Haghir Edris, Madampage Claudia, Mahmood Razi, Moraros John
School of Public Health, University of Saskatchewan, Saskatchewan, Canada.
Int J Prev Med. 2018 Jun 4;9:49. doi: 10.4103/ijpvm.IJPVM_444_17. eCollection 2018.
Despite major public health efforts in addressing the burden of disease caused by sexually transmitted infections (STIs), rates among young adults continue to rise in Canada. The purpose of the study was to examine the prevalence and risk factors associated with acquiring STIs among postsecondary students in Canada.
A secondary analysis of the American College Health Association-National College Health Assessment II-C Spring 2016 survey data ( = 43,780) was conducted. Sexually active participants ( = 28,831) were examined for their demographics, sexual behavior, alcohol and marijuana use, testing for human immunodeficiency virus (HIV), and human papillomavirus vaccination history. These factors were analyzed to help identify their possible association with acquiring an STI using logistic regression and multivariate modeling.
Among the study participants, 3.88% had an STI, with the highest rates observed among females and individuals aged 21-24 years old. Multivariate logistic analysis showed that participants who engaged in anal intercourse within the past 30 days (odds ratio [OR] = 1.634; 95% confidence interval [CI], 1.343-1.988), had four or more sexual partners in the last 12 months (OR = 4.223; 95% CI, 3.595-4.962), used marijuana within the past 30 days (OR = 1.641; 95% CI, 1.387-1.941), and had ever been tested for HIV (OR = 3.008; 95% CI, 2.607-3.471) had greater odds of acquiring an STI.
The findings of this study highlight certain high-risk behaviors that are strongly associated with acquiring an STI among postsecondary students. Thus, efforts to design and deliver relevant educational programming and health promotion initiatives for this particular population are of utmost importance.
尽管在应对性传播感染（STIs）所致疾病负担方面做出了重大公共卫生努力，但加拿大年轻人中的性传播感染率仍在持续上升。本研究的目的是调查加拿大高等院校学生中性传播感染的患病率及其相关风险因素。
对美国大学健康协会 - 全国大学健康评估II - C 2016年春季调查数据（n = 43,780）进行二次分析。对有性行为的参与者（n = 28,831）的人口统计学特征、性行为、酒精和大麻使用情况、人类免疫缺陷病毒（HIV）检测以及人乳头瘤病毒疫苗接种史进行了调查。使用逻辑回归和多变量建模对这些因素进行分析，以帮助确定它们与感染性传播感染之间可能存在的关联。
在研究参与者中，3.88%患有性传播感染，女性和21 - 24岁的个体感染率最高。多变量逻辑分析表明，在过去30天内有肛交行为的参与者（优势比[OR] = 1.634；95%置信区间[CI]，1.343 - 1.988）、在过去12个月内有四个或更多性伴侣的参与者（OR = 4.223；95% CI，3.595 - 4.962）、在过去30天内使用过大麻的参与者（OR = ！.641；95% CI，1.387 - 1.941）以及曾经接受过HIV检测的参与者（OR = 3.008；95% CI，2.607 - 3.471）感染性传播感染的几率更高。
本研究结果突出了某些与高等院校学生感染性传播感染密切相关的高风险行为。因此，为这一特定人群设计并提供相关教育课程和健康促进举措至关重要。
