摘要
目的 了解大学生性取向与高危性行为的关联性及其性别差异,为中国大学生高危性行为的预防和干预提供理论依据。方法 于2020年11月—2021年5月,采用多阶段分层随机整群抽样方法,利用自编问卷调查湖北省4所高校共1 920名大学生的性取向和高危性行为发生情况,采用χ2检验和二元Logistic回归分析其关联性及性别差异。结果 大学生性行为的报告率为18.2%,高危性行为的报告率为7.2%,其中非异性恋者高危性行为的报告率(13.5%)高于异性恋者(6.7%),男生高危性行为的报告率(9.2%)高于女生(5.3%),差异均有统计学意义(χ2值分别为9.40,10.77,P值均<0.01)。二元Logistic回归分析结果显示,性取向与高危性行为的关联无统计学意义(OR=1.52,95%CI=0.83~2.80,P>0.05);对性别进行分层分析后发现,男生非异性恋者发生高危性行为的风险是异性恋者的3.57倍(OR=3.57,95%CI=1.52~8.41,P<0.01),女生性取向与高危性行为的关联无统计学意义(OR=0.48,95%CI=0.15~1.57,P>0.05)。结论 大学生性取向与高危性行为的关系存在性别差异,且男生非异性恋者发生高危性行为的风险高于男生异性恋者。应重点关注男同性恋和双性恋者,降低大学生高危性行为的发生率。
Objective To examine the association between sexual orientation and high-risk sexual behaviors and its sex differences among college students,so as to provide a theoretical basis for intervention and controlling of high-risk sexual behaviors of the college students.Methods From November 2020 to May 2021,1920 college students among four universities in Hubei Province were recruited by multi-stage stratified random cluster sampling,and their sexual orientation and the frequency of high-risk sexual behaviors were investigated by a self-designed questionnaire.And then analyzed the association between sexual orientation and high-risk sexual behaviors and its sex differences by using Chi-square test and Logistic regression analysis method.Results The prevalence of sexual behaviors was 18.2%,the prevalence of high-risk sexual behaviors was 7.2%,and the prevalence of high-risk sexual behaviors was higher among non-heterosexuals(13.5%)than among heterosexuals(6.7%),the prevalence of high-risk sexual behaviors was higher among males(9.2%)than among females(5.3%),and the differences were statistically significant(χ^(2)=9.40,10.77,P<0.01).Logistic regression analysis showed that the association between sexual orientation and high-risk sexual behaviors was not statistically significant(OR=1.52,95%CI=0.83-2.80,P>0.05).However,stratified analysis by sex revealed that among male students,the risk of high-risk sexual behaviors was 3.57 times higher among non-heterosexuals than among heterosexuals(OR=3.57,95%CI=1.52-8.41,P<0.01),while among female students,the association between sexual orientation and high-risk sexual behaviors was not statistically significant(OR=0.48,95%CI=0.15-1.57,P>0.05).Conclusion There are sex differences in the relationship between sexual orientation and high-risk sexual behaviors among college students.Male non-heterosexuals are at higher risk for high-risk sexual behaviors than male heterosexuals.Therefore,prevention and interventions for high-risk sexual behaviors among college students should focus o
作者
汪妍
王海俊
彭畅
程君菡
荣发娟
余毅震
WANG Yan;WANG Haijun;PENG Chang;CHENG Junhan;RONG Fajuan;YU Yizhen(Department of Maternal and Child Health,School of Public Health,Tongji Medical College,Huazhong University of Science and Technology,Wuhan(430030),China;不详)
出处
《中国学校卫生》
CAS
北大核心
2023年第6期840-844,849,共6页
Chinese Journal of School Health
基金
联合国人口基金项目(UNFPA/CHN/PSC/2019/015)。
关键词
性
行为
回归分析
学生
Sex
Behavior
Regression analysis
Students
