Gender differences in sexual health knowledge,attitude and behavior among Chinese college students and the influencing factors of sexual behavior
Objective To understand the current situation of sexual knowledge,attitude and behavior of Chinese college students,and provide reference for the whole society to carry out sex education,so as to improve the level of sexual health of college students.Methods From August to November 2022,a convenient sampling method was adopted to select 24 816 college students from universities in 34 provinces,municipalities directly under the Central government and autonomous regions across the country.A self-designed questionnaire was used to carry out online survey,and SPSS 26.0 software was used for descriptive analysis.Chi-square test and logistic regression analysis model were used to analyze the sexual health status of college students.Results In terms of sexual knowledge,the knowledge rate of male and female contraceptive methods was 90.4％and 83.5％,respectively,and the difference was statistically significant(P＜0.05).In terms of sexual attitudes,the acceptance rates of"premarital sex","open or cohabitation"and"one-night stand or hookup"were 42.1％,45.5％and 12.2％for male students,and 20.4％,20.0％and 2.0％for female students,respectively,with statistical significance(all P＜0.05).In terms of sexual behavior,ethnic group,sexual orientation,sexual knowledge,and whether girls are the only child are the influencing factors of sexual behavior.The sexual activity of Han girls was 1.817 times that of minority girls(95％CI:1.513-2.181).Non-hetero-sexual girls were 2.163 times likely to have sex than heterosexual girls(95％CI:1.749-2.675).Women who knew about contraception were 19.898 times likely to have had sex(95％CI:12.093-32.738)than those who did not know about contraception.Women who were only children were 2.945 times likely to have sex than women who were not only children(95％CI:2.412-3.595).Conclusions College students have many problems in sexual knowledge,attitude and behavior,so it is suggested that universities and other education departments should attach great importance to it,make full use of Internet,classroom and other platforms to carry out relevant popular science education,and strengthen the general education of sexual health education.
Sex-related healthSexual behaviourCollege studentsKnowledge attitude and practice
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NSTL
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