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目的 了解大学生的性行为状况 ,为学校和有关部门制订性教育、性病艾滋病健康教育和行为干预措施提供参考依据。方法 选择浙江省 2所综合性大学在校全日制 1～ 4年级学生参加自答式问卷调查。结果 2所大学学生有 78 0 %参加本调查 ,1 3 1 %的大学生有过性行为 ,发生性行为的平均年龄 1 9 5 1岁 ;首次性行为使用安全套占 2 9 2 %;发生性行为的地点主要为旅馆饭店 ,其次为家里 ;平均性伴侣 1 5 4个 ,1 0 4 %学生自己或者性伴侣有过流产的经历 ;有一定比例的学生分别有买卖性关系 ,同性或双性性行为 ;1 4 %曾被诊断患过性病 ,曾经使用过安全套学生回答使用的主要原因是防止怀孕 ,最后一次性行为有 4 7 8%使用安全套。 6 8 6 %～ 71 1 %有性行为的学生认为自己或性伴侣怀孕、自己通过性行为感染性病艾滋病“不可能、可能性非常低或可能性较低”。结论 大学生预防性传播感染和HIV/AIDS意识低下 ,自我保护意识差 ,安全套使用率低 ,使用安全套主要是为了防止怀孕而不是预防疾病 ;多性伴现象严重 ,同性性行为和卖淫嫖娼客观存在 ,大学生存在流产、性传播疾病和HIV感染的危险性 ,针对大学生进行性病艾滋病健康教育和行为干预迫在眉睫。
Objective To understand the status of undergraduates’ sexual behaviors and provide reference for schools and related departments to formulate sex education, sexual health education and behavioral interventions. METHODS: Two full-time university students from grade 1 to 4 participated in the self-response questionnaire survey. Results 78% of the 2 university students participated in the survey, 131% of the college students had sex, the average age of sexual intercourse was 1951; the first time sexual condom use accounted for 293%; there was sexual intercourse. The location was mainly hotels and restaurants, followed by home; the average number of sexual partners was 154, and 104% of the students themselves or their sexual partners had experience of miscarriage; a certain percentage of students had buying and selling sex, same-sex or bisexuality. Behavior; 1 4% had been diagnosed with STDs, and the main reason that condom students once used to answer the question was to prevent pregnancy. At last, there was 478.8% condom use for one-time behavior. 6 8 6 % ~ 71 1 % of students who have sexual behaviors believe that they or their sexual partners are pregnant, and that they themselves are sexually infected with sexually transmitted diseases and HIV is “impossible, very unlikely, or of low probability”. Conclusion Undergraduates have low awareness of prevention of sexually transmitted infections and HIV/AIDS, poor awareness of self-protection, and low condom use rate. Condoms are mainly used to prevent pregnancy rather than prevent diseases; multiple sexual partners are serious, and homosexual behavior and prostitution are objective. College students have the risk of miscarriage, sexually transmitted diseases, and HIV infection. It is imperative for college students to conduct STD and AIDS health education and behavioral interventions.