. Health Medicine Research and Practice, 13(4), 14-17.
  31. R. Xiong, H. Hu & Y. Hu. (2011). Survey and analysis of HIV/AIDS knowledge level among youth in and out of school in 12 provinces in China. Chin J AIDS STD, 17(1), 45-55. DOI: 10.13419/j.cnki.aids.2011.01.001
  32. D. Wu. (2015). A systematic review of health education intervention studies on sexually transmitted diseases on college on college students in mainland China. Master's thesis. University of Hong Kong, Hongkong.
  33. H. Zhang, et al. (2011). Predictors of consistent condom use based on the Information - Motivation - Behavioral Skills (IMB) model among female sex workers in Jinan, China. BMC Public Health, 11, 113. DOI: 10.1186/1471-2458-11-113
  34. J. D. Fisher & W. A. Fisher. (1992). Changing AIDS-risk behavior. Psychological Bulletin. 111(3), 455-474.
  35. D. Kirby. (2000). School-Based Interventions to Prevent Unprotected Sex and HIV among Adolescents, pp. 83-101, In: Peterson J.L., DiClemente R.J. (eds) Handbook of HIV Prevention. Aids Prevention and Mental Health. Springer, Boston, MA. DOI:10.1007/978-1-4615-4137-0_4
  36. L. Strunin & R. Hingson (1987). Acquired immunodeficiency syndrome and adolescents : knowledge, beliefs, attitudes, and behaviors. Pediatrics, 79(5), 825-828
  37. A. F. Brunswick & J. Banaszak-Holl. (1996). HIV risk behavior and the Health Belief Model: An empirical test in an African American community sample. Journal of Community Psychology, 24(1), 44-65.<44::AID-JCOP4>3.0.CO;2-3
  38. M.. J. Kim. (2017). The Convergence Study of Nursing Students' Knowledge, Attitude and Preventive Behaviors against MERS in South Korea. Journal of the Korea Convergence Society, 8(4), 149-157. DOI: 10.15207/JKCS.2017.8.4.149
  39. M. Helweg-Larsen & B. E. Collins. (1997). A Social Psychological Perspective on the Role of Knowledge About AIDS in AIDS Prevention. Current Directions in Psychological Science, 6, 23-26.
  40. DiClemente R.J. et al. (2008). Psychological Predictors of HIV-Associated Sexual Behaviors and the Efficacy of Prevention Interventions in Adolescents at-Risk for HIV Infection: What Works and What Doesn't Work?. Psychosomatic Medicine, 70, 598-605.
  41. S. Y. Kwon & D.S. Lee. (2018). Effect of AIDS Knowledge, Self Esteem, Sense of Control and Optimistic Bias on Condom Use among Male College Students, Journal of Digital Convergence, 16(1), 251-262. DOI: 10.14400/JDC.2018.16.1.251
  42. S. Y. Kim. (2017). Convergence Study on the Effects of Adaptation, Self-Esteem and Self-Control of University Students on Smartphone Addiction, Journal of Convergence for Information Technology, 7(6), 103-111. DOI: 10.22156/CS4SMB.2017.7.6.103
  43. W Wang, L Liu, J Zhou & N Zhou. (2006). Optimistic bias toward adis/hiv among chinese university students. Psychological Development & Education, 2006(1), 47-51.