Guo Chao, Wen Xu, Li Ning, Wang Zhenjie, Chen Gong, Zheng Xiaoying
Institute of Population Research and WHO Collaborating Center on Reproductive Health and Population Science, Peking University, Beijing, China; APEC Health Science Academy, Peking University, Beijing, China.
Institute of Population Research and WHO Collaborating Center on Reproductive Health and Population Science, Peking University, Beijing, China.
J Sex Med. 2017 May;14(5):659-665. doi: 10.1016/j.jsxm.2017.03.249. Epub 2017 Apr 11.
Very few studies have explored the association between cigarette or alcohol use and high-risk sexual behaviors (HRSBs) among Chinese youth.
To identify the associations between cigarette and/or alcohol use and HRSBs in unmarried youth 15 to 24 years old in China.
Data were obtained from a nationally representative survey of youth 15 to 24 years old in China. Population numbers, prevalences, and proportions were calculated where appropriate. The χ test was used to examine the different proportions of cigarette and alcohol use behaviors and HRSBs in female vs male youth. Logistic regression with propensity score-based weighting was used to elucidate the separate and combined associations of cigarette use and alcohol use with each HRSB.
The sexual behaviors of condom non-use during the first sexual experience, sexual activity with multiple partners, being forced to have sexual intercourse, taking part in casual sex, engaging in commercial sex, taking part in anal sex, and condom non-use during the most recent sexual encounter were classified as HRSBs.
Of youth 15 to 24 years old, 23.2% ever used cigarettes, 38.1% used alcohol, and 19.9% used cigarettes and alcohol. Compared with cigarette and alcohol non-use, cigarette and alcohol use showed a significantly increased risk of condom non-use during the first sexual experience (odds ratio = 2.9, 95% CI = 2.5-3.3), sexual activity with multiple partners (4.9, 3.8-6.2), forced sex (2.7, 1.1-6.9), casual sex (4.0, 3.1-5.3), commercial sex (2.9, 2.1-3.9), anal copulation (3.1, 2.1-4.6), condom non-use during the most recent sexual encounter (2.5, 2.1-3.0), and any HSRB (3.2, 2.8-3.6) among youth. The relations between cigarette and alcohol use and HRSBs were stronger among female youth than among male youth for all HRSBs.
More efforts should be made to implement HIV and AIDS prevention that consider the role of cigarette and alcohol use in precipitating HRSBs.
This study provided a more detailed evaluation with greater confidence of the association between cigarette and/or alcohol use and HRSBs with sex disparity taken into account using nationally representative data, although no detailed information about cigarette and alcohol use behaviors such as dependence and cessation was gathered in this survey.
Youth who use cigarette and alcohol are at greater risk of HRSBs, especially female youth. Guo C, Wen X, Li N, et al. Is Cigarette and Alcohol Use Associated With High-Risk Sexual Behaviors Among Youth in China? J Sex Med 2017:14:659-665.
极少有研究探讨中国青年中吸烟或饮酒与高风险性行为（HRSBs）之间的关联。
确定中国15至24岁未婚青年中吸烟和/或饮酒与高风险性行为之间的关联。
数据来自对中国15至24岁青年的一项具有全国代表性的调查。在适当情况下计算人口数量、患病率和比例。采用χ检验来检查青年女性与青年男性中吸烟和饮酒行为以及高风险性行为的不同比例。使用基于倾向得分加权的逻辑回归来阐明吸烟和饮酒分别及共同与每种高风险性行为之间的关联。
在15至24岁的青年中，23.2%曾经吸烟，38.1%饮酒，19.9%既吸烟又饮酒。与不吸烟不饮酒相比，吸烟和饮酒在青年首次性行为时不使用避孕套（优势比=2.9，95%置信区间=2.5 - 3.3）、多性伴性行为（4.9，3.8 - 6.2）、被迫性交（2.7，1.1 - 6.9）、随意性行为（4.0，3.1 - 5.3）、商业性行为（2.9，2.1 - 3.9）、肛交（3.1，2.1 - 4.6）、最近一次性行为时不使用避孕套（2.5，2.1 - 3.0）以及任何高风险性行为（3.2，2.8 - 3.6）方面显示出显著增加的风险。对于所有高风险性行为，吸烟和饮酒与高风险性行为之间的关系在青年女性中比在青年男性中更强。
应做出更多努力来实施考虑到吸烟和饮酒在引发高风险性行为中作用的艾滋病毒和艾滋病预防措施。
本研究利用全国代表性数据，在考虑性别差异的情况下，对吸烟和/或饮酒与高风险性行为之间的关联进行了更详细的评估且具有更高的可信度，尽管本次调查未收集有关吸烟和饮酒行为（如依赖和戒烟）的详细信息。
吸烟和饮酒的青年发生高风险性行为的风险更高，尤其是青年女性。郭C，文X，李N等。中国青年中吸烟和饮酒与高风险性行为有关联吗？《性医学杂志》2017；14：659 - 665。
