湖北省大学生性取向与高危性行为相关性分析

汪妍; 王海俊; 彭畅; 程君菡; 荣发娟; 余毅震

doi:10.16835/j.cnki.1000-9817.2023.06.010

湖北省大学生性取向与高危性行为相关性分析

doi: 10.16835/j.cnki.1000-9817.2023.06.010

1.
华中科技大学同济医学院公共卫生学院儿少卫生与妇幼保健学系，湖北武汉 430030
2.
北京大学公共卫生学院妇幼卫生

基金项目:

联合国人口基金项目 UNFPA/CHN/PSC/2019/015

详细信息

作者简介:
汪妍(1998-)，女，湖北武汉人，在读硕士，主要研究方向为儿少卫生与妇幼保健

通讯作者:
余毅震，E-mail：yuyizhen650@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: B844.2 G478
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- 文章访问数: 554
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- 被引次数: 0
出版历程
- 收稿日期: 2023-04-06
- 修回日期: 2023-04-25
- 网络出版日期: 2023-06-28
- 刊出日期: 2023-06-25

Association between sexual orientation and high-risk sexual behaviors among college students in Hubei Province

1.
Department of Maternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan(430030), China

摘要

摘要: 目的了解大学生性取向与高危性行为的关联性及其性别差异，为中国大学生高危性行为的预防和干预提供理论依据。方法于2020年11月—2021年5月，采用多阶段分层随机整群抽样方法，利用自编问卷调查湖北省4所高校共1 920名大学生的性取向和高危性行为发生情况，采用χ²检验和二元Logistic回归分析其关联性及性别差异。结果大学生性行为的报告率为18.2%，高危性行为的报告率为7.2%，其中非异性恋者高危性行为的报告率(13.5%)高于异性恋者(6.7%)，男生高危性行为的报告率(9.2%)高于女生(5.3%)，差异均有统计学意义(χ²值分别为9.40，10.77，P值均 < 0.01)。二元Logistic回归分析结果显示，性取向与高危性行为的关联无统计学意义(OR=1.52，95%CI=0.83~2.80，P>0.05)；对性别进行分层分析后发现，男生非异性恋者发生高危性行为的风险是异性恋者的3.57倍(OR=3.57，95%CI=1.52~8.41，P < 0.01)，女生性取向与高危性行为的关联无统计学意义(OR=0.48，95%CI=0.15~1.57，P>0.05)。结论大学生性取向与高危性行为的关系存在性别差异，且男生非异性恋者发生高危性行为的风险高于男生异性恋者。应重点关注男同性恋和双性恋者，降低大学生高危性行为的发生率。
- 性 /
- 行为 /
- 回归分析 /
- 学生
Abstract: Objective To examine the association between sexual orientation and high-risk sexual behaviors and its sex differences among college students, so as to provide a theoretical basis for intervention and controlling of high-risk sexual behaviors of the college students. Methods From November 2020 to May 2021, 1 920 college students among four universities in Hubei Province were recruited by multi-stage stratified random cluster sampling, and their sexual orientation and the frequency of high-risk sexual behaviors were investigated by a self-designed questionnaire. And then analyzed the association between sexual orientation and high-risk sexual behaviors and its sex differences by using Chi-square test and Logistic regression analysis method. Results The prevalence of sexual behaviors was 18.2%, the prevalence of high-risk sexual behaviors was 7.2%, and the prevalence of high-risk sexual behaviors was higher among non-heterosexuals(13.5%) than among heterosexuals (6.7%), the prevalence of high-risk sexual behaviors was higher among males (9.2%) than among females(5.3%), and the differences were statistically significant(χ²=9.40, 10.77, P < 0.01). Logistic regression analysis showed that the association between sexual orientation and high-risk sexual behaviors was not statistically significant(OR=1.52, 95%CI=0.83-2.80, P>0.05). However, stratified analysis by sex revealed that among male students, the risk of high-risk sexual behaviors was 3.57 times higher among non-heterosexuals than among heterosexuals(OR=3.57, 95%CI=1.52-8.41, P < 0.01), while among female students, the association between sexual orientation and high-risk sexual behaviors was not statistically significant(OR=0.48, 95%CI=0.15-1.57, P>0.05). Conclusion There are sex differences in the relationship between sexual orientation and high-risk sexual behaviors among college students. Male non-heterosexuals are at higher risk for high-risk sexual behaviors than male heterosexuals. Therefore, prevention and interventions for high-risk sexual behaviors among college students should focus on gay and bisexual men so as to reduce the occurance rate of their high-risk sexual behaviors.
- Sex /
- Behavior /
- Regression analysis /
- Students
注释:

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表 1 不同组别大学生高危性行为报告率比较

Table 1. Comparison of reporting rates of high-risk sexual behaviors among different groups of college students

组别	选项	人数	高危性行为人数	χ²值	P值
性别	男	972	89(9.2)	10.77	< 0.01
	女	948	50(5.3)
年级	大一	492	27(5.5)	13.83	< 0.01
	大二	575	30(5.2)
	大三	328	28(8.5)
	大四及以上	525	54(10.3)
专业类型	理科	889	57(6.4)	20.10	< 0.01
	医科	656	35(5.3)
	文科	375	47(12.5)
家庭居住地	城镇	1 183	94(7.9)	2.29	0.13
	农村	737	45(6.1)
家庭类型	核心	1 491	82(5.5)	42.36	< 0.01
	单亲	124	25(20.2)
	其他	305	32(10.5)
父母受教育程度	初中及以下	687	58(8.4)	9.88	0.02
	高中	584	27(4.6)
	大专及以上	388	36(9.3)
	不知道	261	18(6.9)
家庭人均月收入	< 1 000	136	12(8.8)	10.44	0.03
/元	1 000~ < 3 000	477	24(5.0)
	3 000~ < 5 000	550	45(8.2)
	5 000~ < 7 000	344	18(5.2)
	≥7 000	413	40(9.7)
吸烟	否	1 689	75(4.4)	163.79	< 0.01
	是	231	64(27.7)
饮酒	否	1 387	62(4.5)	57.07	< 0.01
	是	533	77(14.4)
性取向	异性恋	1 772	119(6.7)	9.40	< 0.01
	非异性恋	148	20(13.5)
注：()内数字为报告率/%。

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表 2 大学生发生高危性行为相关因素的二元Logistic回归分析(n=1 920)

Table 2. Binary Logistic regression analysis of the occurrence of high-risk sexual behaviors among college students(n=1 920)

自变量	选项	β值	标准误	Wald χ²值	P值	OR值(95%CI)
年级	大一					1.00
	大二	-0.24	0.30	0.64	0.42	0.79(0.43~1.42)
	大三	0.32	0.33	0.95	0.33	1.38(0.72~2.62)
	大四及以上	0.78	0.29	7.27	< 0.01	2.18(1.24~3.84)
专业类型	理科					1.00
	医科	-0.08	0.26	0.09	0.76	0.92(0.56~1.54)
	文科	0.65	0.25	6.55	0.01	1.91(1.16~3.14)
家庭类型	核心					1.00
	单亲	1.53	0.29	28.02	< 0.01	4.63(2.62~8.16)
	其他	1.56	0.38	16.58	< 0.01	4.75(2.24~10.04)
父母受教育程度	初中及以下					1.00
	高中	-0.77	0.27	8.15	< 0.01	0.46(0.27~0.79)
	大专及以上	-0.27	0.27	1.00	0.32	0.76(0.45~1.30)
	不知道	-1.48	0.46	10.38	< 0.01	0.23(0.09~0.56)
吸烟	否					1.00
	是	1.62	0.21	57.20	< 0.01	5.05(3.32~7.67)
饮酒	否					1.00
	是	1.04	0.21	25.69	< 0.01	2.82(1.89~4.22)
性取向	异性恋					1.00
	非异性恋	0.42	0.31	1.84	0.18	1.52(0.83~2.80)

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