中国湖南省男大学生的性态度、性行为和艾滋病毒预防服务利用情况：一项横断面调查。
Sexual attitudes, sexual behaviors, and use of HIV prevention services among male undergraduate students in Hunan, China: a cross-sectional survey.
机构信息
Xiangya School of Nursing, Central South University, Changsha, 410013, Hunan, China.
Department of Global Health, University of Washington, Seattle, WA, USA.
出版信息
BMC Public Health. 2019 Feb 28;19(1):250. doi: 10.1186/s12889-019-6570-2.
BACKGROUND
The dramatic increase in human immunodeficiency virus (HIV) infection among undergraduate students in China, especially among the male students, is alarming. This study aimed to describe sexual attitudes and behaviours and to examine the use of HIV prevention services and related factors among male undergraduate students in Hunan, China.
METHODS
A cross-sectional survey was conducted from November 2017 to January 2018 among male students from three universities in Hunan, China. Self-administered questionnaires were uploaded online to collect data anonymously. HIV-related knowledge and sexual attitudes were assessed with the unified National AIDS Sentinel Surveillance Questionnaire and Sexual Attitude Scale, whereas sexual behaviours and use of HIV prevention services were examined with researcher-created questionnaires. HIV-related knowledge, sexual attitudes and behaviours, and use of HIV prevention services were described. Chi-square test and logistic regression were used to analyse the factors associated with the use of HIV prevention education services. P values ≤0.05 were considered significant.
RESULTS
Of the 1431 respondents, 1068 (74.6%; 95% CI: 72.4-76.0%) used HIV prevention education services and 105 (7.3%) took HIV testing. The openness of sexual attitudes was moderate overall. About 299 (20.9%) of this sample had active sex partners, and 49 (16.4%) of them had sex with males. The consistent use of condoms was unsatisfactory among the sexually active students, especially among those with homosexual behaviours. Participants who were older in age (OR: 0.77, 95% CI: 0.70-0.86), who were university seniors (OR: 0.80, 95% CI: 0.70-0.91), who drank alcohol (OR: 0.71, 95% CI: 0.55-0.93), and who had open attitude towards paid sex (OR: 0.72, 95% CI: 0.54-0.95), were less likely to use HIV prevention education services.
CONCLUSIONS
Although male undergraduate students show open attitude to premarital sex and engage in risky sexual behaviours, their use of HIV prevention education services is unsatisfactory, particularly in terms of HIV testing. More comprehensive and specific education on HIV prevention and testing services should be designed and offered on campus.
背景
中国大学生，尤其是男大学生，艾滋病毒（HIV）感染率急剧上升，情况令人担忧。本研究旨在描述性态度和性行为，并调查中国湖南男大学生对 HIV 预防服务的使用情况及相关因素。
方法
2017 年 11 月至 2018 年 1 月，采用横断面调查方法，选取中国湖南三所大学的男学生进行调查。通过在线上传自填问卷匿名收集数据。采用统一的国家艾滋病哨点监测问卷和性态度量表评估 HIV 相关知识和性态度，使用研究者自创问卷评估性行为和 HIV 预防服务的使用情况。描述 HIV 相关知识、性态度和性行为以及 HIV 预防服务的使用情况。采用卡方检验和 logistic 回归分析与使用 HIV 预防教育服务相关的因素。P 值≤0.05 为差异有统计学意义。
结果
在 1431 名应答者中，1068 名（74.6%；95%CI：72.4-76.0%）使用了 HIV 预防教育服务，105 名（7.3%）接受了 HIV 检测。性态度总体上较为开放。在该样本中，约 299 名（20.9%）有活跃的性伴侣，其中 49 名（16.4%）与男性发生性行为。性行为活跃的学生中，坚持使用安全套的情况并不理想，尤其是有同性性行为的学生。年龄较大（OR：0.77，95%CI：0.70-0.86）、高年级（OR：0.80，95%CI：0.70-0.91）、饮酒（OR：0.71，95%CI：0.55-0.93）以及对有偿性持开放态度（OR：0.72，95%CI：0.54-0.95）的参与者，不太可能使用 HIV 预防教育服务。
结论
尽管男大学生对婚前性行为持开放态度并发生危险性行为，但他们对 HIV 预防教育服务的使用情况并不理想，尤其是 HIV 检测服务。应在校园内设计并提供更全面、更有针对性的 HIV 预防和检测服务教育。
Zotero 插件