A comparative study on safe sexual behavior and its intention among college students in Beijing between 2006 and 2016 / 中华疾病控制杂志

ABSTRACT

Objective To compare the changes of safe sexual behavior and its intention among college students in Beijing between 2006 and 2016, and to provide evidence for reproductive health education for prevention and control of sexually transmitted diseases (STDs). Methods By a stratified random sampling method,a questionnaire survey was conducted among college students in Beijing in 2006 and 2016 respectively. Results The rate of sexual behaviors declined ( 2=81.150,P<0.001), while the percentage of homosexual behavior among respondents in 2016 was higher than that in 2006( 2=12.115,P<0.001). Meanwhile, the age of first sexual intercourse (t=12.009, P<0.001) and the intention of safe sexual behavior declined( 2=10.375,P<0.001). In both surveys, the proportion of risk behaviors among students who ever had sexual behavior was higher than that of students never had sexual behavior. Multivariate linear regression analysis showed that the intention of safe sexual behavior among college students was associated with gender, age, self-efficacy of condom use, UNGASS index, visiting entertainment places and browsing pornographic information on the Internet(all P<0.05).Conclusions Compared with 2006, the safe sexualbehavior, intention and their risk factors among college students in Beijing changed greatly in 2016. The contents and approaches of intervention related to STDs and reproductive health should be changed according to the current situation in order to improve the intention of safe sexual behavior among college students and to control the occurrence of STDs.