Premarital Sexual Behavior among male college students of Kathmandu, Nepal (Retracted article. See vol. 23, 2023)
Premarital Sexual Behavior among male college students of Kathmandu, Nepal (Retracted article. See vol. 23, 2023)
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DOI：
10.1186/1471-2458-9-241
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发表时间：
2009-07-15
影响因子：
4.5
通讯作者：
Tamang, Jyotsna
中科院分区：
文献类型：
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作者：
Adhikari, Ramesh;Tamang, Jyotsna
背景：在尼泊尔，和其他亚洲国家一样，性问题仍然是一个禁忌。尽管如此，尼泊尔学生举报的性行为却越来越多。这一趋势应得到认真和及时的关注。由于婚前性行为问题的敏感性，青年在生殖健康方面得不到足够的教育、指导和服务。本文的主要目的是探讨大学男性的性行为，特别是关注婚前性行为的患病率，并调查影响婚前性行为的因素。方法：于2006年4 - 5月对在校大学生进行横断面调查。573名男学生完成了一份自我管理的调查问卷。婚前性行为与解释变量之间的关联在双变量分析中使用卡方检验进行评估。使用多变量逻辑分析进一步探讨相关性。结果：尽管有宗教和文化的限制，大约五分之二的受访者（39%）报告说他们有过婚前性行为。该研究还表明，相当比例的学生沉迷于性活动和危险的性行为。与商业性工作者发生性行为、与多个性伴侣发生性行为以及与非固定性伴侣不一致使用安全套在学生中很常见。不到五分之二的男生（57%）在第一次性交时使用安全套。婚前性行为的流行程度因环境不同而不同。与15-19岁的年轻学生相比，年龄在20岁及以上的年长学生更有可能发生婚前性行为。对婚姻中男性贞操持自由态度的男性发生婚前性行为的可能性几乎是对婚姻中男性贞操持保守态度的男性的两倍。此外，那些信仰印度教的学生发生婚前性行为的可能性是信仰其他宗教的学生的两倍多（OR = 2.5）。此外，那些有过婚前性行为的亲密未婚朋友的男性，性活跃的可能性是那些没有这种性活跃朋友的男性的8倍（OR = 8.4）。结论：尼泊尔婚前性行为和危险性行为普遍存在。青少年因其性行为而暴露于健康危害；因此应该提供性教育。以学校或大学为基础的性教育甚至可以使辍学的年轻人受益，因为他们的伴侣通常是学生。
Background: In Nepal, as in other Asian countries, the issue of sexuality still remains a taboo. Despite this fact, an increasing number of sexual activities is being reported by Nepalese students. This trend warrants serious and timely attention. Due to the sensitivity of the topic of premarital sexuality, youth receive inadequate education, guidance and services on reproductive health. The main objectives of this paper are to explore the sexual behavior especially focusing on prevalence of premarital sex among college men and to investigate the factors surrounding premarital sexual behavior.Methods: A cross-sectional survey of college students was conducted in April-May 2006. A self-administered questionnaire was completed by 573 male students. Association between premarital sex and the explanatory variables was assessed in bivariate analysis using Chi-square tests. The associations were further explored using multivariate logistic analysis.Results: Despite the religious and cultural restrictions, about two-fifths of survey respondents (39%) reported that they have had premarital sex. The study has also shown that substantial proportions of students indulge in sexual activities as well as risky sexual behavior. Sex with commercial sex workers, multiple sex partners, and inconsistence use of condom with non-regular partner was common among the students. Less than two in five male students (57%) had used condom at the first sexual intercourse.The prevalence of premarital sex varied on different settings. Older students aged 20 and above were more likely to have premarital sex compared with younger students aged 15-19. Men who had liberal attitude towards male virginity at marriage were almost two times more likely to have engaged in premarital sex compared to their counterparts who have conservative attitude towards male virginity at marriage. Moreover, those students who believe in Hindu religion were more than two times (OR = 2.5) more likely to have premarital sex compared with those who follow other religions. Furthermore, those men who have close unmarried friends who have experienced premarital sexual intercourse were eight times (OR = 8.4) more likely to be sexually active compared to those who did not have such sexually active friends.Conclusion: Prevalence of premarital sexual intercourse and risky sexual behavior are not uncommon in Nepal. Young people are exposed to health hazards due to their sexual behavior; hence sex education should be provided. School or college based sexuality education could benefit even out-of-school youths, because their partners often are students.