广东省10所技工与职业院校学生首次性行为与近1年性行为安全套使用情况相关性分析

Correlation between first sexual behavior and condom use in the past year among students in 10 technical and vocational schools in Guangdong Province

目的分析技工与职业院校学生首次性行为安全套使用情况与最近1年性行为的发生和安全套使用的关系,为开展有针对性的性健康教育和艾滋病防控措施提供参考依据。方法基于广东省2022年青年学生艾滋病知识、行为和自检服务需求调查对广东省内10所技工与职业院校的学生进行匿名调查,收集首次性行为安全套使用情况及最近1年性行为情况等信息;对该群体的首次性行为安全套使用情况的影响因素进行单、多因素分析。结果共纳入2173名有性经历的技工与职业院校学生,1573人(72.4%)首次性行为时全程使用安全套。1895人(87.2%)近1年发生了插入式性行为,最近1年每次性行为均使用安全套率为69.9%(1325/1895)。调整了人口学因素后的多因素分析结果显示,首次性行为使用安全套的学生物质滥用的倾向更小(OR=0.23),在最近1年发生性行为(OR=1.72)和与固定性伴发生性行为(OR=1.72)的可能性较高,在最近1年性行为(OR=10.10)、最近1年与固定性伴(OR=12.06)、临时性伴(OR=8.95)、商业性伴(OR=8.76)发生性行为时更倾向每次使用安全套。结论广东省技工与职业院校学生首次性行为安全套全程使用率高于全国青年学生群体,但仍低于广东省高校类型学生,良好的首次性行为习惯可以促使学生后续性行为选择固定性伴、采用安全措施,技工与职业院校需提供更高质量的性健康教育以保障学生的性健康。

Objective To analyze the correlation between condom use in the first sexual behavior and the occur‐rence of sexual behavior and condom use in the past year among students in technical and vocational schools,and to pro‐vide reference for targeted sexual health education and HIV/AIDS prevention and control measures.Methods Based on the survey of HIV/AIDS knowledge,behavior and self‐testing service needs of young students in Guangdong Province in 2022,an anonymous survey was conducted among students from 10 technical and vocational schools in Guangdong Prov‐ince.The information about condom use in the first sexual behavior and sexual behavior in the past year was collected.Uni‐variate and multivariate unconditional logistic regression analysis were used to analyze the situation of condom use in the first sexual behavior and the dependent variables.Results A total of 2173 students who had sexual experience were in‐cluded in this study.Among them,1573(72.4%)students used condoms at their first sexual intercourse.A total of 1895(87.2%)students had penetrative sex in the past year,and the rate of condom use was 69.9%(1325/1895).After adjusting for demographic factors,multivariate analysis showed that students who used a condom for the first sexual behav‐ior were less likely to use substance abuse(OR=0.23),and were more likely to engage in sexual activity in the past year(OR=1.72)and engage in sexual activity with a regular partner(OR=1.72).And,they were more likely to use condoms every time they had sex(OR=10.10),with a regular partner(OR=12.06),with a casual partner(OR=8.95),and with a commercial partner(OR=8.76)in the past year.Conclusions The rate of condom use in the first sexual be‐havior among technical and vocational school students in Guangdong Province is higher than that of the young students in the whole country,but still lower than that of school students in our province.Good first sexual behavior habits can promote students to choose regular sexual partners and adopt safety measures.Technical and vocational schools need to provide higher quality sexual health education to protect students’sexual health.