BackgroundThe availability of oral fluid HIV rapid testing provides an approach that may have the potential to expand HIV testing in China, especially among most-a-risk populations. There are few investigations about the acceptability of oral fluid HIV testing among most-at-risk populations in China.MethodA cross-sectional study with men who have sex with men (MSM), female sex workers (FSW) and voluntary counseling and testing (VCT) clients was conducted in three cities of Shandong province, China from 2011 to 2012. Data were collected by face-to-face questionnaire.ResultsAbout 71% of participants were willing to accept the oral fluid HIV rapid testing, and home HIV testing was independently associated with acceptability of the new testing method among MSM, FSW and VCT clients (AOR of 4.46, 3.19 and 5.74, respectively). Independent predictors of oral fluid HIV rapid testing acceptability among MSM were having ever taken an oral fluid HIV rapid test (AOR= 15.25), having ever taken an HIV test (AOR= 2.07), and education level (AOR= 1.74). Engagement in HIV-related risk behaviors (AOR= 1.68) was an independent predictor of acceptability for FSW. Having taken an HIV test (AOR= 2.85) was an independent predictor of acceptability for VCT clients. The primary concern about the oral fluid HIV testing was accuracy. The median price they would pay for the testing ranged from 4.8 to 8.1 U.S. dollars.ConclusionHigh acceptability of oral fluid HIV rapid testing was shown among most-at-risk populations. Findings provide support for oral rapid HIV testing as another HIV prevention tool, and provide a backdrop for the implementation of HIV home testing in the near future. Appropriate pricing and increased public education through awareness campaigns that address concerns about the accuracy and safety of the oral fluid HIV rapid testing may help increase acceptability and use among most-at-risk populations in China.

BackgroundIt has been reported that the prevalence of chronic diseases is high among old people and they have poor chronic diseases knowledge. This study was therefore designed to evaluate the awareness rate of chronic diseases knowledge among people aged over 60 years, to explore its related factors and to provide evidence for future health education.MethodsA cross-sectional study was conducted from April to August in 2011. People aged 60 years and above from 3 communities in Jinan were selected by cluster sampling. Nine hundred and twenty five participants were interviewed face-to-face using a structured questionnaire.ResultsThe awareness rates of chronic diseases knowledge varied from 29.5% to 90.2%. Four healthy lifestyles including quitting smoking and less drinking, keeping broad-minded, maintaining balanced diet and moderate physical activity were best known (from 86.3% to 90.2%). The least known knowledge were 2 complications of hypertension: nephropathy (29.5%) and retinopathy (37.2%). Participants with the following characteristics or behaviors were more likely to have higher chronic diseases knowledge: younger age, female, Han Chinese, higher level of education, having health insurance, participating in societies, having family history of chronic diseases, frequently gathering with friends/relatives, usually going to provincial hospitals/hospitals affiliated with medical universities, usually going to municipal hospitals and usually going to community health center/station.ConclusionsOld people in Jinan had incomplete chronic diseases knowledge and the overall awareness rate was not high. The older people’s chronic diseases knowledge should be improved and health education programs should target males, older people with lower educational level, having no health insurance, having no family history of chronic diseases, participating in no societies, and less frequently gathering with friends/relatives. Also, lower level medical facilities should improve their skills of health education.

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China has set up ecological protection and high-quality development of the Yellow River Basin as its national strategy. However, the fragile natural ecosystem and intensive human disturbances pose challenges to it. This study evaluates habitat quality change and analyzes its drivers in a representative county of this region, aiming to provide scientific basis for ecological protection and sustainable development. We took Liulin, a representative county of middle Yellow River Basin as the study area and evaluated the spatiotemporal variation of habitat quality from 2000 to 2020 with the InVEST model. Further, the influencing factors of habitat quality pattern were explored using GeoDetector, and their gradient ranges dominating the habitat quality change were determined by gradient analysis. The results showed that: (1) Areas of low and medium-low habitat quality grades were distributed interactively in the whole county; medium grade areas were scattered in the northeast and southwest parts of the county; and medium-high and high grades area were distributed sporadically along the Yellow River and its branches. (2) Habitat quality of the county almost unchanged from 2000 to 2010. However, from 2010 to 2020, with the rapid expansion of construction land (increased by 9.62 times), the area proportion of medium, medium-high, and high habitat quality grades decreased from 7.01% to 5.31%, while that of low and medium-low habitat quality grades increased from 92.99% to 94.69%. (3) The habitat quality was influenced by multiple natural-human factors. The main influencing factor was land use, followed by elevation. (4) Most changes of habitat quality occurred in areas with lower elevation, gentler slope, and higher vegetation coverage, which were affected by intensive human activities. These results suggest that in future land use policy making and, the construction land expansion in Liulin County should be restricted and differentiated ecological protection and restoration strategies should be implemented in areas with different habitat quality.