广东省青年学生非固定性伴性行为安全套使用情况及相关因素分析

doi:10.12183/j.scjpm.2023.1268

摘要/Abstract

摘要： 目的了解广东省青年学生发生非固定性伴性行为时的安全套使用情况及相关因素。方法以广东省16所高校和技工院校为研究现场,采用非概率抽样中的方便抽样方法收集青年学生信息,采用logistic回归分析法分析其发生非固定性伴性行为时安全套使用情况及相关因素。结果 1 013名发生过非固定性伴性行为的青年学生纳入调查,其中16~19岁450人（44.42%）,男性757人（74.73%）,575人（56.76%）发生非固定性伴性行为时坚持使用安全套。性别、学校类型、月均生活费、独生子女、在校住宿、自报性取向、开始接受艾滋病相关健康教育学段、艾滋病知晓情况、首次性行为年龄、最近1年发生性行为时精神活性物质使用情况、最近1年固定性伴性行为安全套使用情况不同的青年学生,发生非固定性伴性行为时坚持使用安全套的率差异均有统计学意义（P<0.05或P<0.01）。logistic回归分析结果显示,独生子女（OR=0.623）、最近1年性行为使用精神活性物质者（OR=0.350）、最近1年固定性伴性行为未坚持使用安全套（OR=0.159）的青年学生发生非固定性伴性行为时坚持使用安全套的可能性更低;最近1年有固定性伴性行为且坚持使用安全套（OR=6.845）的青年学生非固定性伴性行为中坚持使用安全套的可能性较高。结论广东省青年学生发生非固定性伴性行为时安全套使用比例不高,应重点关注独生子女、最近1年发生性行为时使用精神活性物质者、在固定性伴性行为中未坚持使用安全套者,并采取针对性宣传干预等措施提升其风险意识、减少不安全性行为。

关键词: 青年学生, 非固定性伴, 性行为, 安全套

Abstract: Objective To understand the usage of condoms and related factors among young students engaging in non-regular sexual partner behaviors in Guangdong Province. Methods The research was conducted in 16 universities, technical schools, and vocational colleges in Guangdong Province. The convenient sampling method of non-probability sampling was used to collect information from young students, and their adherence to condom usage during non-regular sexual partner behaviors and related factors were analyzed by logistic regression analysis. Results A total of 1 013 young students engaging in non-regular sexual partner behaviors were surveyed, of them 44.42% （450/1 013） were 16 to 19 years old, 74.73% （757/1 013） were males, 56.76% （575/1 013） reported consistent condom usage during non-regular sexual partner behaviors. The differences in condom usage during non-regular sexual partner behaviors were statistically significant across different genders, school types, average monthly living expenses, only child status, living arrangements on campus, self-reported sexual orientation, stages of AIDS-related health education, AIDS awareness, age of first sexual encounter, use of psychoactive substances during sexual activity in the past year, engaging in regular sexual behaviors and condom usage during such behaviors in the past year （P < 0.05 or P < 0.01）. logistic regression analysis revealed that being an only child （OR=0.623）, use of psychoactive substances during sexual activity in the past year （OR=0.350）, and failure to consistently use condoms during regular sexual partner behaviors in the past year （OR=0.159） were associated with a lower likelihood of using condoms during non-regular sexual partner behaviors; consistently use condoms during regular sexual partner behaviors in the past year （OR=6.845） was associated with a higher likelihood of using condoms during non-regular sexual partner behaviors. Conclusions The proportion of condom usage in non-regular sexual partner behaviors remains low among young students in Guangdong Province. Attention should be paid to only children, those who have used psychoactive substances during sexual activity in the past year, and those engaging in regular sexual partner behaviors but not consistently using condoms. Targeted measures such as propaganda and intervention should be strengthened to enhance their risk awareness and reduce unsafe sexual behavior.

Key words: Young student, Non-regular sexual partner, Sexual behavior, Condom

中图分类号:

R183.7

黎健荣, 李艳, 徐慧芳, 潘丝媛, 谢仕兰, 刘珺, 揭宇, 蒋子妮, 姚芷潞, 王雅涛, 陈柳言, 杨放. 广东省青年学生非固定性伴性行为安全套使用情况及相关因素分析[J]. 华南预防医学, 2023, 49(10): 1268-1272.

LI Jianrong, LI Yan, XU Huifang, PAN Siyuan, XIE Shilan, LIU Jun, JIE YU, JIANG Zini, YAO Zhilu, WANG Yatao, CHEN Liuyan, YANG Fang. Analysis of condom use and related factors among young students engaging in non-regular sexual partner behaviors in Guangdong Province[J]. South China Journal of Preventive Medicine, 2023, 49(10): 1268-1272.

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