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

  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.