陈卫永, 马瞧勤, 周欣, 陈婉君, 姜婷婷, 王憓, 郭志宏, 柴程良. 浙江省424名有异性临时性行为男大学生安全套使用情况及影响因素分析[J]. 疾病监测, 2022, 37(4): 492-497. DOI: 10.3784/jbjc.202107230414
引用本文: 陈卫永, 马瞧勤, 周欣, 陈婉君, 姜婷婷, 王憓, 郭志宏, 柴程良. 浙江省424名有异性临时性行为男大学生安全套使用情况及影响因素分析[J]. 疾病监测, 2022, 37(4): 492-497. DOI: 10.3784/jbjc.202107230414
Chen Weiyong, Ma Qiaoqin, Zhou Xin, Chen Wanjun, Jiang Tingting, Wang Hui, Guo Zhihong, Chai Chengliang. Analysis on condom use in 424 male college students with casual heterosexual behaviors in Zhejiang[J]. Disease Surveillance, 2022, 37(4): 492-497. DOI: 10.3784/jbjc.202107230414
Citation: Chen Weiyong, Ma Qiaoqin, Zhou Xin, Chen Wanjun, Jiang Tingting, Wang Hui, Guo Zhihong, Chai Chengliang. Analysis on condom use in 424 male college students with casual heterosexual behaviors in Zhejiang[J]. Disease Surveillance, 2022, 37(4): 492-497. DOI: 10.3784/jbjc.202107230414

浙江省424名有异性临时性行为男大学生安全套使用情况及影响因素分析

Analysis on condom use in 424 male college students with casual heterosexual behaviors in Zhejiang

  • 摘要:
      目的   了解浙江省有异性临时性行为男大学生坚持使用安全套情况与影响因素,为高校男大学生艾滋病防控提供依据。
      方法   2018年采用分层整群抽样方法选取浙江省11个市13所高校大学生,开展问卷调查,其中自述有异性临时性行为且告知安全套使用情况的男大学生作为本次研究对象。 收集研究对象的人口统计学特征、性态度、性行为特征、接受干预情况、安全套使用效能等资料。 采用SPSS 21.0软件进行统计学分析。
      结果   共调查424名有异性临时性行为男大学生,年龄(20.08±1.34)岁,占有性行为男大学生的15.91%;其中发生异性临时性行为时坚持使用安全套的170名(40.09%)。 多因素分析显示,年龄为20~21岁较≤19岁组(aOR=2.52,95% CI:1.47~4.30),知晓“通过外表可以判断一个人是否感染艾滋病”(aOR=2.46,95% CI:1.28~3.71),临时性伴为学校学生(aOR=2.08,95% CI:1.08~4.01),社会人员(aOR=3.32,95% CI:1.41~7.78)较学生+社会人,通过非网络寻找临时性伴较网络(aOR=2.18,95% CI:1.29~3.70),没有发生过酒后临时性行为较有(aOR=2.62,95% CI:1.56~4.40),安全套使用自我效能测量非常有信心较没有(aOR=1.99,95% CI:1.04~3.81),是有异性临时性行为男大学生坚持使用安全套的保护因素。
      结论   男性大学生存在一定比例的异性临时性行为、安全套使用比例不高、酒后性行为、网络寻找性伴及性伴复杂多样等高危性行为。 在艾滋病防治中,要注重宣教干预的多措并举,提高正确使用安全套比例。

     

    Abstract:
      Objective   To understand condom use and related factors in male college students with casual heterosexual behaviors in Zhejiang provinceand provide evidence for development of HIV/AIDs prevention strategy in male college students.
      Methods   Stratified cluster random sampling survey was conducted among male students with casual heterosexual behaviors from 13 colleges and universities in Zhejiang in 2018. The information about their demographic characteristics, sexual attitude, sexual behaviors, intervention acceptance, condom use status were used in the data analysis by using software SPSS 21.0.
      Results   A total of 424 college male students with casual heterosexual behaviors and mean age of 20.08±1.34 years were included in the study, , accounting for 15.91% of all male college students, and 40.09% of them (170 male students) used condoms in all casual heterosexual behaviors. Multivariate analysis showed being ages 20–21 years (compared with being aged 19 years) (aOR=2.52, 95% CI: 1.47–4.30), knowing to evaluate a person whether infected with HIV from appearance” (aOR=2.46, 95% CI: 1.28–3.71), sex with student casual sexual partners (aOR=2.08, 95% CI: 1.08–4.01), sex with social person (aOR=3.32, 95% CI: 1.41–7.78) (compared with having sex with students and social persons), seeking casual sexual partners through other ways(compared with seeking casual sexual partners through internet) (aOR=2.18, 95% CI: 1.29–3.70), non-post drinking casual sexual behavior compared with causal sex after drinking (aOR=2.62, 95% CI: 1.56–4.40) having confidence with condom use after self-efficacy test (aOR=1.99, 95% CI: 1.04–3.81) were the protected factors related with condom using in male students who have casual heterosexual behaviors.
      Conclusion   Some male college students had high risk sex behaviors in this study, including casual heterosexual behavior, poor condom using, sexual behavior after drinking, seeking sexual partners through internet, and varied sexual partners. Further health education and intervention are needed for promoting condom using in male college students.

     

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