Faculty of Public Health, Khon Kaen University, Khon Kaen, 40002, Thailand.
Faculty of Public Health, Valaya Alongkorn Rajabhat University Under the Royal Patronage, Pathum Thani, Thailand.
BMC Public Health. 2024 Oct 25;24(1):2967. doi: 10.1186/s12889-024-20429-5.
Risky sexual behaviors refer to actions or practices that increase the likelihood engaging in sexual intercourse. Such behavior can lead to HIV infection/AIDS, sexually transmitted diseases, and unintended pregnancy. The impact of risky sexual behaviors is a growing public health concern. These issues pose significant challenges to public health, particularly among university students and younger age groups who may be more vulnerable to various factors. Thus, this research aimed to examine the factors and sexual health literacy associated with risky sexual behaviors among undergraduate students in the four major regions of Thailand.
A cross-sectional study was conducted among 916 undergraduate students in their final semester of the 2023 academic year, from March to May 2024, at public, autonomous, and private universities across four regions: northern, central, southern, and northeastern of Thailand. The study employed multistage random sampling method. A self-administered structured questionnaire was used to assess risky sexual behaviors and the data were analyzed using multiple logistic regression.
A total of 916 students participated in the study. The prevalence of risky sexual behavior was 46.84% (95% CI:43.56% to 50.12%) students engaged in risky sexual behaviors. Risky sexual behavior was significantly associated with grade point averages (GPA) between 2.00-3.00 could protective risky sexual behaviors was 42% as compared to GPA > 3.00 (AOR = 0.58, 95%CI:0.42 to 0.79), ex-substance use (AOR = 3.48, 95%CI:1.46 to 8.26), Current smoker (AOR = 2.90, 95%CI:1.90 to 4.43), negative attitudes toward risky sexual behaviors (AOR = 2.32, 95%CI:1.32 to 4.06), access to places of ill repute and access to sexual arousal stimuli (sometime) (AOR = 2.23, 95%CI:1.41 to 3.52), social influences (high level) (AOR = 0.29, 95%CI:0.15 to 0.55), and sufficient to excellent level of the application of information about sexual health (AOR = 0.48, 95%CI:0.26 to 0.87) of statistical significance at P < 0.05, which was significantly associated with risky sexual behavior.
The findings of this study offer important insights for preventing risky sexual behaviors among undergraduate students across four regions. By promoting healthy sexual practices and encouraging behavior modification, negative consequences can be reduced. Public health care providers, policymakers, and stakeholders should implement tailored strategies, such as comprehensive sexual education and accessible health services, to address the specific needs of these students. These targeted interventions can significantly reduce the prevalence of risky sexual behaviors.
危险性行为是指增加性行为发生可能性的行为或做法。这种行为可能导致 HIV 感染/艾滋病、性传播疾病和意外怀孕。危险性行为的影响是一个日益严重的公共卫生问题。这些问题对公共卫生构成重大挑战，特别是在大学生和年轻人群体中，他们可能更容易受到各种因素的影响。因此，本研究旨在探讨与泰国四个地区大学生危险性行为相关的因素和性健康素养。
采用多阶段随机抽样方法，于 2024 年 3 月至 5 月在泰国四个地区（北部、中部、南部和东北部）的公立、自治和私立大学，对 916 名即将毕业的 2023 学年最后一学期的本科生进行横断面研究。研究采用了自我管理的结构化问卷来评估危险性行为，使用多因素逻辑回归对数据进行分析。
共有 916 名学生参加了这项研究。有 46.84%（95%CI：43.56%至 50.12%）的学生存在危险性行为。危险性行为与平均绩点（GPA）在 2.00-3.00 之间呈显著相关，保护性行为的可能性比 GPA 大于 3.00 的学生高 42%（AOR=0.58，95%CI：0.42 至 0.79），前物质使用者（AOR=3.48，95%CI：1.46 至 8.26），当前吸烟者（AOR=2.90，95%CI：1.90 至 4.43），对危险性行为的消极态度（AOR=2.32，95%CI：1.32 至 4.06），易获得不良场所和性唤起刺激（有时）（AOR=2.23，95%CI：1.41 至 3.52），社会影响（高水平）（AOR=0.29，95%CI：0.15 至 0.55），以及充分到优秀的性健康信息应用水平（AOR=0.48，95%CI：0.26 至 0.87）均有统计学意义（P<0.05），与危险性行为显著相关。
本研究结果为预防泰国四个地区大学生的危险性行为提供了重要的见解。通过促进健康的性行为和鼓励行为改变，可以减少不良后果。公共卫生保健提供者、政策制定者和利益相关者应实施有针对性的策略，如全面的性教育和可及的卫生服务，以满足这些学生的特定需求。这些有针对性的干预措施可以显著降低危险性行为的发生率。
