南京市大学生性行为及影响因素分析

Investigation on influencing factors of sexual behaviors among college students in Nanjing

目的了解大学生性行为现状及主要影响因素,为针对性地开展大学生艾滋病及性健康教育提供依据。方法采用逐级整群抽样,选取江苏省南京市5所高校3238名大学生进行自填式问卷调查,对90名大学生进行个人定性访谈。结果10.7%的大学生有过性行为,其中33.4%有多性伴,性行为不坚持使用安全套者占70.0%,13.5%自己或性伴有流产经历。多因素分析表明,大学生性行为与城市生源、高年级、艺术专业、登陆色情网站、接受婚前性行为等因素呈正相关(P<0.01)。定性调查显示,大学生对婚前性行为的认识呈多元化,但只有少数人将其与健康问题相联系。结论应加强大学生艾滋病、性健康教育及行为干预工作。

Objective To describe the status of sexual behaviors and its influencing factors among college students in Nanjing, and to provide scientific reference for carrying out AIDS and sex health education. Methods A self - administered questionnaire survey was conducted among 3238 students chosen from five universities in Nanjing by cluster multistage sam- pling. Face to face interview was done in 90 students for qualitative analysis. Results 10.7 % of students had sex experiences. 70.0% of sexually active students did not use condom every time and 33.4% had more than one sexual partner. 13.5 % of sexually active students or their partner had the experience of abortion. Logistic regression analysis showed that the sexual behaviors positively correlated with the urban students, senior class, art college students, logging in sexy website and approving of premarital sex（ P 〈 0.01）. The qualitative results showed that though the cognition of premarital sexual behavior presented diversified trend, few students recognized the relationship between the premarital sexual behavior and the health problem. Conclusion It is important to provide college students with AIDS and sex health education and behavior intervention.