浙江省455名男性大学生的临时异性性行为特征分析

陈卫永; 马瞧勤; 陈婉君; 周欣; 陈琳; 姜婷婷; 王憓

doi:10.3784/jbjc.202010150353

浙江省455名男性大学生的临时异性性行为特征分析

Characteristics of 455 male college students who have casual heterosexual behavior in Zhejiang

摘要

摘要:
目的了解浙江省男性大学生的临时异性性行为特征，为高校男性大学生艾滋病防控提供依据。
方法采用分层整群抽样方法，于2018年在浙江省11个市13所高校，并选取自述最近1年有临时异性性行为的男性大学生为调查对象。使用自制的网络调查问卷，收集调查对象的人口学特征、性态度、性行为发生情况、接受干预情况等信息。
结果共调查最近1年有临时异性性行为的男性大学生455人，年龄为（20.09±1.38）岁，发生临时异性性行为占有性行为经历男生的16.6%。研究对象中接受一夜情和商业性行为分别为78.0%和53.4%，最近1年接受学校艾滋病检测宣传为67.5%，想知道对方艾滋病感染情况的占51.3%，自觉有感染艾滋病风险的占11.8%；寻找临时性伴通过网络、娱乐场所和其他途径分别为33.3%、29.1%和37.6%，临时性伴数量≥2个的达60.4%，临时性伴含社会人员的占33.8%，酒后临时性行为和商业性行为发生率分别为45.0%和26.4%，接受艾滋病自愿咨询检测的为8.4%，发生性行为前讨论过安全套使用和发生性行为时每次使用安全套分别为72.7%和40.1%；最近1年与固定性伴发生性行为及安全套每次使用分别为67.5%和35.9%。
结论有临时异性性行为的男性大学生存在性态度开放程度高，酒后性行为、商业性行为和网络寻找多性伴等危险行为，安全套使用率不高、艾滋病病毒抗体检测率低等情况。应采取多措并举的预防艾滋病宣教干预形式，倡导安全性行为，减少艾滋病对大学生的危害。

Abstract:
Objective To understand the characteristics of male college students who have casual heterosexual behavior and providing evidence for the prevention and control AIDS in male college students.
Methods Stratified cluster random sampling was conducted among male students who had casual heterosexual behavior from 13 colleges and universities in Zhejiang province in 2018. Self-reported internet questionnaire was used to collect the information about the students’ demographic characteristics, sexual attitude, sexual behavior, intervention acceptance and so on.
Results A total of 455 male college students who had casual heterosexual behaviors in past year were surveyed. The average age was (20.09±1.38) years old. The proportion of having casual heterosexual behavior to having sexual behavior was 16.6%. The proportion of one night sex and commercial sex were 78.0% and 53.4%. The rate of receiving college HIV testing intervention and education in past year was 67.5%. The proportion of willing to know HIV infection status of sexual partner was 51.3%. The proportion of being aware of HIV infection risk was 11.8%. The proportions of seeking casual sexual partners through internet, entertainment venues or other ways were 33.3%, 29.1% and 37.6%. The proportion of having two or more casual sexual partners was 60.4%. The proportion of having social personnel as casual sexual partners was 33.8%. The proportions of having casual sex and commercial sex after drinking were 45.0% and 26.4%. The rate of receiving HIV voluntary counseling & testing (VCT) service was 8.4%. The proportions of condom use discussion and condom use at each sex were 72.7% and 40.1%. The proportions of having sex with regular sexual partner and condom use at each sex in past year were 67.5% and 35.9%.
Conclusion Male college students with casual sexual behavior were characterized by active sexual attitude, sexual behavior after drinking, commercial sexual behavior and seeking sex through internet and others. In addition, poor condom use and poor HIV testing awareness were also existed. Therefore, HIV health intervention and education, safe sexual behavior and degrade HIV harm to college students are needed.

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