Analysis of Multiple Sexual Partners among 2665 Male College Students Who Have Sexual Behaviour in Zhejiang Province, China

Abstract

Objective. The objective of this study was to understand multiple sexual partners and related factors among male college students who exhibited sexual behaviour to provide a scientific basis for formulating HIV/AIDS prevention measures among college students. Methods. A stratified cluster random sampling method was conducted among 2665 male students who had sexual behaviour and were informed of the number of sexual partners from 13 colleges/universities in 11 cities in Zhejiang Province in 2018. Demographic characteristics, sexual attitudes, sexual behaviour, interventions, and related information were collected using a homemade online questionnaire. The chi-square test or univariate logistic regression in different groups was conducted for multiple sexual partners, and a logistic regression model was used in the related factor analysis. Results. A total of 2665 college students who engaged in sexual behaviour were involved in the research; among them, 485 students (18.20%) had multiple sexual partners. The results of multivariate analysis showed that the participants whose sexual orientation was homosexual ( adjusted OR = 4.10 , 95 % CI = 2.89 − 5.80 ), those who had received school education about HIV testing in the previous year ( adjusted OR = 1.55 , 95 % CI = 1.20 − 1.99 ), those who had accepted one-night stands ( adjusted OR = 3.29 , 95 % CI = 2.43 − 4.47 ), those who had accepted commercial sex ( adjusted OR = 1.89 , 95 % CI = 1.44 − 2.48 ), and those who were very confident in a condom use measure of self-efficacy ( adjusted OR = 1.78 , 95 % CI = 1.31 − 2.41 ) were more likely to have multiple sexual partners. The participants who were senior students ( adjusted OR = 0.51 , 95 % CI = 0.31 − 0.84 ), those whose monthly living expenses were 1001-1500 renminbi ( adjusted OR = 0.69 , 95 % CI = 0.51 − 0.93 ), those who had known that “daily life and study contact cannot spread HIV” ( adjusted OR = 0.59 , 95 % CI = 0.43 − 0.80 ), and those who knew that the CDC provides HIV testing ( adjusted OR = 0.66 , 95 % CI = 0.46 − 0.95 ) were less likely to have multiple sexual partners. Conclusion. Multiple sexual partners were quite common among male college students who engaged in sexual behaviour. They had a separation of HIV/AIDS knowledge and action and a low rate of HIV testing. Further health education and intervention, including informing friends of strategies, are needed to guide students in correct sexual attitudes, safe sexual behaviour, and prevention of the spread of disease.

Factors Associated with Commercial Sex Behavior among Male College Students Who Engaged in Temporary Heterosexual Behavior in Zhejiang Province, China

“…However, the proportion of the commercial sex behavior group that insisted on using condoms each time during sex was only 26.8%. Studies have shown that the lack of conver-sion from knowledge to preventive measures in condom use among male college students is serious, and complex unsafe sexual behaviors increase the difficulty of intervention [33][34][35]. Therefore, to educate college students on HIV/ AIDS prevention, it is necessary to emphasize that the individual is the first person responsible for their own health.…”

Factors associated with risk sexual behaviors among sexually active college students in Sichuan, China: a cross- sectional survey

“…Early sexual debut was de ned as having sex before the age of 18 (37,38). Having multiple sexual partners was identi ed when having more than one sexual partner in the previous 12 months before the survey (39). Since having multiple sexual partners was indicated of social context bias (40), the outcomes of interest were condom use at the latest sexual intercourse and early sexual debut.…”

Factors Associated with HIV Testing among Male Students Who Have Engaged in Sexual Behaviour in Zhejiang Province, China

“…In this study, a cross-sectional survey of 13 colleges/universities in 11 districts and cities in Zhejiang province, China, was conducted, from October 2018 to November 2018 [21,22]. Our study focused on universities or vocational technical colleges, as recommended by the local Center for Disease Control and Prevention [21].…”

“…Tis study was conducted in accordance with the guidelines of the Declaration of Helsinki and approved by the Ethics Committee of the Zhejiang Provincial Center for Disease Control and Prevention (batch number: 2018-036). All participants signed informed consent forms [22]. All methods were performed in accordance with the relevant guidelines and regulations.…”