Yan Hong, Li Li, Bi Yongyi, Xu Xunyu, Li Shiyue, Maddock Jay E
School of Public Health, Wuhan University, Wuhan, Hubei, China.
Women Health. 2010 Dec;50(8):767-82. doi: 10.1080/03630242.2010.530926.
The prevalence of sexually transmitted infections in China has increased dramatically over the last 20 years, and heterosexual transmission is rapidly becoming the primary route of HIV transmission. Despite this growing epidemic, little is known about the correlates of sexual behavior in young Chinese women. The objective of this study was to assess family and peer factors related to sexual behavior in Chinese female college students. Anonymously completed questionnaires were received from 4,769 unmarried female college students, recruited using randomized cluster sampling by type of university and students' major and grade. Items captured socio-demographic, family, and peer factors. To examine factors associated with sexual behavior, multiple logistic regression was used, yielding odds ratios and 95% confidence intervals. Over 18% of female students participating reported ever having sexual intercourse, of whom 31.52% had their first sexual intercourse at the age of 18 or younger with more than 50% at an age less than 20 years. Several socio-demographic, family, and peer factors were associated with ever having intercourse. Those more likely to engage in premarital sex were older; majored in art; were from one-child, richer and/or divorced families; had a mother with university or above education; had parents with a strict disciplinary style; had middle-school close friends falling in love; and had current close friends living with boyfriends. Interventions to protect young women from sexually transmitted diseases need to target early sex education and address peer and parents influences.
在过去20年里,中国性传播感染的患病率急剧上升,异性传播正迅速成为艾滋病毒传播的主要途径。尽管疫情不断蔓延,但对于中国年轻女性性行为的相关因素却知之甚少。本研究的目的是评估与中国女大学生性行为相关的家庭和同伴因素。通过按大学类型、学生专业和年级进行随机整群抽样,招募了4769名未婚女大学生,她们匿名填写了问卷。问卷涵盖了社会人口统计学、家庭和同伴因素。为了研究与性行为相关的因素,采用了多元逻辑回归分析,得出比值比和95%置信区间。超过18%的参与调查的女学生报告曾有过性行为,其中31.52%在18岁及以下发生首次性行为,超过50%在20岁以下。一些社会人口统计学、家庭和同伴因素与曾有过性行为有关。那些更有可能进行婚前性行为的人年龄较大;专业为艺术;来自独生子女、富裕和/或离异家庭;母亲受过大学及以上教育;父母管教方式严格;有正在恋爱的中学密友;以及有与男友同居的现任密友。保护年轻女性免受性传播疾病感染的干预措施需要针对早期性教育,并应对同伴和父母的影响。