2006年与2016年北京市大学生安全性行为及意向的对比研究  

A comparative study on safe sexual behavior and its intention among college students in Beijing between 2006 and 2016

作　　者：崔婧晨 张欣[1] 常春[1] 孙昕霙[1] 范欣颐 史宇晖[1] CUI Jing-chen;ZHANG Xin;CHANG Chun;SUN Xin-ying;FAN Xin-yi;SHI Yu-hui(Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing 100191, China)

机构地区：[1]北京大学公共卫生学院社会医学与健康教育系

出　　处：《中华疾病控制杂志》2019年第10期1191-1195,共5页Chinese Journal of Disease Control & Prevention

摘　　要：目的通过比较2006年和2016年北京市大学生安全性行为及意向的变化情况,为性传播疾病(sexually transmitled disease,STD)防控提供针对性生殖健康教育依据。方法分别在 2006年和2016年采取分层随机抽样方法,对北京市在校大学生进行问卷调查。结果与2006年相比,2016年大学生发生性行为比例下降(x^2= 81. 150, P < 0. 001),同性性行为比例上升(x^2= 12. 115,P <0.001),初次性行为发生年龄减小(t= 12.009, P <0.001),安全性行为意向下降(x^2=10. 375,P <0. 001)。两次调查中有性行为大学生的相关危险行为比例均高于无性行为大学生。多元线性回归结果显示,大学生安全性行为意向与性别、年龄、安全套使用自我效能、联合国大会艾滋病特别会议(United Nations General Assembly Special Sessionon HIV/AIDS,UNGASS)指标、光顾娱乐场所和网络浏览色情信息相关(均有P<0.05)。结论与2006年相比,2016年北京市大学生安全性行为、意向及其影响因素均发生较大变化,应随之改变大学生性病与生殖健康相关的干预内容及途径,强化其安全性行为意向,从而控制性传播疾病的发生。Objective To compare the changes of safe sexual behavior and its intention among college students in Beijing between 2006 and 2016, and to provide evidence for reproductive health education for prevention and control of sexually transmitted diseases ( STDs). Methods By a stratified random sampling method, a questionnaire survey was conducted among college students in Beijing in 2006 and 2016 respectively. Results The rate of sexual behaviors declined ( x^2 =81. 150, P <0. 001 ), while the percentage of homosexual behavior among respondents in 2016 was higher than that in 2006( x^2 =12. 115 ,P <0. 001). Meanwhile, the age of first sexual intercourse (t = 12. 009, P<0. 001 ) and the intention of safe sexual behavior declined ( x^2 = 10. 375 ,P < 0. 001 ). In both surveys, the proportion of risk behaviors among students who ever had sexual behavior was higher than that of students never had sexual behavior. Multivariate linear regression analysis showed that the intention of safe sexual behavior among college students was associated with gender, age, self-efficacy of condom use, UNGASS index, visiting entertainment places and browsing pornographic information on the Internet ( all P < 0. 05 ). Conclusions Compared with 2006, the safe sexualbehavior, intention and their risk factors among college students in Beijing changed greatly in 2016. The contents and approaches of intervention related to STDs and reproductive health should be changed according to the current situation in order to improve the intention of safe sexual behavior among college students and to control the occurrence of STDs.

关 键 词：大学生 安全性行为 意向 对比研究 

分 类 号：R181[医药卫生—流行病学]