新疆大学生性行为与性观念和艾滋病知识的关系  

Relationship between premarital sexual behavior and attitude with AIDS knowledge among undergraduates in Xinjiang

作　　者：王璐[1] 欧维东 董惠娟[1] 汤晓璇 田恬[1] 黄冰雪[1] 戴江红[1] 

机构地区：[1]新疆医科大学公共卫生学院,乌鲁木齐830011

出　　处：《中国学校卫生》2017年第6期860-862,865,共4页Chinese Journal of School Health

基　　金：2016年中国性病艾滋病防治协会.艾伯维高校防艾专项基金项目(2016650100A000088);新疆医科大学公共卫生学院大学生创新性实验计划项目(201403)

摘　　要：目的了解新疆地区大学生性行为与性观念和艾滋病相关知识的关系,为新形势下大学生性教育和艾滋病预防提供参考。方法分层整群抽取新疆5所高校4个年级共2 182名在校大学生,使用自制问卷进行匿名调查。结果新疆地区大学生性行为报告率为21.9%(477名);9.6%(209名)的大学生对婚前性行为持认可态度,37.8%(824名)的大学生表示在发生性行为前会了解对方的性历史。发生与未发生过性行为的大学生艾滋病知识得分分别为(6.41±2.92)和(8.82±2.38)分,差异有统计学意义(t=-18.58,P<0.01)。多因素Logistic回归分析表明,发生性行为的危险因素为少数民族(OR=3.457)、在发生性行为前不会了解对方性历史(OR=1.817)和没有考虑过(OR=1.123)以及视情况而定(OR=1.926);保护因素为女性(OR=0.612)、医学类专业(OR=0.372)、对婚前性行为有条件的认可(OR=0.479)和持反对态度(OR=0.150)、艾滋病知识得分≥10分(OR=0.544)。结论新疆地区大学生性行为发生率较高。应加强大学生性行为、性观念和艾滋病相关知识等方面的教育,提高大学生接受艾滋病相关知识的主观能动性,促进个体身心健康发展。Objective To understand the relationship between premarital sexual behavior and attitude with AIDS-related knowledge among undergraduates in Xinjiang, and to provide reference for sexual education and HIV/AIDS prevention. Methods A stratified cluster sampling method was used to recruit 2 182 college students from 5 universities in Xinjiang. Anonymous surveys were conducted by using self-administered questionnaires. Results The prevalence of sexual behavior of undergraduates in Xinjiang was 21.9%（477/2 182）; 9.6%（209/2 182） of the students had a positive attitude towards premarital sexual behavior, and 37.8% （ 824/2 182） of respondents reported understanding with partner＇s sex history. The AIDS knowledge scores among students with and without sexual behaviors were （6.41±2.92） and （8.82±2.38）, respectively. The difference was statistically significant （P〈0.01）. Multivariate logistic regression analysis showed that risk factors of sexual behavior included ethnic minorities（ OR = 3.457）, no understanding with partner＇s sex history（OR= 1.817）, without thinking before sexual relationship（OR= 1.123）, and ambiguity on sexual behavior（ OR= 1.926）. The protective factors included being female（ OR= 0.612）, medical major（ OR= 0.372）, conditional acceptance of premarital sex（ OR=0.479）, and opposition towards premarital sexual behavior（ OR= 0. 150）, as well as AIDS knowledge score higher than 10（ OR= 0.544）. Conclusion Sexual behavior among college students in Xinjiang is quite common. Sexual education and HIV/AIDS related knowledge should be strengthened, and individual active approach to AIDS-related knowledge need to be improved among Xinjiang college students as well.

关 键 词：性行为 健康知识 态度 实践 获得性免疫缺陷综合征 学生 

分 类 号：G479[文化科学—教育学] R167[文化科学—教育技术学]