Risky Drinking, Risky Sex: A National Study of New Zealand University Students
Risky Drinking, Risky Sex: A National Study of New Zealand University Students
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DOI：
10.1111/acer.12175
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发表时间：
2013-11-01
影响因子：
3.2
通讯作者：
Kypri, Kypros
中科院分区：
文献类型：
--
作者：
Connor, Jennie;Psutka, Rebecca;Kypri, Kypros
背景：在许多年轻人中，性行为冒险和酗酒并存。更好地了解酒精在有健康风险的性行为中的作用将有助于制定预防策略。本研究旨在评估危险性行为与平时饮酒习惯、酒精会积极影响性行为体验的信念以及发生性行为时饮酒的关系。方法2009年4月，我们对新西兰8所大学的随机抽取的大学生进行了一项基于网络的横断面调查。收集了事件级别的数据(饮酒、伴侣类型和最后一次性交时使用避孕套)以及上下文数据(通常饮酒[AUDIT-C评分]、酗酒史、与酒精相关的性增强预期)。结果有效率为50.6%(n=2,921)。经过调查加权后，在有过性行为的受访者中，有32%的人报告他们曾饮酒，56%的人报告在最后一次性行为中使用了避孕套；10.7%的人报告他们最后一次的性行为是与非正规的伴侣发生的，并且没有使用避孕套(有风险的性行为)(12.3%的男性；9.8%的女性；p=0.159)。对于男性和女性来说，酒精性行为预期得分和当前饮酒量(AUDIT-C)得分与最后一次性行为时的饮酒量独立相关。对于男性和女性来说，当前饮酒或预期与危险性行为的关联最终通过酒精来调节。结论在导致危险性行为和负性健康结果的复杂因素中，大量饮酒似乎是重要的，并且可能是可以改变的。解决有害饮酒的环境决定因素可能会减少大学生和其他年轻人的负面性健康后果。继续推广使用避孕套也是必要的，进一步整合酒精和性健康方面的健康促进活动是必要的。
Background Sexual risk taking and heavy alcohol use coexist in many populations of young people. A better understanding of the role of alcohol in sexual behaviors with health risks will inform preventive strategies. This study aimed to estimate the associations of risky sexual behavior with usual drinking pattern, with beliefs that alcohol will positively affect sexual experiences, and with drinking at the time of the sexual event.MethodsWe conducted a cross-sectional web-based survey of randomly selected university students on 8 New Zealand campuses in April 2009. Event-level data (drinking, partner type, and condom use at last sexual intercourse) were collected along with contextual data (usual alcohol consumption [AUDIT-C score], history of binge drinking, alcohol-related sexual enhancement expectancies). Regression models were used to estimate associations and potential mediation.ResultsThe response rate was 50.6% (n=2,921). After survey weighting, of those respondents who had ever had sex, 32% reported they had been drinking and 56% reported using a condom at last sex; 10.7% reported that their last sexual intercourse was with a nonregular partner and without a condom (risky sex) (12.3% of men; 9.8% of women; p=0.159). For both men and women, alcohol-sex expectancy scores and current drinking (AUDIT-C) scores were independently associated with amount of alcohol at last sex. For both men and women, the association of current drinking or expectancy with risky sex was mediated by alcohol at last sex.ConclusionsOf the complex factors that contribute to risky sexual behavior and negative sexual health outcomes, heavy drinking appears to be important and is potentially modifiable. Addressing environmental determinants of hazardous drinking is likely to reduce negative sexual health outcomes among university students and other young people. Continuing promotion of condom use is also necessary, and further integration of health promotion activities in alcohol and sexual health is warranted.