Risky sex behaviours among college students: The psychosocial profile

Dolphin, Louise; Fitzgerald, Amanda; Dooley, Barbara

doi:10.1111/eip.12526

Cited by 16 publications

(8 citation statements)

References 45 publications

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“…This was associated with an earlier sexual debut and a higher number of lifetime sexual partners in men. According to several reports, the proportion of sexually active students is variable in different regions, for example in China this proportion is low, ranging between 13–18% [ 17 ]; in Africa, the proportions are reported between 20 to 40% [ 18 , 19 ]; in others regions such as Ireland and Jamaica the proportions are among the highest with a range of 75 to 85% [ 20 , 21 ]; in this context, our cohort stands between the populations with higher proportions of sexually active young people, which is in agreement with a previous study conducted in the city of Queretaro in Mexico where the percentage of students with sex activity was 89% [ 22 ]. Although the great variability in the prevalence of sexual activity in different regions, the overall proportion in men is greater than that of the female population.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of sexually risky behaviors among Mexican medical students

Garcia-Romo,

Pozo-Molina,

Reyes-Reali

et al. 2024

PLoS ONE

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University students are at high risk of sexually transmitted infections due to the lack of adequate sexual education, as well as multiple associated factors, which lead to risky sexual practices. It is important to update data about sexual behaviors to identify the main factors associated with sexually risky behaviors. The present study aimed to evaluate the current prevalence of sexually risky practices in medical students. A cross-sectional study was conducted among medical students through an anonymous self-administered online questionnaire including demographic characteristics and sexual behaviors. We used descriptive statistics and multivariable regression to analyze the data collected. A total of 1520 undergraduate medical students aged between 18 and 28 years old were included in the study. Sixty percent of the students were sexually active with a higher proportion in men (70%), likewise, they had an earlier sexual debut (16.5 vs 16.9 years old), and a greater number of lifetime sexual partners than women (3.8 vs 2.2). The main sexual activity in both groups was vaginal sex with high use of condoms (75%), however, most of them (67%) reported having unprotected oral sex. Logistic regression analysis showed that condomless sex was associated with having oral sex, anal sex, and being female. The findings of this study showed that medical university students are involved in risky sexual behaviors, the major risk factor was unprotected oral sex. Based on these results, we recommended designing interventions to improve sexual education and preventive approaches from early stages such as in middle school students to mitigate sexually transmitted infections among medical university students.

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Section: Discussionmentioning

confidence: 99%

Prevalence of sexually risky behaviors among Mexican medical students

Garcia-Romo,

Pozo-Molina,

Reyes-Reali

et al. 2024

PLoS ONE

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“…Condom use in the last sexual intercourse is surveyed according to global reports. 18 Early sexual debut is defined as a sexual debut occurring before the age of 17, 19,20 and having multiple sexual partners is defined as having had sex with more than one person during the three months before the survey. 21,22 Psychosexual Health.…”

Section: Methodsmentioning

confidence: 99%

Gender Differences in the Association Between Sexual Orientation and Risky Sexual Behavior Among College Students With Sexual Experience in Sichuan Province, Chinese

Zhou

Dai

et al. 2022

Sexual Medicine

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Background Limited information is available regarding risky sexual behavior among college students with different sexual orientations. Aim The aim of this study was to examine the gender differences in the association between sexual orientation and risky sexual behavior among Chinese college students with sexual experience. Methods With a self-assessment questionnaire, we conducted a cross-sectional survey among 73,800 students from 25 vocational colleges (3-year colleges) in the Sichuan province of China. Multivariate logistic regression models were used to examine the association between sexual orientation and risky sexual behavior among students with sexual experience. Outcomes The main outcome measures used regarding risky sexual behavior are the following: condom use in the last sexual intercourse, early sexual debut, and having multiple sexual partners. Results 12,711 students with sexual experience were included. Sexual minority students were more likely to have an early sexual debut (For male students, homosexual: OR = 1.88, P < .001; bisexual: OR = 1.96, P < .001; unsure: OR = 1.68, P < .001. For female students, homosexual: OR = 1.87, P < .01; bisexual: OR = 2.07, P < .01; unsure: OR = 1.53, P < .05), and less likely to use condoms in their last sexual intercourse (except for homosexual male students) (For male students, bisexual: OR = 0.65, P < .01; unsure: OR = 0.60, P < .001. For female students, homosexual: OR = 0.21, P < .001; bisexual: OR = 0.54, P < .001; unsure: OR = 0.68, tP < .05). There are gender differences in the association between sexual orientation and having multiple sexual partners. Male sexual minorities were more likely to have multiple sexual partners than heterosexual students (homosexual: OR = 2.06, P < .001; bisexual: OR = 1.66, P < .001; unsure: OR = 1.31, P < .05), while the same result was only observed in bisexual female students (OR = 1.46, P < .01). Clinical Implications Sexual health education professionals should consider the sexual orientation of students when providing counseling services or educational intervention, especially for male students and LGBT ones. Strengths & Limitations We examined gender differences in the association between sexual orientation and risky sexual behavior among college students with sexual experience. However, the ability for the cross-sectional survey to address causality is limited, and will be further tested in cohort studies. Conclusion Gender and sexual orientation affect the likelihood of risky sexual behavior among China's college students, and gender differences in the association between sexual orientation and risky sexual behavior should be noticed.

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“…In this study, these behaviours consisted of early sexual debut, having multiple sexual partners, condom use at the rst intercourse, and condom use at the latest intercourse. 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).…”

Section: Risky Sexual Behavioursmentioning

confidence: 99%

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

Dai

Zhou

et al. 2023

Preprint

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Background Males account for a significant share of new infections among young people in China. This study aimed to identify the factors associated with risk sexual behaviours, and provide evidence of leverage for effective interventions among male college students. Methods The cross-sectional study was conducted from December 2020 to December 2021 in 16 colleges, located in Sichuan Province, one of the high-risk areas in China. Overall 1640 male college students who reported sexually experienced were analyzed in this study. Multivariable logistic regression analysis was applied to determine factors associated with risk sexual behaviours. Results The average age of included male students was 19.95 ± 1.56. Of them, 27.74% initiated sexual behavior early, and 16.52% did not use condoms at the latest sexual intercourse. Students who were older (age 20-21, AOR=0.43, 95%CI: 0.33-0.55; age≥22, AOR=0.13, 95%CI: 0.08-0.21) (versus age ≤ 19) were less likely to have early sexual debut. The likelihood of engaging in condomless sex at the latest sexual intercourse was lower among male college students who had a senior high school educated mother (vs junior high school and below, AOR=0.47, 95%CI: 0.28-0.80), were knowledgeable about sex and reproductive health (vs unknowledgeable, AOR=0.48, 95%CI: 0.27-0.85), and held a higher level of condom use efficacy confident vs unconfident, AOR=0.50, 95%CI: 0.35-0.71; very confident vs unconfident, AOR=0.26, 95%CI: 0.16-0.42). The odds of condomless sex at the latest sexual intercourse increased among participants reporting perceived risk of HIV infection (vs no, AOR=1.96, 95%CI: 1.27-3.03) and early sexual debut (vs no, AOR=1.61, 95%CI: 1.12-2.32). Conclusion Comprehensive sex education curricula might be an effective approach by emphasizing fundamental sex and reproductive information and empowering students with assertiveness and negotiation skills with regard to condom use during or before college.

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Risky sex behaviours among college students: The psychosocial profile

Abstract: Suggestions are made for sexual education and intervention programs to specifically target subgroups of the student population.

Cited by 16 publications

References 45 publications

Prevalence of sexually risky behaviors among Mexican medical students

Prevalence of sexually risky behaviors among Mexican medical students

Gender Differences in the Association Between Sexual Orientation and Risky Sexual Behavior Among College Students With Sexual Experience in Sichuan Province, Chinese

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

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