Association between HIV/AIDS Knowledge and Risk Behaviors among African American Undergraduate Students at a Historically Black University

Objective: This study aimed to assess the association between HIV/AIDS knowledge and risk behaviors relating to HIV infection among African American undergraduate students at a Historically Black University. Methods:  A cross-sectional study method was used. A total of 400 participants were randomly selected from Jackson State University undergraduate students. This study utilized a self-administered questionnaire on HIV/AIDS knowledge and their risk behaviors. Results: Majority of the students (96.5%) had good knowledge about the disease, some respondents had some misconceptions about HIV infection. This study found no significant difference between male and female participants of this study on HIV/AIDS knowledge (χ2 = 3.05; P = 0.08). About 75.8% of respondents in this study have had at least one HIV risk behavior. HIV risk behaviors of these students were not varied by gender (χ2 = 2.76; P = 0.1). However, some students engaged in various HIV risk behaviors such as having unprotected sexual intercourse, multiple sexual partners, low and inconsistent condom use. There was an association between HIV/AIDS knowledge and risk behaviors relating to the disease (p= 0.03, Pearson’s χ2 = 5.237). Conclusions:  Majority of the students demonstrated good knowledge of the disease and practiced at least one risk behavior predisposing them to HIV infection. There was an association between HIV/AIDS knowledge and risk behaviors relating to the disease infection. This study finding has shown that good knowledge about HIV/AIDS may not translate into positive behavior change. Hence, this study calls for sustained effective youth friendly programs geared toward addressing gaps in HIV/AIDS knowledge, misconceptions of the disease and eliminating various risk behaviors identified in this study.