Huzhou Center for Disease Control and Prevention, Huzhou, 313000 Zhejiang Province, China.
Department of HIV/STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, 310051 Zhejiang Province, China.
Biomed Res Int. 2022 Aug 18;2022:8006537. doi: 10.1155/2022/8006537. eCollection 2022.
The objective of this study was to understand multiple sexual partners and related factors among male college students who exhibited sexual behaviour to provide a scientific basis for formulating HIV/AIDS prevention measures among college students.
A stratified cluster random sampling method was conducted among 2665 male students who had sexual behaviour and were informed of the number of sexual partners from 13 colleges/universities in 11 cities in Zhejiang Province in 2018. Demographic characteristics, sexual attitudes, sexual behaviour, interventions, and related information were collected using a homemade online questionnaire. The chi-square test or univariate logistic regression in different groups was conducted for multiple sexual partners, and a logistic regression model was used in the related factor analysis.
A total of 2665 college students who engaged in sexual behaviour were involved in the research; among them, 485 students (18.20%) had multiple sexual partners. The results of multivariate analysis showed that the participants whose sexual orientation was homosexual (adjusted OR = 4.10, 95%CI = 2.89 - 5.80), those who had received school education about HIV testing in the previous year (adjusted OR = 1.55, 95%CI = 1.20 - 1.99), those who had accepted one-night stands (adjusted OR = 3.29, 95%CI = 2.43 - 4.47), those who had accepted commercial sex (adjusted OR = 1.89, 95%CI = 1.44 - 2.48), and those who were very confident in a condom use measure of self-efficacy (adjusted OR = 1.78, 95%CI = 1.31 - 2.41) were more likely to have multiple sexual partners. The participants who were senior students (adjusted OR = 0.51, 95%CI = 0.31 - 0.84), those whose monthly living expenses were 1001-1500 renminbi (adjusted OR = 0.69, 95%CI = 0.51 - 0.93), those who had known that "daily life and study contact cannot spread HIV" (adjusted OR = 0.59, 95%CI = 0.43 - 0.80), and those who knew that the CDC provides HIV testing (adjusted OR = 0.66, 95%CI = 0.46 - 0.95) were less likely to have multiple sexual partners.
Multiple sexual partners were quite common among male college students who engaged in sexual behaviour. They had a separation of HIV/AIDS knowledge and action and a low rate of HIV testing. Further health education and intervention, including informing friends of strategies, are needed to guide students in correct sexual attitudes, safe sexual behaviour, and prevention of the spread of disease.
本研究旨在了解具有性行为的男大学生的多个性伴侣及相关因素，为制定大学生艾滋病预防措施提供科学依据。
2018 年，采用分层整群随机抽样方法，对浙江省 11 个城市 13 所高校 2665 名有性行为且知晓性伴侣数量的男大学生进行调查。采用自制在线问卷收集大学生的人口学特征、性态度、性行为、干预措施及相关信息。采用卡方检验或单因素 logistic 回归进行多性伴侣的组间比较，采用 logistic 回归模型进行相关因素分析。
共纳入 2665 名有性行为的大学生，其中 485 名（18.20%）有多个性伴侣。多因素分析结果显示，性取向为同性恋（调整 OR=4.10，95%CI=2.895.80）、上一年接受过学校艾滋病检测教育（调整 OR=1.55，95%CI=1.201.99）、接受过一夜情（调整 OR=3.29，95%CI=2.434.47）、接受过商业性行为（调整 OR=1.89，95%CI=1.442.48）、对避孕套使用自我效能感非常有信心（调整 OR=1.78，95%CI=1.312.41）的大学生更有可能有多个性伴侣。高年级学生（调整 OR=0.51，95%CI=0.310.84）、月生活费为 10011500 元人民币（调整 OR=0.69，95%CI=0.510.93）、知晓“日常生活和学习接触不会传播 HIV”（调整 OR=0.59，95%CI=0.430.80）和知晓 CDC 提供 HIV 检测（调整 OR=0.66，95%CI=0.460.95）的大学生更不可能有多个性伴侣。
有性行为的男大学生中，多个性伴侣较为常见，他们存在艾滋病相关知识和行为的脱节，HIV 检测率较低。需要进一步开展健康教育和干预，包括告知朋友相关策略，以引导学生树立正确的性态度、安全性行为，预防疾病传播。
