Determinants of risky sexual behavior and condom use among college students in China

被引:62
作者
Sun, Xinying [1 ]
Liu, Xiaona [2 ]
Shi, Yuhui [1 ]
Wang, Yanling [1 ]
Wang, Peiyu [1 ]
Chang, Chun [1 ]
机构
[1] Peking Univ, Sch Publ Hlth, Dept Social Med & Hlth Educ, Beijing 100871, Peoples R China
[2] Univ Med Ctr Rotterdam, Dept Publ Hlth, Erasmus Med Ctr, Rotterdam, Netherlands
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2013年 / 25卷 / 06期
关键词
condom use; HIV; AIDS; risky sexual behavior; self-efficacy; intention; path analysis; UNIVERSITY-STUDENTS; SELF-EFFICACY; USE INTENTIONS; KNOWLEDGE; ATTITUDES; AIDS; ADOLESCENTS; HIV/AIDS; PREDICTORS; WOMEN;
D O I
10.1080/09540121.2012.748875
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The purposes of this study were to assess sexual behavior and condom use among Chinese college students, and to explore social-environmental and social-cognitive determinants associated with risky sexual behaviors within this population. A survey was conducted among 19,123 Chinese college students recruited through stratified cluster sampling. About 9% of the students reported having had sex (male=13.3%, female=5.0%, OR=2.918), 3.6% had multiple sexual partners (male=5.7%, female=1.6%, OR=3.624), and 0.9% had commercialized sex (male=1.6%, female=0.3%, OR=6.169). Only 24.8% of sexually active students had used a condom for every sexual encounter, and there was no significant difference in condom use between male students and female students. Logistic regression showed that sex (female, OR=0.769), age (older, OR=1.263), exposure to pornographic information (higher, OR=1.751), drinking (intoxication, OR=1.437), and smoking (OR=2.123-5.112) were all determinants of sexual behaviors. Path analysis showed that exposure to pornographic information, level of consumption, and sex education were important social-environmental factors of condom use. Condom use was more common among those who had greater HIV/AIDS knowledge, attitudes toward high-risk behavior, self-efficacy, and intent to use a condom. Intentions were the most important and direct factor influencing condom use. The study concluded that college students are vulnerable to sexually transmitted diseases - including HIV/AIDS infection - through sexual contact. Therefore, future HIV/AIDS prevention and safer sex interventions should focus on self-protection skills and target behavior change.
引用
收藏
页码:775 / 783
页数:9
相关论文
共 33 条
[1]   RETRACTED: Are Nepali students at risk of HIV? A cross-sectional study of condom use at first sexual intercourse among college students in Kathmandu (Retracted article. See vol. 26, 2023) [J].
Adhikari, Ramesh .
JOURNAL OF THE INTERNATIONAL AIDS SOCIETY, 2010, 13
[2]  
Albrektsson Madelene, 2009, Open AIDS J, V3, P55, DOI 10.2174/1874613600903010055
[3]   Sexual health risks among young Thai women: Implications for HIV/STD prevention and contraception [J].
Allen, DR ;
Carey, JW ;
Manopaiboon, C ;
Jenkins, RA ;
Uthaivoravit, W ;
Kilmarx, PH ;
van Griensven, F .
AIDS AND BEHAVIOR, 2003, 7 (01) :9-21
[4]   An assessment of HIV/AIDS risk in higher education students in Yerevan, Armenia [J].
Babikian, T ;
Freier, MC ;
Hopkins, GL ;
DiClemente, R ;
McBride, D ;
Riggs, M .
AIDS AND BEHAVIOR, 2004, 8 (01) :47-61
[5]   SELF-EFFICACY - TOWARD A UNIFYING THEORY OF BEHAVIORAL CHANGE [J].
BANDURA, A .
PSYCHOLOGICAL REVIEW, 1977, 84 (02) :191-215
[6]   Determinants of condom use intentions of university students in Ghana: an application of the theory of reasoned action [J].
Bosompra, K .
SOCIAL SCIENCE & MEDICINE, 2001, 52 (07) :1057-1069
[7]  
Braithwaite K., 2001, International Journal for the Advancement of Counseling, V23, P115, DOI DOI 10.1023/A:1010611328452
[8]   Perceptions regarding preventive sexual practices and communication with sexual partners among Chinese college students [J].
Cottrell, L ;
Li, XM ;
Stanton, B ;
Harris, C ;
D'Alessandri, D ;
Sun, ZF ;
Qu, MF ;
Rong, M ;
Zhang, HS .
PREVENTIVE MEDICINE, 2005, 40 (02) :189-196
[9]   Predictors of intention to use condoms among university women: An application and extension of the theory of planned behaviour [J].
Fazekas, A ;
Senn, CY ;
Ledgerwood, DM .
CANADIAN JOURNAL OF BEHAVIOURAL SCIENCE-REVUE CANADIENNE DES SCIENCES DU COMPORTEMENT, 2001, 33 (02) :103-117
[10]   Theory-based predictors of condom use among university students in the United States and South Africa [J].
Heeren, G. Anita ;
Jemmott, John B., III ;
Mandeya, Andrew ;
Tyler, Joanne C. .
AIDS EDUCATION AND PREVENTION, 2007, 19 (01) :1-12