上海市大学生校内免费安全套使用意愿及影响因素

Analysis of willingness and influencing factors of on-campus free condom using among college students in Shanghai

目的 了解上海市在校大学生校内免费安全套使用意愿及影响因素,为优化相关公共医卫服务提供依据,预防大学生性病传播以保障生育人口生殖健康。方法 对上海市62所专科及本科院校共14 612名在校大学生进行横断面调查,调查校内提供的免费安全套使用现状和个人看法,运用多因素logistic回归分析模型分析大学生校内免费安全套的使用意愿及影响因素。结果 3 594例有过性行为的在校大学生校内免费安全套的使用意愿率为27.30%(981例),其中3 538例有效样本的使用率为9.04%(320例);性别、安全套使用经验、校内免费安全套使用经验、安全套日常负担成本、免费安全套评价与校内免费安全套的使用意愿差异均有统计学意义(均有P<0.001),男性(OR=1.412,95%CI:1.001~1.189)、使用过校内免费安全套的(OR=2.079,95%CI:1.114~1.522)、对校内免费安全套评价较好的及认为安全套日常负担成本较低的使用意愿较高。保证产品质量占比86.22%、加大宣传占比61.42%,这两项是提高免费安全套吸引力的主要措施。结论 上海市大学生的校内免费安全套使用率较低、使用意愿不强。应改进免费安全套品质、完善校内免费安全套发放渠道、提高免费安全套认可度和接受度、实现高校免费药具服务的有效供给。

Objective To investigated the willingness and influencing factors of on-campus free condoms using among college students in Shanghai, and protecting the reproductive health of college students, as well as provide a scientific basis for improving national “Free contraceptive services”. Methods A cross sectional survey was conducted. A total of 14 612 college students of various degreess in 62 colleges in Shanghai was selected as participants. And their usage and personal perceptions were analyzed. Multivariate logistic regression was used to analyze the influencing factors of willingness to use on-campus free condoms. Results A total of 3 594 who had sex were investigated, including 981 who had willingness to use on-campus free condoms, with the utilization rate of 27.30%. 320 had used on-campus free condoms including, with the utilization rate of 9.04% in 3 538 valid respondents. Logistic regression analysis demonstrated that gender, condoms used or not, on-campus free condoms used or not, the daily cost of condoms, and the evaluation of on-campus free condoms(all P<0.001) were statistically significant in relation to influencing factors of the on-campus free condom using willingness. Men(OR=1.412, 95% CI:1.001-1.189),those who had used on-campus free condoms(OR=2.079, 95% CI:1.114-1.522), those who had higher evaluation of on-campus free condoms lower daily cost of condoms had higher willingness. Ensuring quality and increasing publicity were the main measures to improve the attractiveness of on-campus free condoms. Conclusions The quality and the distribution of free condoms should be improved to increase the recognition and acceptance of free condoms to achieve an effective supply of national “Free contraceptive services” on campus.