中国泸州大学生中童年期性虐待严重程度与婚前性行为的性别差异。
Sex differences in the association of childhood sexual abuse severity with premarital sex among Chinese college students in Luzhou, China.
机构信息
School of Public Health, Southwest Medical University, 646000, Luzhou, China.
School of Clinical Medicine, Southwest Medical University, 646000, Luzhou, China.
出版信息
BMC Public Health. 2024 Jan 24;24(1):290. doi: 10.1186/s12889-024-17767-9.
PURPOSE
The adverse health consequences of premarital sex and childhood sexual abuse (CSA) are both global public health problems. Based on a random sample of college students from a Chinese city, this study investigated the relationship between CSA severity and premarital sex among students, focusing on sex differences.
METHODS
A total of 2722 college students from 4 schools in Luzhou were recruited by multistage random sampling. Self-administered questionnaires were used to measure CSA experiences and premarital sex. Binary logistic regression analyses were conducted to analyse the relationship between CSA and premarital sex.
RESULTS
The prevalence of CSA was 9.39%, and that of mild, moderate and severe CSA was 4.04%, 2.90% and 2.46%, respectively. The premarital sex reporting rate was 22.42%. After adjusting for confounding variables, CSA was positively associated with premarital sex. Notably, a cumulative effect of CSA on premarital sex was observed among students. Further stratification analyses showed that males who experienced CSA had a higher premarital sex rate than females, and this sex difference was also observed among students with different CSA severities.
CONCLUSION
CSA and its severity were associated with premarital sex among college students. Furthermore, this association was stronger for males than females. Therefore, it is important to emphasize CSA prevention, especially for boys. These findings can promote understanding of the effects of CSA on premarital sex, and CSA prevention and intervention strategies should consider CSA severity and sex differences.
目的
婚前性行为和儿童期性虐待（CSA）对健康的不良影响都是全球性的公共卫生问题。本研究基于中国某城市大学生的随机样本，调查了 CSA 严重程度与学生婚前性行为之间的关系，重点关注性别差异。
方法
采用多阶段随机抽样方法，从泸州的 4 所学校中招募了 2722 名大学生。采用自填式问卷测量 CSA 经历和婚前性行为。采用二元逻辑回归分析 CSA 与婚前性行为之间的关系。
结果
CSA 的流行率为 9.39%，轻度、中度和重度 CSA 的流行率分别为 4.04%、2.90%和 2.46%。婚前性行为报告率为 22.42%。在调整了混杂变量后，CSA 与婚前性行为呈正相关。值得注意的是，CSA 对婚前性行为存在累积效应。进一步的分层分析表明，经历过 CSA 的男性比女性有更高的婚前性行为率，而且这种性别差异在 CSA 严重程度不同的学生中也存在。
结论
CSA 及其严重程度与大学生婚前性行为有关。此外，这种关联在男性中比女性更为强烈。因此，强调 CSA 预防，特别是对男孩，非常重要。这些发现可以促进对 CSA 对婚前性行为影响的理解，CSA 预防和干预策略应考虑 CSA 严重程度和性别差异。
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