多重性伙伴关系（MSP）及其分布、决定因素、性别差异、社会经济不平等和区域模式：对印度青年（15 - 24岁）全国代表性调查的嵌套多层次回归分析

Multiple sexual partnership (MSP) and its distribution, determinants, gender differences, socio-economic inequalities and regional patterns: a nested multilevel regression analysis of a nationally representative survey among Indian youth (15-24 years).

作者信息

Halder Pritam, Srinath Kathirvel, Jeer Girish, Nongkynrih Baridalyne, Mamgai Anshul, Rathor Shivani, Chattopadhyay Ankita, Prabhakar Manish Chandra

机构信息

Department of Community Medicine, School of Public Health, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India.

Department of community Medicine, Karpagam Faculty of Medical Sciences, Coimbatore, 641032, India.

出版信息

J Health Popul Nutr. 2025 Aug 20;44(1):299. doi: 10.1186/s41043-025-01049-0.

DOI:10.1186/s41043-025-01049-0

PMID:40835967

Abstract

INTRODUCTION

The youth age group (15-24 years) is a crucial transition period between adolescence and adulthood, which shapes the sexual behaviour of humans as an adult. Unsafe sexual behaviours, such as Multiple Sexual Partnerships (MSP), can increase the risk of sexually transmitted diseases among Indian males and females. Hence, to prevent MSP early, an assessment of MSP is needed among Indian youth along with its determinants for targeted interventions.

METHODS

This is a secondary data analysis of the National Family Health Survey (NFHS-5, 2019-2021) dataset. It included 4,669 Indian men (15-24 years) and 8,817 Indian women (15-24 years). MSP was defined as having more than one lifetime sexual partner. Nested multilevel logistic regression was used to estimate Odds Ratio, denoting the associations between MSP and explanatory variables (Socio-demographic, health-related, and behavioural factors).

RESULTS

The prevalence of Multiple Sexual Partnerships (MSP) among Indian youth males (15-24 years) was 19.04%, and among Indian youth females (15-24 years) was 3.49%. Comprehensive knowledge regarding HIV/AIDS made a difference only among youth females (Odds Ratio (OR) 0.58), but this was not observed among males. Tobacco use (OR 1.87), alcohol use (OR 1.70), unmarried status (OR 2.17), domestic violence history (OR 1.26), and employment status (OR 1.40) increased the odds of MSP among Indian youth males (p < 0.05).

CONCLUSION

Around one in five Indian youth males and 3.49% of Indian youth females had Multiple Sexual Partnerships (MSP). Comprehensive knowledge about HIV influences the MSP of youth females, but not youth males. Broadening sexuality education, reducing substance abuse, combatting domestic violence, changing gender norms, and studying the emerging socio-cultural determinants of MSP are needed to reduce risky sexual behaviours among Indian males and females.

摘要

引言

青年年龄组（15 - 24岁）是从青春期到成年期的关键过渡阶段，它塑造了人类成年后的性行为。不安全的性行为，如多个性伴侣关系（MSP），会增加印度男性和女性感染性传播疾病的风险。因此，为了早期预防多个性伴侣关系，需要对印度青年进行多个性伴侣关系的评估及其决定因素，以便进行有针对性的干预。

方法

这是对全国家庭健康调查（NFHS - 5，2019 - 2021）数据集的二次数据分析。它包括4669名印度男性（15 - 24岁）和8817名印度女性（15 - 24岁）。多个性伴侣关系被定义为一生中拥有不止一个性伴侣。采用嵌套多级逻辑回归来估计优势比，以表示多个性伴侣关系与解释变量（社会人口统计学、健康相关和行为因素）之间的关联。

结果

印度青年男性（15 - 24岁）中多个性伴侣关系（MSP）的患病率为19.04%，印度青年女性（15 - 24岁）中为3.49%。关于艾滋病毒/艾滋病的全面知识仅对青年女性有影响（优势比（OR）为0.58），但在男性中未观察到这种情况。吸烟（OR为1.87）、饮酒（OR为1.70）、未婚状态（OR为2.17）、家庭暴力史（OR为1.26）和就业状况（OR为1.40）增加了印度青年男性中多个性伴侣关系的几率（p < 0.05）。