重庆市某高校441名自报告有性行为学生多性伴、无保护性行为与饮酒的关系

Relationship between Multiple Sexual Partners, Unprotected Sexual Behaviors and Alcohol Consumption of Students with Self-Reported Sexual Behavior in a University in Chongqing

摘要: 目的：调查重庆市某高校大学生多性伴、无保护性行为与饮酒的关系，为开展大学生性教育提供参考。方法：采用自行设计的调查问卷，对重庆市某高校大学生多性伴、无保护性行为发生比例及与饮酒的关系进行横断面调查，计数资料之间的比较采用2检验，多因素Logistics回归分析多性伴、无保护性行为与饮酒的关系。结果：共调查441名自报告有性行为的学生，发生多性伴性行为的占比36.1% (159/441)，发生无保护性行为的占比25.2% (111/441)，饮酒的占比63.3% (279/441)。Logistic回归分析结果表明，自报告有性行为大学生饮酒与发生多性伴性行为(OR = 1.577, 95% CI = 1.010~2.462)、无保护性行为(OR = 1.742, 95% CI = 1.035~2.932)均呈正相关(均P  0.05)。结论：饮酒是大学生发生多性伴及无保护性行为的影响因素，应引导学生认识“饮酒近视”和“饮酒预期”易导致发生高危性行为，避免酒后发生高危性行为。

Abstract: Objective: To investigate the relationship between multiple sexual partners, unprotected sexual behaviors and alcohol consumption of students with self-reported sexual behavior in a university in Chongqing and provide reference for sexual education. Methods: A self-designed questionnaire was used to conduct a cross-sectional survey on ratio of multiple sexual partners and unprotected sexu-al behaviors and relationship between these two risky sexual behaviors and alcohol consumption of students with self-reported sexual behavior; the Chi-square test was used to compare different groups, and binary logistic regression was used to explore the relationship between multiple sexual partners, unprotected sexual behaviors and alcohol consumption. Results: A total of 441 college students reported sexual behavior; 36.1% (159/441) students had multiple sexual partners; 25.2% (111/441) students had unprotected sexual behaviors; 63.3% (279/441) students con-sumed alcohol. The results of multivariate logistic regression showed that alcohol consumption was positively correlated with college students’ having multiple sexual partners (OR = 1.577, 95% CI = 1.010~ 2.462) and unprotected sexual behaviors (OR = 1.742, 95% CI = 1.035~2.932) (both P  0.05). Conclusion: Alcohol consumption is the influencing factor of multiple sexual partners and unprotected sexual behaviors of college students with self-reported sexual behavior. We should guide students to understand that “alcohol myopia” and “alcohol expectancy” are likely to lead to risky sexual behavior, and to avoid having risky sexual behavior after drinking.