从英国前往国外旅行的年轻男性和女性在性风险行为方面的差异。

Differences in sexual risk behaviour between young men and women travelling abroad from the UK.

作者信息

Bloor M, Thomas M, Hood K, Abeni D, Goujon C, Hausser D, Hubert M, Kleiber D, Nieto J A

机构信息

School of Social Sciences, Cardiff University, UK.

出版信息

Lancet. 1998 Nov 21;352(9141):1664-8. doi: 10.1016/S0140-6736(98)09414-8.

DOI:10.1016/S0140-6736(98)09414-8

PMID:9853439

Abstract

BACKGROUND

Identification of people who most frequently engage in sexual risk behaviour while travelling abroad would be useful for the design and targeting of health education and promotion campaigns.

METHODS

Eligible participants were people living in the UK aged 18-34 years who had travelled abroad without a partner in the previous 2 years. Respondents were first screened for eligibility as part of representative face-to-face and telephone surveys by a market research company. Eligible individuals who agreed to take part then underwent a computer-assisted telephone interview. Reinterviewing continued until 400 eligible people had been contacted. We also interviewed a control group of 568 young people who had travelled abroad without a partner in the previous 2 years but who did not report a new sexual relationship during their travels.

FINDINGS

One in ten of the eligible participants reported sexual intercourse with a new partner. Travellers who reported a new sexual relationship abroad were also likely to report large numbers of sexual partners at home. Of the 400 people who had a new sexual partner abroad, 300 (75%) used condoms on all occasions with the new partner. Logistic regression modelling showed differences between men and women in those factors linked to the practice of unsafe or safer sex while travelling. For men, patterns of condom use abroad with casual partners (p<.0001) reflected patterns of use at home (p<0.001), whereas for women, patterns of condom use varied according to their partners' backgrounds (p<.0001).

INTERPRETATION

Condoms are widely used among young travellers, but patterns of use vary by sex. Campaigns about sexual health targeted at international travellers should continue, not least because young people who meet new sexual partners abroad may be a convenient proxy group for that minority of the population who report most sexual partners at home. Such campaigns should be designed differently for men and women.

摘要

背景

识别那些在国外旅行时最频繁进行性风险行为的人群，将有助于设计和定位健康教育及促进活动。

方法

符合条件的参与者为年龄在18至34岁之间、居住在英国且在过去两年内独自出国旅行的人。作为市场研究公司代表性面对面和电话调查的一部分，首先对受访者进行资格筛选。同意参与的符合条件的个体随后接受计算机辅助电话访谈。重新访谈持续进行，直到联系到400名符合条件的人。我们还访谈了一个由568名年轻人组成的对照组，他们在过去两年内独自出国旅行，但在旅行期间未报告有新的性关系。

研究结果

十分之一的符合条件的参与者报告与新伴侣发生了性行为。在国外报告有新性关系的旅行者也可能报告在国内有大量性伴侣。在400名在国外有新性伴侣的人中，300人（75%）在与新伴侣的所有性行为中都使用了避孕套。逻辑回归模型显示，在与旅行期间不安全或更安全的性行为相关的因素方面，男性和女性存在差异。对于男性，在国外与临时伴侣使用避孕套的模式（p<0.0001）反映了在国内的使用模式（p<0.001），而对于女性，避孕套的使用模式根据其伴侣的背景而有所不同（p<0.0001）。