浙江省男大学生的异性临时性伴来源及相关因素分析

陈卫永; 周欣; 陈婉君; 姜婷婷; 郭志宏; 王憓; 陈琳; 马瞧勤

Abstract

陈卫永,周欣,陈婉君,姜婷婷,郭志宏,王憓,陈琳,马瞧勤.浙江省男大学生的异性临时性伴来源及相关因素分析[J].Chinese journal of Epidemiology,2023,44(2):285-290

浙江省男大学生的异性临时性伴来源及相关因素分析

Analysis of the source and related factors among heterosexual casual partners among male college students in Zhejiang Province

Received:August 01, 2022

DOI：10.3760/cma.j.cn112338-20220801-00679

KeyWord: 艾滋病病毒/艾滋病男大学生异性临时性伴

English Key Word: HIV/AIDS Male college students Heterosexual casual partners

FundProject:浙江省卫生健康科技计划（2021KY617，2021KY623，2021RC048）

Author Name	Affiliation	E-mail
Chen Weiyong	Department of AIDS/STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Zhou Xin	Department of AIDS/STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Chen Wanjun	Department of AIDS/STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Jiang Tingting	Department of AIDS/STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Guo Zhihong	Department of AIDS/STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Wang Hui	Department of AIDS/STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Chen Lin	Department of AIDS/STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Ma Qiaoqin	Department of AIDS/STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China	qqma@cdc.zj.cn

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Abstract:

目的了解浙江省男大学生（男生）的异性临时性伴来源情况与相关因素，为高校大学生的艾滋病防治对策提供依据。方法 2018年10-11月采用分层整群抽样方法，在浙江省13所高校31 674名大学生中开展问卷调查，从2 665名自述有性行为的男生中，选取自述异性临时性伴且回答性伴来源的男生为研究对象。收集研究对象社会人口学特征、艾滋病防治知识、性行为特征和干预情况等资料。采用logistic回归模型对男生的异性临时性伴来源进行分析。结果在自述有性行为的男生中，自述有异性临时性伴的男生占15.9%（423/2 665）。男生异性临时性伴数为1、2~和≥5个的分别占39.4%（147/373）、37.5%（140/373）和23.1%（86/373）；每次坚持使用安全套的比例为40.1%（167/416）。男生异性临时性伴来源为社会人员的占33.8%（143/423），年龄（20.27±1.40）岁。多因素logistic回归分析结果显示，相比于异性临时性伴数为1个、异性临时性伴为熟人和最近1年无异性固定性伴者，男生的异性临时性伴来源的相关因素包括临时性伴数≥5个（aOR=3.00，95%CI：1.53~5.89）、通过娱乐场所找临时性伴（aOR=3.04，95%CI：1.64~5.64）和最近1年与异性固定性伴发生性行为（aOR=0.41，95%CI：0.25~0.68）。结论浙江省高校男生的异性临时性伴来源多样，男生的异性临时性伴来源与临时性伴数较多、通过娱乐场所寻找临时性伴和无异性固定性伴存在一定相关性。建议加强高校大学生的自我防护意识与能力，倡导安全性行为，降低大学生中的HIV传播风险。

English Abstract:

Objective To understand the source and related factors among heterosexual casual partners among male college students for providing AIDS prevention strategies in this population. Methods Stratified cluster sampling method was used to conduct a questionnaire survey among 31 674 college students in 13 colleges in Zhejiang Province, from October to November, 2018. A total of 2 665 male college students who reported having had heterosexual casual behavior and the source of their sexual partners were recruited. Data on demographic characteristics, knowledge of HIV/AIDS prevention, sexual behavior, and having received AIDS-related interventions were collected. The multivariable logistics regression model was used to analyze the related factors of the source of casual heterosexual behavior partners among male college students. Results A total of 423 male college students having casual heterosexual sex were investigated, accounting for 15.9% (423/2 665) of the male college students who self-reported having sexual behaviors and informed their sexual partners. Among them, 39.4% (147/373), 37.5% (140/373), and 23.1% (86/373) of participants had 1, 2-4, and 5 or more heterosexual casual sexual partners, respectively. 40.1% (167/416) of participants used condoms consistently with casual partners. 143 (33.8%) participants with social individual's partners were an average age of (20.27±1.40) years old. Multivariate logistic regression analysis showed that:when compared with one person, common acquaintances, and no heterosexual casual partners in the previous year, the factors that related to the source of heterosexual casual partners of male college students appeared as follows:the number of heterosexual casual sexual partners ≥ 5 (aOR=3.00, 95%CI:1.53-5.89), seeking the casual sexual partners through entertainment venues (aOR=3.04, 95%CI:1.64-5.64), male college students having sex with a regular partner in the last one year (aOR=0.41, 95%CI:0.25-0.68).Conclusions Some of the male college students had heterosexual casual sexual behaviors, with the related factors as having five or more heterosexual casual sexual partners, seeking casual sex partners through entertainment venues, and low condom use. Self-protection awareness and ability should be emphasized to advocate safe sex to reduce the risk of AIDS transmission among college students.

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