摘要
目的:了解北京市大学生不安全性行为的现状及相关危险因素,为制定有针对性的干预措施提供依据。方法:在"北京市关爱青少年生殖健康综合防治项目"的4个试点区采用方便抽样的方法调查未婚大学生1069名。采用自行设计的问卷调查大学生的性行为、避孕方法等情况,分析不安全性行为的相关因素。结果:大学生婚前性行为发生率为13.2%。非意愿首次性行为发生率为10.9%。首次性行为不避孕者占31.9%,采用低效避孕措施者占18.3%。最近一次性行为不避孕者占11.6%,采用低效避孕措施占18.8%。多性伴行为发生率为25.7%。多因素分析显示,在首次性行为和近期性行为中,年龄较小的大学生发生避孕措施不当的风险较高(OR=3.631,95%CI 1.600~8.240;OR=2.807,95%CI 1.146~6.879)。女大学生发生非意愿首次性行为的风险高于男性(OR=3.596, 95%CI 1.045~12.379)。结论:大学生不安全性行为问题形势严峻,应加强对年龄偏低的大学生及女大学生的关注。
Objective:To explore the status and relative factors of unsafe sex among college students in Beijing,and to provide evidence for the development of targeted interventions.Methods:1069 unmarried college students were selected from four project districts of the comprehensive prevention and treatment project for adolescent reproductive health care of Beijing by convenience sampling method.Reproductive health information,such as sexual behaviors and contraceptive methods,of college students were collected by self-designed questionnaires,and the relative factors of unsafe sex were analyzed.Results:The incidence of premarital sexual behavior of college students was 13.2%,and the incidence of the non-consensual in the initial sexual behavior was 10.9%.The proportion of college students without contraception and with improper contraception in the initial sexual behavior were 31.9%and 18.3%.The proportion of college students without contraception,with improper contraception,and with different sexual partner in the recent sexual behavior were 11.6%,18.8%,and 25.7%.Multivariate analysis results showed,younger college students had higher risk of improper contraceptive methods usage in the initial and recent sexual behaviors(OR 3.631 and 2.807,95% CI 1.600-8.240 and 1.146-6.879).Compared with male students,female students had higher risk of unwanted initial sexual behavior(OR=3.596,95%CI 1.045-12.379).Conclusion:College students are facing serious problems in unsafe sex,and the younger or female college students should be paid attention to.
作者
张妍
韩历丽
高丽丽
张月
沈洁
ZHANG Yan;HAN Lili;GAO Lili;ZHANG Yue;SHEN Jie(Beijing Obstetrics and Gynecology Hospital,Beijing Maternal and Child Health Care Hospital,Capital Medical University,Beijing,100026)
出处
《中国计划生育学杂志》
2019年第12期1585-1588,1594,共5页
Chinese Journal of Family Planning
基金
北京市社会科学基金项目(16JYB009)
