浙江省男大学生发生临时异性性行为的相关调查分析

Investigation and analysis of casual heterosexual behavior among male college students in Zhejiang Province

目的了解浙江省男大学生临时异性性行为的相关特征。方法采用随机抽样方法,于2018年在浙江省11个市13所高校选取2446名有异性性行为男大学生为调查对象。使用自制的网络调查问卷,收集调查对象的人口学特征、性态度、性行为特征、宣教干预及性伴情况等信息,对有临时性行为组与无临时性行为组别间的构成比采用率差比较。结果2446名异性性行为男生中,有临时性行为组455名,年龄(20.09±1.38)岁;无临时性行为组1991名,年龄(20.24±1.41)岁。有临时性行为组学生年龄≤19岁(34.3%,156/455)、来自城镇/城市(43.5%,198/455)、月生活费≤1000元(29.9%,136/455)和≥1501元(40.4%,184/455)、最近1年接受过学校艾滋病检测等宣传(67.5%,307/455)、最近1年接受过学校开展的艾滋病风险自我评估(48.1%,219/455)、接受一夜情(78.0%,355/455)、接受商业性行为(53.4%,243/455)、发生性行为时安全套使用自我效能测量非常有信心(42.2%,183/434)、最近1年接受过艾滋病自愿咨询检测(8.4%,38/455)比例均高于无临时性行为组(P=0.036、0.010、0.038、0.009、0.002、<0.001、<0.001、<0.001、0.002和0.002);年级为大四(10.1%,46/455)、月生活费1001~1500元(29.7%,135/455)、日常生活和学习接触会传播艾滋病(80.2%,365/455)、坚持正确使用安全套可以减少感染和传播艾滋病的风险(95.2%,433/455)、发生高危性行为后应主动寻求艾滋病咨询与检测(93.8%,427/455)、发生性行为时安全套使用自我效能测量没有信心(22.8%,99/434)比例均低于无临时行为组(P<0.001、<0.001、<0.001、=0.006、0.019和0.004)。结论浙江省有异性性行为的男大学生中有较高的临时性行为发生率。有临时性行为组男生存在性态度开放程度高、知行不一致、HIV检测率低、与固定性伴发生性行为时安全套使用率低等现象。

Objective To understand the characteristics associated with casual heterosexual behavior among male college students in Zhejiang.Methods A random sampling method was used to select 2446 male university students with heterosexual behavior from 13 universities in 11 cities of Zhejiang Province in 2018 as survey respondents.A self-developed online questionnaire was used to collect information on the demographic characteristics,sexual attitudes,sexual behavior,education and interventions,and sexual partners of the respondents.Rate differences were used to compare the differences between the group with casual sexual behaviour and the group without casual sexual behaviour.Results Among the 2446 heterosexual male students,455 students had casual sexual behaviour with the age of(20.09±1.38)years,and 1991 students had not engaged in casual sexual behaviour with the age of(20.24±1.41)years.The proportions of students with casual sex who were≤19 years old(34.3%,156/455),from urban areas(43.5%,198/455),had a monthly living expense≤1000 yuan(29.9%,136/455)or≥1501(40.4%,184/455),had received publicity such as HIV testing in school in the last year(67.5%,307/455),had received self-assessment of HIV risk in school in the last year(48.1%,219/455),had engaged in one-night stands(78.0%,355/455),had engaged in commercial sex(53.4%,243/455),had high self-efficacy for using condom during sex(42.2%,183/455),and had accepted voluntary HIV counseling and testing in the last year(8.4%,38/455)were significantly higher than those in students without casual sex(P=0.036,0.010,0.038,0.009,0.002,<0.001,<0.001,<0.001,0.002 and 0.002).The proportions of students in the fourth year of college(10.1%,46/455),with a monthly living expense between 1001 and 1500 yuan(29.7%,135/455),who believed that daily life and learning could lead to HIV transmission(80.2%,365/455),who knew that correct and consistent condom use could reduce the risk of HIV infection and transmission(95.2%,433/455),who knew that seeking HIV counseling and testing after engaging in high-risk behavior(93.8%,427/455),and who had no self-efficacy for using condom during sex(22.8%,99/434)were lower than those in the group without casual sexual behavior(P<0.001,<0.001,<0.001,=0.006,0.019 and 0.004).Conclusions The prevalence of casual sexual behavior is high among male college students engaged in heterosexual behavior in Zhejiang.Those who engage in casual sexual behavior have a more open attitude toward sex,inconsistent knowledge and behavior,lower HIV testing rates,and lower condom use during sex with regular partners.