背景:近年来,男性在年轻人中占新的HIV感染的很大比例。这项研究旨在确定与危险性行为相关的因素,包括早期的性首次亮相,多重性伴侣关系和无公寓性行为,在性活跃的男大学生中,并为量身定制的健康干预措施提供启示。
方法:横断面研究于2020年12月至2021年12月在四川省16所学院进行,中国的高危地区之一。在这项研究中分析了总共1640名报告有性经历的男大学生。多变量logistic回归分析用于确定与早期性行为相关的因素,多重性伴侣关系和无套性生活。
结果:纳入的男学生平均年龄为19.95±1.56。其中,27.74%的人早期开始性行为,48.60%的人报告了多性伴侣关系,16.52%的人在最近的性交中没有使用避孕套。年龄较小(年龄≤19,AOR=7.60,95CI:4.84-11.93;年龄20-21,AOR=3.26,95CI:2.04-5.21)和自我确定为性少数群体(AOR=2.38,95CI:1.69-3.36)的学生更有可能出现早期性行为。在少数族裔(AOR=1.79,95CI:1.33-2.41)和接受婚外性行为(AOR=1.33,95CI:1.03-1.71)的人群中,有多个性伴侣的几率更高。在最近的性交中,在对艾滋病毒有足够了解的人中,进行无避孕套性行为的可能性较低(AOR=0.63,95CI:0.44-0.89),对安全套使用效果非常有信心(AOR=0.26,95CI:0.16-0.43)和自信(AOR=0.48,95CI:0.34-0.69)。早期性首次亮相与多次性伴侣关系(AOR=3.64,95CI:2.82-4.71)和最新性交时的无避孕套性行为(AOR=1.53,95CI:1.07-2.20)呈正相关,分别。
结论:早期性首次亮相,在男大学生中,多性伴侣关系和无套性行为是相当值得关注的问题.通过开发有关艾滋病毒预防的定制信息,建议全面性教育课程,在大学期间和之前,性行为和赋予学生关于安全套使用的自信和谈判技巧。
BACKGROUND: Males have accounted for a significant share of new HIV infections among young people in the recent years. This study aimed to identify the factors associated with risky sexual behaviors, including early sexual debut, multiple sexual partnership and condomless sex, among sexually active male college students and provide implications for tailored health interventions.
METHODS: The cross-sectional study was conducted from December 2020 to December 2021 in 16 colleges that were located in Sichuan Province, one of the high-risk areas in China. Overall 1640 male college students who reported sexually experienced were analyzed in this study. Multivariable logistic regression analysis was applied to determine factors associated with early sexual debut, multiple sexual partnership and condomless sex.
RESULTS: The average age of included male students was 19.95 ± 1.56. Of them, 27.74% initiated sexual behavior early, 48.60% reported multiple sexual partnership, and 16.52% did not use condoms at the latest sexual intercourse. Students who were younger (age ≤ 19, AOR = 7.60, 95%CI: 4.84-11.93; age20-21, AOR = 3.26, 95%CI: 2.04-5.21) and self-identified as sexual minorities (AOR = 2.38, 95%CI: 1.69-3.36) were more likely to have early sexual debut. The odds of having multiple sexual partners were higher among those who were ethnic minorities (AOR = 1.79, 95%CI: 1.33-2.41) and accepted extramarital sex (AOR = 1.33, 95%CI: 1.03-1.71). The likelihood of engaging in condomless sex at the latest sexual intercourse was lower among those who had sufficient knowledgeable about HIV (AOR = 0.63, 95%CI: 0.44-0.89), were very confident in condom use efficacy (AOR = 0.26, 95%CI: 0.16-0.43) and confident (AOR = 0.48, 95%CI: 0.34-0.69). Early sexual debut was positively associated with multiple sexual partnership (AOR = 3.64, 95%CI: 2.82-4.71) and condomless sex at the latest intercourse (AOR = 1.53, 95%CI: 1.07-2.20), respectively.
CONCLUSIONS: Early sexual debut, multiple sexual partnership and condomless sex were of considerable concern among male college students. Comprehensive sex education curricula were advised by developing customized information on HIV prevention, sexuality and empowering students with assertiveness and negotiation skills with regard to condom use during and before college.