重庆市自报告有性行为青少年高危性行为发生情况与影响因素分析  

The prevalence and influencing factors of high-risk sexual behaviors among adolescents with self-reported sexual behavior in Chongqing

作　　者：胡春梅[1] 尚春雅[2] HU Chunmei;SHANG Chunya(Mental Health Education and Counseling Center,Chongqing University of Arts and Sciences,Chongqing 402160,China;Education Innovation Research Institute,Chongqing University of Arts and Sciences,Chongqing 402160,China)

机构地区：[1]重庆文理学院心理健康教育与咨询中心 [2]重庆文理学院教育创新研究院

出　　处：《中国艾滋病性病》2024年第8期842-846,共5页Chinese Journal of Aids & STD

基　　金：重庆市教委人文社科项目(23SKSZ051);重庆市教改项目(233388)。

摘　　要：目的了解自报告有性行为青少年多性伴、无保护及被迫性行为等高危性行为的发生情况及影响因素。方法采用问卷调查法,对重庆市某高校及高中自报告有性行为青少年的多性伴、无保护及被迫性行为开展横断面调查,计数资料组间比较采用χ^(2)检验,多因素Logistic回归分析多性伴、无保护及被迫性行为发生的影响因素。结果共调查6786名青少年,发生性行为的占10.6%(722/6786)。722名自报告有性行为的青少年,发生多性伴性行为的占31.2%(225/722)、无保护性行为的占31.7%(229/722)、被迫性行为的占8.4%(61/722)。χ^(2)检验显示,多性伴发生比例上,男生(33.5%,172/513)高于女生(25.4%,53/209);无保护性行为发生比例上,男生(34.7%,178/513)高于女生(24.4%,51/209),高中生(50.2%,139/277)高于大学生(20.2%,90/445),农村学生(37.1%,179/482)高于城市学生(20.8%,50/240);被迫性行为发生比例上,高中生(13.4%,37/277)高于大学生(5.4%,24/445),以上差异均有统计学意义(P均<0.05)。多因素Logistic回归分析显示,感觉寻求水平高的青少年更易发生多性伴性行为(OR=1.190,95%CI:1.126~1.259),父母管教不良的青少年更易发生无保护性行为(OR=0.970,95%CI:0.946~0.995),遭受童年期性虐待(OR=1.105,95%CI:1.002~1.219)、感觉寻求水平高(OR=1.154,95%CI:1.050~1.268)的青少年更易发生被迫性行为。结论重庆市自报告有性行为青少年高危性行为发生存在一定比例,在开展高危性行为教育时应重点关注男生、高中生、农村学生、高感觉寻求、父母管教不良和遭受童年期性虐待的人群。Objective This study aimed to investigate the prevalence of and factors influencing high-risk sexual behaviors,such as multiple sexual partners,unprotected sex,and coerced sexual behavior,among self-reported sexually active adolescents.Methods A cross-sectional survey was conducted using a questionnaire among sexually active adolescents at a university and high schools in Chongqing.The chi-square test was used for group comparisons of count data,and multivariate logistic regression analysis was performed to identify factors associated with having multiple sexual partners,engaging in unprotected sex,and experiencing coerced sexual behavior.Results A total of 6786 adolescents were surveyed,and the prevalence of sexual activity was 10.6%(722/6786).Among the sexually active adolescents,31.2%(225/722)reported having multiple sexual partners,31.7%(229/722)engaged in unprotected sex,and 8.4%(61/722)experienced coerced sexual behaviors.The chi-square test showed that the proportion of adolescents with multiple sexual partners was higher in males(33.5%,172/513)than in females(25.4%,53/209).The proportion of adolescents who engaged in unprotected sex was higher in males(34.7%,178/513)than in females(24.4%,51/209),and higher in high school students(50.2%,139/277)than in university students(20.2%,90/445);rural students(37.1%,179/482)was higher than urban students(20.8%,50/240).The proportion of adolescents who experienced coerced sexual behavior was higher among high school students(13.4%,37/277)than among university students(5.4%,24/445).These differences were considered statistically significant(P<0.05).Multivariate logistic regression analysis revealed that adolescents with a higher level of sensation-seeking were more likely to have multiple sexual partners(OR=1.190,95%CI:1.126-1.259),and those with poor parental discipline were more likely to engage in unprotected sex(OR=0.970,95%CI:0.946-0.995).Adolescents who had experienced childhood abuse(OR=1.105,95%CI:1.002-1.219)and those with a higher level of sensation-seeking

关 键 词：青少年 高危性行为 感觉寻求 父母管教 童年期性虐待 

分 类 号：R512.91[医药卫生—内科学]