Factors influencing unprotected sexual behavior among college students with different cognitive styles
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摘要:
目的 探索不同认知风格大学生非安全性行为的影响因素,为更好地开展大学生性安全教育提供参考和依据。 方法 于2022年3—8月,采用分层随机整群抽样方法抽取江苏省“双一流”高校、普通公办本科高校、普通民办高校共3所学校3 188名大学生为研究对象,采用认知方式图形测验、青少年健康相关危险行为问卷和自编大学生背景资料问卷进行调查。 结果 认知风格和大学生非安全性行为呈正相关(r=0.13,P < 0.05);存在非安全性行为大学生314名,占18.23%;以认知风格进行分组,二分类Logistic回归结果显示,影响场独立组大学生非安全性行为的因素有3个,其中男生、大四年级、恋爱次数多(1,2,≥3次)的大学生更多存在非安全性行为(OR值分别为1.28,1.79,1.35,1.68,1.84,P值均 < 0.05);影响场依存组大学生非安全性行为的因素有4个,其中高年级(大三,大四)、文科专业、城镇生源、恋爱次数多(1,2,≥3次)的大学生更多存在非安全性行为(OR值分别为1.91,2.01,1.26,1.40,1.46,1.78,1.99,P值均 < 0.05)。 结论 大学生非安全性行为受多种因素影响,认知风格是一个重要参考变量,不同影响因素因认知风格的不同会产生不同影响。 Abstract:Objective To determine the factors influencing unprotected sexual behavior among college students, so as to provide the reference and basis for better sex safety education in college. Methods From March to August, 2022, 3 188 college students from three universities, namely "double-first-class" universities, ordinary public undergraduate universities and ordinary private universities, were selected by stratified random cluster sampling method. Cognitive Style Graphic Test, Adolescent Health-related Risk Behavior Questionnaire and deographic information questionnaire were used to investigate. Results Cognitive style and unprotected sexual behavior were positively correlated (r=0.13, P < 0.05). A total of 18.23% (n=314) of participants reported engaging in unprotected sexual behavior. Binary Logistic regression analysis of participants grouped by cognitive style indicated major factors affecting unprotected sexual behavior among college students. In the field-independence group, male students, senior students, and those with frequent romantic encounters (1, 2, and ≥3 times) had more unprotected sexual behavior (OR=1.28, 1.79, 1.35, 1.68, 1.84, P < 0.05). Four major factors were associated with unprotected sexual behavior in the field-independence group: junior and senior college students, those that study liberal arts, urban student source, and those with frequent romantic encounters (1, 2 and ≥3 times) (OR=1.91, 2.01, 1.26, 1.40, 1.46, 1.78, 1.99, P < 0.05). Conclusion College students' unprotected sexual behavior is associated with multiple factors. Cognitive style is an important reference variable. The factors influencing this behavior have differing effects according to the different cognitive styles among college students. -
Key words:
- Cognition /
- Sexual behavior /
- Regression analysis /
- Students
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 大学生非安全性行为单因素分析
Table 1. Single factor analysis on college students' inprotected sexual behavior
组别 选项 场独立组 场依存组 人数 非安全性行为人数 χ2值 P值 人数 非安全性行为人数 χ2值 P值 性别 男 522 105(20.11) 11.84 < 0.01 347 65(18.73) 12.08 0.55 女 339 46(13.57) 514 98(19.07) 年级 大一 258 22(8.53) 76.63 < 0.01 308 21(6.82) 82.51 < 0.01 大二 227 38(16.74) 241 47(19.50) 大三 196 39(19.90) 167 48(28.74) 大四 180 52(28.89) 145 47(32.41) 专业 文科 237 43(18.14) 32.44 0.15 373 89(23.86) 39.52 0.04 理科 303 51(16.83) 279 46(16.49) 工科 321 57(17.76) 209 28(13.40) 生源地 城镇 506 92(18.18) 12.76 0.13 402 85(21.14) 15.61 0.03 农村 355 59(16.62) 459 78(16.99) 恋爱经历/次 0 143 7(4.90) 93.67 < 0.01 192 6(3.13) 126.44 < 0.01 1 423 52(12.29) 278 37(13.31) 2 219 55(25.11) 286 63(22.03) ≥3 76 37(48.68) 105 57(54.29) 注:()内数字为报告率/%。 表 2 不同认知风格大学生非安全性行为相关因素的二分类Logistic回归分析
Table 2. A binary Logistic regression analysis on the related factors of college students' unprotected sex behavior with different cognitive styles
分组 自变量 选项 β值 标准误 Wald χ2值 OR值(95%CI) 场独立组 性别 女 1.00 (n=861) 男 0.24 0.12 4.21 1.28(1.01~1.61)* 年级 大一 1.00 大二 0.04 0.11 0.14 1.04(0.84~1.29) 大三 0.24 0.14 3.01 1.27(0.97~1.66) 大四 0.58 0.15 14.31 1.79(1.32~2.42)** 恋爱经历/次 0 1.00 1 0.30 0.11 6.81 1.35(1.08~1.69)* 2 0.52 0.19 7.52 1.68(1.16~2.44)** ≥3 0.61 0.20 9.79 1.84(1.26~2.70)** 场依存组 年级 大一 1.00 (n=861) 大二 0.20 0.11 3.37 1.23(0.99~1.52) 大三 0.65 0.20 10.99 1.91(1.30~2.81)** 大四 0.70 0.20 12.05 2.01(1.35~2.98)** 专业 工科 1.00 理科 0.05 0.08 0.43 1.05(0.90~1.23) 文科 0.23 0.11 4.52 1.26(1.02~1.56)* 生源地 农村 1.00 城镇 0.33 0.12 8.24 1.40(1.11~1.75)** 恋爱经历/次 0 1.00 1 0.38 0.17 4.88 1.46(1.04~2.05)* 2 0.56 0.17 12.26 1.78(1.29~2.46)** ≥3 0.69 0.18 14.11 1.99(1.39~2.85)** 注: *P < 0.05,**P < 0.01。 -
[1] 杨千雪, 潘孝富. 大学生性行为发生率的变迁趋势及其影响因素: 基于1990—2018的横断历史元分析[J]. 保健医学研究与实践, 2021, 18(3): 37-43. https://www.cnki.com.cn/Article/CJFDTOTAL-GXBJ202103008.htmYANG Q X, PAN X F. Changing trends in the incidence of sexual behavior among college students and their influencing factors: a cross-temporal Meta-analysis, 1990-2018[J]. Health Med Res Practic, 2021, 18(3): 37-43. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GXBJ202103008.htm [2] 汪妍, 王海俊, 彭畅, 等. 湖北省大学生性取向与高危性行为相关性分析[J]. 中国学校卫生, 2023, 44(6): 840-844, 849. doi: 10.16835/j.cnki.1000-9817.2023.06.010WANG Y, WANG H J, PENG C, et al. Association between sexual orientation and high-risk sexual behavior among college students in Hubei Province[J]. Chin J Sch Health, 2023, 44(6): 840-844, 849. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.06.010 [3] 罗艳, 王旭初, 陈珺芳, 等. 杭州市2010—2017年青年学生艾滋病相关流行病学特征分析[J]. 中国预防医学杂志, 2018, 19(11): 808-812. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYC201811002.htmLUO Y, WANG X C, CHEN J F, et al. Epidemiological characteristics of HIV/AIDS among young students in Hangzhou during 2010-2017[J]. Chin Prev Med, 2018, 19(11): 808-812. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYC201811002.htm [4] LI G Q, JIANG Y, ZHANG L Q. HIV upsurge in China's students[J]. Science, 2019, 364(6442): 711. doi: 10.1126/science.aay0799 [5] 杜国平, 郁轻舟, 王亚青, 等. 江苏大一新生艾滋病认知情况及其对性态度性行为的影响[J]. 中国学校卫生, 2020, 41(11): 1661-1663, 1667. doi: 10.16835/j.cnki.1000-9817.2020.11.017DU G P, YU Q Z, WANG Y Q, et al. AIDS-related knowledge among college freshmen and its influence on sexual attitudes and behaviors in Jiangsu Province[J]. Chin J Sch Health, 2020, 41(11): 1661-1663, 1667. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.11.017 [6] LI X M, FANG X Y, LIN D H, et al. HIV/STD risk behaviors and perceptions among rural-to-urban migrants in China[J]. AIDS Educ Prev, 2004, 16(6): 538-556. doi: 10.1521/aeap.16.6.538.53787 [7] HARRY M. Cognitive styles and classroom learning[M]. Westport, Conn: Praeger, 1997: 1-64. [8] 谢斯骏, 张厚粲. 认知方式: 一个人格维度的实验研究[M]. 北京: 北京师范大学出版社, 1988: 278-280.XIE S J, ZHANG H C. Cognitive style: an experimental study on a personality dimension[M]. Beijing: Beijing Normal University Press, 1988: 278-280. (in Chinese) [9] 袭开国. 不同认知风格贫困大学生道德自我发展的干预[J]. 中国健康心理学杂志, 2017, 25(3): 371-375. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201703015.htmXI K G. Intervention on moral self development of poor college students with different cognitive styles[J]. Chin J Health Psychol, 2017, 25(3): 371-375. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201703015.htm [10] 王孟成, 蚁金瑶, 蔡琳, 等. 青少年健康相关危险行为问卷的编制及信效度检验[J]. 中国心理卫生杂志, 2012, 26(4): 287-292. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201204011.htmWANG M C, YI J Y, CAI L, et al. Reliability and validity of the Adolescent Health Related Risky Behavior Inventory[J]. Chin Ment Health J, 2012, 26(4): 287-292. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201204011.htm [11] 杨银梅, 沈雅利, 李十月, 等. 中国大陆地区大学生性行为发生情况Meta分析[J]. 中国公共卫生, 2018, 34(1): 142-147. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201801042.htmYANG Y M, SHEN Y L, LI S Y, et al. A Meta-analysis of sexual behavior among college students in Chinese Mainland[J]. Chin J Public Health, 2018, 34(1): 142-147. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201801042.htm [12] 周县委, 张天成, 徐涛, 等. 大学生不安全性行为相关因素的Meta分析[J]. 中国艾滋病性病, 2022, 28(3): 305-310. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA202203011.htmZHOU X W, ZHANG T C, XU T, et al. Related factors of college students' unsafe sexual behavior: a Meta-analysis[J]. Chin J AIDS STD, 2022, 28(3): 305-310. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA202203011.htm [13] 张文静, 马迎华, 高迪思, 等. 中国部分省市大学生性教育现状与性行为影响因素分析[J]. 中国学校卫生, 2018, 39(6): 814-817. doi: 10.16835/j.cnki.1000-9817.2018.06.004ZHANG W J, MA Y H, GAO D S, et al. Sex education status and influencing factors of sexual behavior among college students in 15 provinces of China[J]. Chin J Sch Health, 2018, 39(6): 814-817. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.06.004 [14] 袭开国, 孙学江, 高晓琴. 未婚女硕士研究生贞操态度现状分析[J]. 中国公共卫生, 2013, 29(2): 188-190. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201302012.htmXI K G, SUN X J, GAO X Q. Analysis of the current situation of chastity attitudes among unmarried female master's students[J]. Chin J Public Health, 2013, 29(2): 188-190. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201302012.htm [15] SANCHEZ-ALEMAN M A, CONDE-GLEZ C J, URIBE-SALAS F. Core groupapproach to identify college students at risk for sexually transmitted infections[J]. Rev Saude Publica, 2008, 42(3): 428-436. [16] 刘天军, 王更新, 张曦月, 等. 有性行为大学生安全套正确使用情况及影响因素[J]. 中国艾滋病性病, 2019, 25(9): 968-969. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201909031.htmLIU T J, WANG G X, ZHANG X Y, et al. The correct use of condoms among college students with sexual behavior and its influencing factors[J]. Chin J AIDS STD, 2019, 25(9): 968-969. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201909031.htm [17] WITKIN H A, GOODENOUGH D R. Field dependence and inter-personal behavior[J]. Psychol Bull, 1977, 84(4): 84-85. -

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