摘要
目的性行为与青年学生艾滋病疫情升高有密切关系,而知行分离阻碍了青年学生的艾滋病防控工作。本研究探索防治艾滋病生活技能与性行为的关系,为预防和控制青年学生艾滋病疫情的有效措施提供参考依据。方法整群抽取成都市某高校的一年级和二年级学生共1 207人。采用问卷调查的方式收集基本人口学资料、艾滋病相关知识、防艾生活技能和性行为。在描述性分析的基础上,采用Logistic回归分析防艾生活技能对安全性行为的影响。结果女生曾经发生过性行为的比例为9.24%(33/357),低于男生(20.81%,174/836),发生过不安全性行为的比例3.39%(12/354)低于男生(6.71%,54/805),差异均有统计学意义(P<0.05)。女生的拒绝危险能力得分(28.04±3.63)高于男生(25.32±3.87)。随着拒绝危险能力的提高,曾经有过性行为经历的比例以及发生无保护性行为的比例,呈下降趋势(P<0.05)。采用Logistic回归分析,女生(OR=0.40)、拒绝危险能力(OR=0.41)可降低大学生发生性行为,文科生(OR=1.90)、风险识别能力(OR=1.76)更倾向于发生性行为。更高的拒绝危险能力,可以减少大学生发生无保护性行为(OR=0.32)。结论拒绝危险能力是降低青年学生发生无保护性行为的保护因素,建议学校要加强拒绝风险能力的教育和培养,降低危险行为的发生。
Objective Sexual behaviors are closely related to the increase of AIDS, and the inconsistency between knowledge and practice hinders the prevention and control of AIDS among young students. This study has explored the relationship between life skills and sexual behaviors and provided evidence for AIDS prevent and control among young students.Methods A total of 1207 students in grade one and grade two of a university in Chengdu were selected by cluster sampling. Demographic data,AIDS-related knowledge, life-skills of AIDS prevention and sexual behaviors were collected through questionnaires. On the basis of descriptive analysis,logistic regression was used to analyze the impact of life skills on safe sex. Results The prevalence of sexual experience and unsafe sexual behaviors in female students were significantly lower than in male students(9.24% vs 20.81% and 3.39% vs 6.71%). The score of risk rejection ability of female students was significantly higher than that of male students(28.04±3.63 vs 25.32±3.87). With the improvement of risk rejection ability, the proportion of sexual experience and unsafe sexual behavior decreased significantly(P<0.05). Logistic regression analysis showed that female(OR=0.40) and risk rejection ability(OR=0.41) were protective factors for reducing sexual experience among college students, while major in liberal arts(OR=1.90) and risk identification ability(OR=1.76) were risk factors. For unsafe sexual behaviors, risk rejection ability was the only protective factor(OR=0.32). Conclusion The risk rejection ability in life skills of AIDS prevention is the protective factor against unsafe sexual behaviors among young students. It is suggested that training focusing on risk rejection ability should be strengthened in young students.
作者
张宁
余林
张建新
黄玉玲
谢天
田宇
唐明华
周鼎伦
ZHANG Ning;YU Lin;ZHANG Jianxin;HUANG Yuling;XIE Tian;TIAN Yu;TANG Minghua;ZHOU Dinglun(Pidu District Center of Disease Control and Prevention,Chengdu 611730,Sichuan Province,China;West China School of Public Health,Sichuan University,Wuhou Districty Chengdu 610041,Sichuan Province,China)
出处
《预防医学情报杂志》
CAS
2019年第9期970-974,979,共6页
Journal of Preventive Medicine Information
基金
郫都区艾滋病综合防控示范区项目(项目编号:2017PXCDC003)