Wang Yuqi, Chen Minne, Tan Shihui, Qu Xueqi, Wang Hanyu, Liang Xiao, Gaoshan Junjian, Li Lihe, Hong Ping, Jiang Li, Tang Kun
Vanke School of Public Health, Tsinghua University, Zhongguancun North Street, Haidian District, Beijing, 100084, China.
School of Health Humanities, Peking University, No 38 Xueyuan Rd, Haidian District, Beijing, 100191, China.
Reprod Health. 2020 Aug 17;17(1):125. doi: 10.1186/s12978-020-00978-9.
Chinese youth have become more sexually active over the years, yet their behaviours of contraceptive use are influenced by socioeconomic and lifestyle factors. This study aimed to investigate the socioeconomic and lifestyle determinants of contraceptive use among Chinese college students, and to investigate quantitatively their reasons for choosing different contraceptive methods.
The study used the data from a cross-sectional survey, which was conducted in 2015 among 17,517 students from 130 colleges and professional schools in mainland China. Chi-square tests were performed to test the differences in the awareness and uses of contraceptives between male and female students. Multivariable logistic regression models were used to analyse the associations between socioeconomic and lifestyle factors and contraceptive uses.
Condoms (95%), oral contraceptives (91%) and emergency contraceptives (71%) were the most commonly known contraceptive methods among the sample of Chinese youth that were surveyed. Among male participants, high monthly expenditure (OR = 1.37, 95%CI: 1.07-1.75), light alcohol consumption (OR = 1.47, 95%CI: 1.03-2.11), and high sexual knowledge (OR = 1.96, 95%CI: 1.57-2.45) were positively associated with contraceptive uses, while tobacco use (OR = 0.47, 95%CI: 0.23-0.95) showed a negative association with contraceptive uses. Among female students, suburban residency (OR = 1.38, 95%CI: 1.03-1.83), high level of parental education (OR = 1.96, 95%CI: 1.19-3.22), moderate alcohol consumption (OR = 2.66, 95%CI: 1.05-6.77), and high sexual knowledge (OR = 1.50, 95%CI: 1.18-1.91) were positively associated with contraceptive uses, while tobacco use (OR = 0.60, 95%CI: 0.36-0.99) showed a negative association.
A series of socioeconomic and lifestyle factors were associated with contraceptive choices among Chinese college students. Targeted sexual education programs are in demand to improve the awareness and the use of contraceptives in this population.
多年来中国青年的性活动更为频繁，然而他们的避孕行为受到社会经济和生活方式因素的影响。本研究旨在调查中国大学生避孕措施使用情况的社会经济和生活方式决定因素，并定量研究他们选择不同避孕方法的原因。
本研究使用了一项横断面调查的数据，该调查于2015年在中国内地130所高校和专业学校的17517名学生中进行。采用卡方检验来检验男女生在避孕措施知晓率和使用率方面的差异。使用多变量逻辑回归模型分析社会经济和生活方式因素与避孕措施使用之间的关联。
在接受调查的中国青年样本中，避孕套（95%）、口服避孕药（91%）和紧急避孕药（71%）是最常被知晓的避孕方法。在男性参与者中，高月支出（OR = 1.37，95%CI：1.07 - 1.75）、轻度饮酒（OR = 1.47，95%CI：1.03 - 2.11）和高性知识水平（OR = 1.96，95%CI：1.57 - 2.45）与避孕措施使用呈正相关，而吸烟（OR = 0.47，95%CI：0.23 - 0.95）与避孕措施使用呈负相关。在女生中，郊区居住（OR = 1.38，95%CI：1.03 - 1.83）、父母高学历水平（OR = 1.96，95%CI：1.19 - 3.22）、适度饮酒（OR = 2.66，95%CI：1.05 - 6.77）和高性知识水平（OR = 1.50，95%CI：1.18 - 1.91）与避孕措施使用呈正相关，而吸烟（OR = 0.60，95%CI：0.36 - 0.99）呈负相关。
一系列社会经济和生活方式因素与中国大学生的避孕选择相关。需要开展有针对性的性教育项目，以提高该人群对避孕措施的知晓率和使用率。
