Sexual behavior and awareness of Chinese university students in transition with implied risk of sexually transmitted diseases and HIV infection: a cross-sectional study.

Sexual behavior and awareness of Chinese university students in transition with implied risk of sexually transmitted diseases and HIV infection: a cross-sectional study.
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DOI:
10.1186/1471-2458-6-232
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发表时间:
2006-09-18
期刊:
影响因子:
4.5
通讯作者:
Kihara M
Kihara M
中科院分区:
医学2区
文献类型:
--
作者:
Ma Q;Ono-Kihara M;Cong L;Xu G;Zamani S;Ravari SM;Kihara M

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年轻人对艾滋病毒的脆弱性和最近在中国出现的艾滋病毒流行,迫切需要评估和更新中国年轻人的艾滋病毒/性病风险状况。本研究采用横断面设计,对宁波市两所高校的22,493名大学生进行了自填式问卷调查。采用双变量趋势分析和多元Logistic回归分析比较不同年级学生的性行为和性意识。在受访者中,17.6%的男性和8.6%的女性报告性活跃。据报告,在过去一年中,35%的性活跃学生从未/很少使用避孕套。约10%的性活跃女学生和男学生的女性伴侣经历过怀孕和人工流产,约1.5%的性活跃男女学生报告被诊断患有性病。多变量分析显示,与高年级学生相比,低年级学生更有可能在大学前发生性行为、在高中前意识到性行为、在17岁之前接触色情媒体,并且对于性活跃的男女受访者来说,在不使用避孕套的情况下发生性行为。中国大学生的性行为缺乏保护,性行为和性意识可能正在发生迅速变化,变得更早和更危险。如果这一趋势继续下去,脆弱的性网络将在他们中间增长,从而使性传播疾病和艾滋病毒进一步蔓延。
The vulnerability of young people to HIV and the recent emergence of the HIV epidemic in China have made it urgent to assess and update the HIV/STD risk profile of Chinese young people. A self-administered questionnaire survey with cross-sectional design was conducted among 22,493 undergraduate students in two universities in Ningbo, China. Bivariate trend analysis and multiple logistic regression analysis were used to compare sexual behaviors and awareness between grades. Of respondents, 17.6% of males and 8.6% of females reported being sexually active. Condom was reported never/rarely used by 35% of sexually active students in both genders in the previous year. Pregnancy and induced abortion had each been experienced by about 10% of sexually active female students and the female partners of male students, and about 1.5% of sexually active students of both genders reported being diagnosed with an STD. Multivariate analysis revealed that students in lower grades, compared to those in higher grades, were more likely to have become sexually active before university, to have become aware of sex before high school, and to have been exposed to pornographic media before the age of 17 years, and for sexually active respondents of both genders, to have engaged in sex without using a condom. Sexual behaviors of Chinese university students are poorly protected and sexual behaviors and awareness may have been undergoing rapid change, becoming active earlier and more risky. If this trend continues, vulnerable sexual network will grow among them that allow more expansion of sexually transmitted diseases and HIV.
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