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

  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.