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Determinants of risky sexual behavior and condom use among college students in China

机译：中国大学生危险性行为和安全套使用的决定因素

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The purposes of this study were to assess sexual behavior and condom use among Chinese college students, and to explore social-environmental and social-cognitive determinants associated with risky sexual behaviors within this population. A survey was conducted among 19,123 Chinese college students recruited through stratified cluster sampling. About 9% of the students reported having had sex (male-13.3%, female-5.0%, OR-2.918), 3.6% had multiple sexual partners (male-5.7%, female-1.6%, OR-3.624), and 0.9% had commercialized sex (male-1.6%, female-0.3%, OR-6.169). Only 24.8% of sexually active students had used a condom for every sexual encounter, and there was no significant difference in condom use between male students and female students. Logistic regression showed that sex (female, OR-0.769), age (older, OR-1.263), exposure to pornographic information (higher, OR-1.751), drinking (intoxication, OR-1.437), and smoking (OR-2.123- 5.112) were all determinants of sexual behaviors. Path analysis showed that exposure to pornographic information, level of consumption, and sex education were important social-environmental factors of condom use. Condom use was more common among those who had greater HIV/AIDS knowledge, attitudes toward highrisk behavior, self-efficacy, and intent to use a condom. Intentions were the most important and direct factor influencing condom use. The study concluded that college students are vulnerable to sexually transmitted diseases - including HIV/AIDS infection - through sexual contact. Therefore, future HIV/AIDS prevention and safer sex interventions should focus on self-protection skills and target behavior change.
机译：本研究的目的是评估中国大学生的性行为和使用安全套，并探讨与该人群中危险性行为相关的社会环境和社会认知决定因素。通过分层整群抽样对19123名中国大学生进行了调查。大约9％的学生报告说过过性行为（男生13.3％，女生5.0％，OR-2.918），3.6％有多个性伴侣（男生5.7％，女1.6％，OR-3.624），和0.9 ％的人进行了商业性交易（男性为1.6％，女性为0.3％，OR-6.169）。每次性接触中，只有24.8％参加过性活动的学生都使用了安全套，男女之间在使用安全套方面没有显着差异。 Logistic回归显示性别（女性，OR-0.769），年龄（年龄较大，OR-1.263），接触色情信息（较高，OR-1.751），饮酒（中毒，OR-1.437）和吸烟（OR-2.123- 5.112）都是性行为的决定因素。路径分析表明，接触色情信息，消费水平和性教育是使用安全套的重要社会环境因素。在那些具有较高的艾滋病毒/艾滋病知识，对高危行为的态度，自我效能感以及打算使用避孕套的人中，使用避孕套更为普遍。意图是影响安全套使用的最重要和最直接的因素。该研究得出的结论是，大学生通过性接触容易感染包括艾滋病毒/艾滋病在内的性传播疾病。因此，未来的艾滋病毒/艾滋病预防和更安全的性干预措施应侧重于自我保护技能和针对性的行为改变。

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