珠海市大学生安全套使用知行分离影响因素分析

谭晓霞; 周毅; 冯帅新; 代文灿; 黄兆谦; 刘亚薇; 黄莹; 黄珊子; 林铠浩; 李晓凤; 严瑶; 江洪波

doi:10.16835/j.cnki.1000-9817.2023.10.013

珠海市大学生安全套使用知行分离影响因素分析

doi: 10.16835/j.cnki.1000-9817.2023.10.013

谭晓霞¹,
周毅^{2, 3},
冯帅新¹,
代文灿²,
黄兆谦¹,
刘亚薇⁴,
黄莹¹,
黄珊子²,
林铠浩¹,
李晓凤⁵,
严瑶¹,
江洪波^1, ,

1.
广东药科大学公共卫生学院流行病与卫生统计学系, 广州 510310
2.
珠海市疾病预防控制中心艾滋病防制所
3.
澳门科技大学医学院
4.
珠海市疾病预防控制中心监察室
5.
珠海市横琴新区疾病预防控制中心流行病学防制组

基金项目:

广东省哲学社会科学规划项目 GD21YSH08

2022广东省普通高校特色创新项目 2022KTSCX060

国家自然科学基金项目 81703282

详细信息

作者简介:
谭晓霞(1998-), 女, 广东台山人, 在读硕士, 主要研究方向为传染病流行病学

通讯作者:
江洪波, E-mail: hongbojiang3@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: C913.5 G478 R193
计量
- 文章访问数: 229
- HTML全文浏览量: 105
- PDF下载量: 26
- 被引次数: 0
出版历程
- 收稿日期: 2023-05-19
- 修回日期: 2023-07-25
- 网络出版日期: 2023-10-27
- 刊出日期: 2023-10-25

Analysis of associated factors of the inconsistency for knowledge and behavior in condom use among college students in Zhuhai City

1.
Department of Epidemic and Health Statistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou(510310), China

摘要

摘要: 目的了解大学生安全套使用知行分离现状及影响因素, 为高校开展艾滋病预防教育工作提供参考依据。方法于2019年10-12月, 采用多阶段整群抽样方法收集珠海市6所高校1 303名学生安全套使用知行分离情况及相关因素信息。使用χ²检验和Logistic回归分析知行分离影响因素及首次性行为使用安全套的调节作用。结果大学生安全套使用知行分离报告率为41.1%。多因素Logistic回归分析显示, 线下寻找性伴侣与知行分离呈负相关(OR=0.70, 95%CI=0.51~0.95);首次性行为未使用安全套(OR=7.11, 95%CI=5.23~9.67)、性行为前吸烟(OR=1.47, 95%CI=1.07~2.02)、性行为前饮酒(OR=1.44, 95%CI=1.09~1.91)、有亲密伴侣暴力史(OR=1.53, 95%CI=1.13~2.07)、多性伴(OR=1.69, 95%CI=1.25~2.29)与知行分离均呈正相关(P值均 < 0.05)。调节作用分析显示, 首次性行为使用安全套在性行为前吸烟与知行分离之间存在调节作用(β=0.92, P < 0.05);在首次性行为未使用安全套的学生中, 性行为前吸烟与知行分离呈正相关(OR=2.76, 95%CI=1.09~6.99, P < 0.05), 而在首次性行为使用安全套的学生中未发现性行为前吸烟与知行分离有相关性(OR=1.32, 95%CI=0.92~1.88, P>0.05)。结论珠海市大学生安全套使用知行分离报告率较高。高校应尽早开展性教育活动, 探索新的健康教育模式, 促进其知识向行为的转化。
- 避孕套 /
- 工具使用行为 /
- 健康知识, 态度, 实践 /
- 回归分析 /
- 学生
Abstract: Objective To examine the prevalence and factors influencing the inconsistency for knowledge and behavior in condom use among college students, so as to provide suggestions for AIDS prevention and education in universities. Methods From October to December 2019, a multistage cluster sampling method was employed to collect data relating to inconsistency for knowledge and behavior in condom use and other related factors among 1 303 students from six colleges in Zhuhai, China.Chi-square test and Logistic regression were performed to analyze the influencing factors and moderating effect. Results The reporting rate of in consistency of knowledge and behavior in condom use among college students was 41.1%.Multivariate Logistic regression analysis showed that seeking sexual partners offline was negatively correlated with inconsistency for knowledge and behavior in condom use (OR=0.70, 95%CI=0.51-0.95).However, condom nonuse during the first sexual experience (OR=7.11, 95%CI=5.23-9.67), smoking before sex (OR=1.47, 95%CI=1.07-2.02), drinking before sex (OR=1.44, 95%CI=1.09-1.91), history of intimate partner violence (OR=1.53, 95%CI=1.13-2.07), and having multiple sexual partners (OR=1.69, 95%CI=1.25-2.29) were positively correlated with inconsistency for knowledge and behavior in condom use (P < 0.05).The moderating effect analysis showed that condom use during the first sexual experience had a moderating effect on smoking before sex and inconsistency for knowledge and behavior in condom use (β=0.92, P < 0.05).Among students who did not use condoms during the first sexual experience, a positive correlation was observed between smoking before sex and inconsistency for knowledge and behavior in condom use (OR=2.76, 95%CI=1.09-6.99, P < 0.05).However, no correlation was found between smoking before sex and inconsistency for knowledge and behavior in condom use (OR=1.32, 95%CI=0.92-1.88, P>0.05) among students who used condoms during the first sexual experience. Conclusion High levels of inconsistency for knowledge and behavior in condom use are found among college students in Zhuhai City.Colleges should carry out sex education activities as soon as possible, and explore new health education models to promote the transformation of their knowledge into behavior.
- Condoms /
- Tool use behavior /
- Health knowledge, attitudes, practice /
- Regression analysis /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 大学生安全套使用知行分离单因素分析

Table 1. Univariate analysis on factors associated with cognition and sexual behavior inconsistency in condom use among college students

影响因素	选项	人数	报告人数	χ²值	P值
性别	男	748	322(43.0)	2.65	0.10
	女	555	214(38.6)
户籍	城市	953	383(40.2)	1.31	0.25
	农村	350	153(43.7)
年级	大一	208	94(45.2)	3.97	0.27
	大二	371	145(39.1)
	大三	465	182(39.1)
	大四及大五	259	115(44.4)
每月可支配费用/元	< 3 000	892	344(38.6)	7.72	0.01
	≥3 000	411	192(46.7)
首次性行为使用	是	1 004	308(30.7)	197.64	< 0.01
安全套	否	299	228(76.3)
性强迫	低	1 034	396(38.3)	16.66	< 0.01
	高	269	140(52.0)
寻找性伴侣方式	线上	369	166(45.0)	8.85	0.01
	线下	542	197(36.3)
	两者兼有	392	173(44.1)
儿童期性虐待史	否	744	275(37.0)	12.48	< 0.01
	是	559	261(46.7)
固定性伴	否	234	101(43.2)	0.48	0.49
	是	1 069	435(40.7)
亲密伴侣暴力史	否	1 029	391(38.0)	19.90	< 0.01
	是	274	145(52.9)
性行为前吸烟	否	1 002	372(37.1)	28.81	< 0.01
	是	301	164(54.5)
性行为前饮酒	否	853	307(36.0)	27.00	< 0.01
	是	450	229(50.9)
多性伴	否	986	355(36.0)	44.08	< 0.01
	是	317	181(57.1)
注： ()内数字为报告率/%。

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