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

WANG Yan; WANG Haijun; PENG Chang; CHENG Junhan; RONG Fajuan; YU Yizhen

doi:10.16835/j.cnki.1000-9817.2023.06.010

Volume 44 Issue 6

Jun. 2023

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WANG Yan, WANG Haijun, PENG Chang, CHENG Junhan, RONG Fajuan, YU Yizhen. Association between sexual orientation and high-risk sexual behaviors among college students in Hubei Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(6): 840-844. doi: 10.16835/j.cnki.1000-9817.2023.06.010

Citation:

WANG Yan, WANG Haijun, PENG Chang, CHENG Junhan, RONG Fajuan, YU Yizhen. Association between sexual orientation and high-risk sexual behaviors among college students in Hubei Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(6): 840-844. doi: 10.16835/j.cnki.1000-9817.2023.06.010

Citation:

WANG Yan, WANG Haijun, PENG Chang, CHENG Junhan, RONG Fajuan, YU Yizhen. Association between sexual orientation and high-risk sexual behaviors among college students in Hubei Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(6): 840-844. doi: 10.16835/j.cnki.1000-9817.2023.06.010

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

doi: 10.16835/j.cnki.1000-9817.2023.06.010

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

Received Date: 2023-04-06
Rev Recd Date: 2023-04-25

Available Online: 2023-06-28

Publish Date: 2023-06-25

Abstract

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

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References(27)

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