珠海市大学生安全套使用知行分离影响因素分析

Analysis of associated factors of the inconsistency for knowledge and behavior in condom use among college students in Zhuhai City

目的了解大学生安全套使用知行分离现状及影响因素,为高校开展艾滋病预防教育工作提供参考依据。方法于2019年10—12月,采用多阶段整群抽样方法收集珠海市6所高校1303名学生安全套使用知行分离情况及相关因素信息。使用χ^(2)检验和Logistic回归分析知行分离影响因素及首次性行为使用安全套的调节作用。结果大学生安全套使用知行分离报告率为41.1%。多因素Logistic回归分析显示,线下寻找性伴侣与知行分离呈负相关(OR=0.70,95%CI=0.51~0.95);首次性行为未使用安全套(OR=7.11,95%CI=5.23~9.67)、性行为前吸烟(OR=1.47,95%CI=1.07~2.02)、性行为前饮酒(OR=1.44,95%CI=1.09~1.91)、有亲密伴侣暴力史(OR=1.53,95%CI=1.13~2.07)、多性伴(OR=1.69,95%CI=1.25~2.29)与知行分离均呈正相关(P值均<0.05)。调节作用分析显示,首次性行为使用安全套在性行为前吸烟与知行分离之间存在调节作用(β=0.92,P<0.05);在首次性行为未使用安全套的学生中,性行为前吸烟与知行分离呈正相关(OR=2.76,95%CI=1.09~6.99,P<0.05),而在首次性行为使用安全套的学生中未发现性行为前吸烟与知行分离有相关性(OR=1.32,95%CI=0.92~1.88,P>0.05)。结论珠海市大学生安全套使用知行分离报告率较高。高校应尽早开展性教育活动,探索新的健康教育模式,促进其知识向行为的转化。

Objective To examine the prevalence and factors influencing the inconsistency for knowledge and behavior in condom use among college students,so as to provide suggestions for AIDS prevention and education in universities.Methods From October to December 2019,a multistage cluster sampling method was employed to collect data relating to inconsistency for knowledge and behavior in condom use and other related factors among 1303 students from six colleges in Zhuhai,China.Chi-square test and Logistic regression were performed to analyze the influencing factors and moderating effect.Results The reporting rate of in consistency of knowledge and behavior in condom use among college students was 41.1%.Multivariate Logistic regression analysis showed that seeking sexual partners offline was negatively correlated with inconsistency for knowledge and behavior in condom use(OR=0.70,95%CI=0.51-0.95).However,condom nonuse during the first sexual experience(OR=7.11,95%CI=5.23-9.67),smoking before sex(OR=1.47,95%CI=1.07-2.02),drinking before sex(OR=1.44,95%CI=1.09-1.91),history of intimate partner violence(OR=1.53,95%CI=1.13-2.07),and having multiple sexual partners(OR=1.69,95%CI=1.25-2.29)were positively correlated with inconsistency for knowledge and behavior in condom use(P<0.05).The moderating effect analysis showed that condom use during the first sexual experience had a moderating effect on smoking before sex and inconsistency for knowledge and behavior in condom use(β=0.92,P<0.05).Among students who did not use condoms during the first sexual experience,a positive correlation was observed between smoking before sex and inconsistency for knowledge and behavior in condom use(OR=2.76,95%CI=1.09-6.99,P<0.05).However,no correlation was found between smoking before sex and inconsistency for knowledge and behavior in condom use(OR=1.32,95%CI=0.92-1.88,P>0.05)among students who used condoms during the first sexual experience.Conclusion High levels of inconsistency for knowledge and behavior in condom use are found among college students in Zhuhai City.Colleges should carry out sex education activities as soon as possible,and explore new health education models to promote the transformation of their knowledge into behavior.