山西省女大学生首次性行为发生时期及HIV相关高危性行为的关联性分析  

Analysis of the correlation between the time of first sexual behavior and HIV-related high-risk sexual behaviors of female college students in Shanxi Province

作　　者：吴心悦 WU Xinyue(College of Humanities and Social Sciences,Shanxi Medical University,Taiyuan Shanxi 030000,China)

机构地区：[1]山西医科大学人文社会科学学院,山西太原030000

出　　处：《卫生软科学》2025年第1期82-86,共5页Soft Science of Health

摘　　要：[目的]掌握当前山西省女大学生性行为发生情况,并探寻其首次性行为年龄及HIV相关高危性行为之间的关联性,为今后山西省开展大学生性教育提供参考。[方法]采用整群抽样法选取山西省女大学生(本科生、研究生)作为调查对象,通过线上邀请调查对象匿名填写调查问卷。[结果]共有488名女大学生参与并完成问卷,调查对象的平均年龄为(22.98±0.62)岁,性行为发生率为23.6%,不同年龄组的调查对象性行为发生情况差异有统计学意义(P<0.001);82.0%的调查对象接受过性教育;41.7%首次性行为发生在大学,40.0%首次性行为发生在高中,18.3%首次性行为发生在初中。其中,首次性行为发生在大学时期的调查对象与异性发生占97.9%,首次性行为避孕套使用率为70.8%,64.6%更倾向于采取其他措施作为避孕措施,77.1%近一年性伴数<2人,近一年性行为时避孕套经常及每次使用率为77.1%。与之相比,首次性行为发生在大学时期之前的调查对象具有首次性行为未使用避孕套(P<0.001)、更倾向于采取避孕套作为避孕措施(P<0.001)、近一年性伴数≥2人(P=0.002)及近一年性行为中从不使用或偶尔使用避孕套(P=0.009)的特征。[结论]山西省女大学生性行为发生率较高及HIV相关高危性行为较多,并且首次性行为发生较早者更容易发生HIV相关高危性行为。Objective To understand the occurrence of sexual behaviors among female college students in Shanxi Province,and to explore the correlation between the age of first sexual behavior and HIV-related high-risk sexual behaviors,so as to provide a basis for sex education among college students in Shanxi Province in the future.Methods Female college students(undergraduates and postgraduates)in Shanxi Province were selected as the subjects by cluster sampling method,and the subjects were invited to fill in the questionnaire anonymously online.Results A total of 488 female college students participated and completed the questionnaire.The average age of the subjects was(22.98±0.62)years,and the incidence of sexual behaviors was 23.6%.There were statistically significant differences in the occurrence of sexual behaviors of the subjects in different age groups(P<0.001).82.0%of the subjects received sex education.41.7%had their first sexual encounter in college,40.0%in high school,and 18.3%in middle school.Among them,subjects who had first sexual encounter with the opposite sex in college accounted for 97.9%.The use rate of condom for first sexual encounter was 70.8%,and 64.6%preferred to take other measures as contraception.77.1%had less than two sexual partners in the past year,and the rate of condom used frequently and each time in sexual behaviors in the past year was 77.1%.Compared to that,the subjects who had their first sexual intercourse before college had the characteristics of not using a condom for the first sexual behavior(P<0.001),being more inclined to use condoms as contraception(P<0.001),having≥2 sexual partners in the last year(P=0.002),and never or occasionally using condoms in the last year(P=0.009).Conclusions Female college students in Shanxi Province have higher incidence of sexual behaviors and more HIV-related high-risk sexual behaviors,and those who have their first sexual behavior earlier are more likely to have HIV-related high-risk sexual behaviors.

关 键 词：首次性行为 HIV相关高危性行为 性教育 女大学生 

分 类 号：R512.91[医药卫生—内科学]