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Behavioral and psychosocial predictors of condom use among university students in Eastern China.

机译:中国东部地区大学生使用安全套的行为和社会心理预测因素。

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摘要

In China the HIV epidemic has started to infiltrate into a broader population through heterosexual contact and particularly to impact young people. The purpose of this study was to identify behavioral and psychosocial correlates of condom use among Chinese university students. A self-administered questionnaire survey with cross-sectional design was conducted among all classes of undergraduate students at two universities in one municipality of Eastern China, 2003. Data obtained from 1850 sexually active students who answered the question on condom use during the previous year were used for analysis. Frequent (always/often) condom use during the previous year was reported by only about 40% of both men and women. Multivariate analysis revealed that condom use during the first sexual experience, oral contraceptive use in the previous year and higher condom self-efficacy score in both genders were potent predictors of frequent condom use, while frequent condom use was less likely practiced by men who ever had non-vaginal sex, by those with higher risk-awareness for pregnancy/HIV/sexually transmitted diseases and by women with lower scores for perceived condom benefits. Safe sex education for Chinese students should be urgently introduced and should not be limited to knowledge provision but should also address psychosocial factors, such as condom self-efficacy and gender differences adequately to effectively encourage safer behavior.
机译:在中国,艾滋病流行已经开始通过异性恋接触渗透到更广泛的人群中,尤其是影响到年轻人。本研究的目的是确定中国大学生使用安全套的行为和心理社会相关性。 2003年,在中国东部一个城市的两所大学的所有本科生类别中,进行了横断面设计的自我管理问卷调查。从上一年回答了有关使用安全套问题的1850名性活跃学生获得的数据包括:用于分析。据报告,去年(经常/经常)使用安全套的男女只有约40%。多因素分析显示,在第一次性经历中使用安全套,前一年使用口服避孕药以及两性中较高的避孕套自我效能得分都是频繁使用避孕套的有效预测指标,而曾经使用过避孕套的男性则不太可能频繁使用避孕套非阴道性行为,对怀孕/艾滋病毒/性传播疾病有较高风险意识的人以及对避孕套的获利评分较低的妇女。应该紧急地对中国学生进行安全的性教育,不应仅仅局限于知识的提供,还应适当解决心理社会因素,例如避孕套的自我效能和性别差异,以有效鼓励更安全的行为。

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