Analysis of willingness and influencing factors of on-campus free condom using among college students in Shanghai
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摘要:
目的 了解上海市在校大学生校内免费安全套使用意愿及影响因素,为优化相关公共医卫服务提供依据,预防大学生性病传播以保障生育人口生殖健康。 方法 对上海市62所专科及本科院校共14 612名在校大学生进行横断面调查,调查校内提供的免费安全套使用现状和个人看法,运用多因素logistic回归分析模型分析大学生校内免费安全套的使用意愿及影响因素。 结果 3 594例有过性行为的在校大学生校内免费安全套的使用意愿率为27.30%(981例),其中3 538例有效样本的使用率为9.04%(320例);性别、安全套使用经验、校内免费安全套使用经验、安全套日常负担成本、免费安全套评价与校内免费安全套的使用意愿差异均有统计学意义(均有P<0.001),男性(OR=1.412,95% CI: 1.001~1.189)、使用过校内免费安全套的(OR=2.079,95% CI: 1.114~1.522)、对校内免费安全套评价较好的及认为安全套日常负担成本较低的使用意愿较高。保证产品质量占比86.22%、加大宣传占比61.42%,这两项是提高免费安全套吸引力的主要措施。 结论 上海市大学生的校内免费安全套使用率较低、使用意愿不强。应改进免费安全套品质、完善校内免费安全套发放渠道、提高免费安全套认可度和接受度、实现高校免费药具服务的有效供给。 Abstract:Objective To investigated the willingness and influencing factors of on-campus free condoms using among college students in Shanghai, and protecting the reproductive health of college students, as well as provide a scientific basis for improving national "Free contraceptive services". Methods A cross sectional survey was conducted. A total of 14 612 college students of various degreess in 62 colleges in Shanghai was selected as participants. And their usage and personal perceptions were analyzed. Multivariate logistic regression was used to analyze the influencing factors of willingness to use on-campus free condoms. Results A total of 3 594 who had sex were investigated, including 981 who had willingness to use on-campus free condoms, with the utilization rate of 27.30%. 320 had used on-campus free condoms including, with the utilization rate of 9.04% in 3 538 valid respondents. Logistic regression analysis demonstrated that gender, condoms used or not, on-campus free condoms used or not, the daily cost of condoms, and the evaluation of on-campus free condoms(all P < 0.001) were statistically significant in relation to influencing factors of the on-campus free condom using willingness. Men (OR=1.412, 95% CI: 1.001-1.189), those who had used on-campus free condoms (OR=2.079, 95% CI: 1.114-1.522), those who had higher evaluation of on-campus free condoms lower daily cost of condoms had higher willingness. Ensuring quality and increasing publicity were the main measures to improve the attractiveness of on-campus free condoms. Conclusions The quality and the distribution of free condoms should be improved to increase the recognition and acceptance of free condoms to achieve an effective supply of national "Free contraceptive services" on campus. -
Key words:
- Contraceptive services /
- Condom /
- College students /
- Sexual health /
- Factors
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表 1 调查对象基本人口学特征及校内免费安全套使用意愿的单因素分析[n(%)]
Table 1. General demographic characteristics of survey subjects and univariate analysis of willingness to use on-campus free condom [n(%)]
变量 例数 校内免费安全套使用意愿 χ2/t值 P值 有意愿 无意愿 年龄[(x±s), 岁](n=3 594) 21.82±3.19 21.84±2.95 0.195 0.846 性别(n=3 594) 14.690 <0.001 男 1 736(48.30) 525(30.24) 1 211(69.76) 女 1 858(51.70) 456(24.54) 1 402(75.46) 在读学历阶段(n=3 534) 5.805 0.121 专科生 389(11.00) 125(32.13) 264(67.87) 本科生 2 272(64.29) 616(27.11) 1 656(72.89) 硕士生 771(21.82) 202(26.20) 569(73.80) 博士生 102(2.89) 24(23.53) 78(76.47) 专业类别(n=3 514) 11.886 0.220 经济学 429(12.21) 120(27.97) 309(70.03) 法学 651(18.53) 165(25.35) 486(74.65) 教育学 118(3.36) 41(34.75) 77(65.25) 文学 246(7.00) 76(30.89) 170(69.11) 理学 202(5.75) 61(30.20) 141(69.80) 工学 435(12.38) 107(24.60) 328(75.40) 专业类别(n=3 514) 11.886 0.220 医学 266(7.57) 70(26.32) 196(73.68) 管理学 558(15.88) 146(26.16) 412(73.84) 艺术学 277(7.88) 74(26.71) 203(73.29) 其他专业a 332(9.38) 104(31.33) 228(68.67) 婚恋状态(n=3 572) 7.643 0.054 单身 1 042(29.17) 308(29.56) 734(70.44) 异性恋中 2 261(63.30) 599(26.49) 1 662(73.51) 同性恋 192(5.38) 53(27.60) 139(72.40) 已婚 77(2.16) 13(16.88) 64(83.12) 过去一年内性行为次数(n=3 561, 次) 3.145 0.370 0 463(13.00) 143(30.89) 320(69.11) 10 1 533(43.05) 415(27.07) 1 118(72.93) 10~<30 953(26.76) 254(26.65) 699(73.35) ≥30 612(17.19) 168(27.45) 444(72.55) 注:a其他专业包括哲学专业38人、历史学专业24人、农学专业18人。 表 2 “安全性行为认知及措施”与校内免费安全套使用意愿的单因素分析[n(%)]
Table 2. The association between personal status of safe sex and willingness to use on-campus free condom [n(%)]
变量 例数 校内免费安全套使用意愿 χ2值 P值 有意愿 无意愿 性传播疾病了解程度(n=3 506) 5.347 0.148 非常了解 1 084(30.54) 322(29.70) 762(70.30) 比较了解 1 369(38.56) 371(27.10) 998(72.90) 一般了解 990(27.89) 254(26.66) 736(74.34) 不太了解 107(3.01) 25(23.36) 82(76.64) 安全套了解程度(n=3 591) 2.634 0.268 非常了解 1 883(52.44) 507(26.93) 1 376(73.07) 有所了解 1 568(43.66) 442(28.19) 1 126(71.81) 不太了解 140(3.90) 31(22.14) 109(77.86) 性行为时是否经常使用安全套(n=3 318) 20.345 <0.001 是 2 966(89.39) 836(28.19) 2 130(71.81) 否 352(10.61) 140(39.77) 212(60.23) 是否使用过校内提供的免费安全套(n=3 538) 50.642 <0.001 是 320(9.04) 142(44.38) 178(55.62) 否 3 218(90.96) 829(25.76) 2 389(74.24) 日常使用的安全套平均单只价格(n=3 318, 元) 49.883 <0.001 相关免费渠道获取 23(0.69) 18(78.26) 5(21.74) 10元及以下 986(29.72) 288(29.21) 698(70.79) 10~<30元 1 221(36.80) 334(28.52) 887(71.48) 30元及以上 736(22.18) 196(26.63) 540(73.37) 不常使用a 352(10.61) 140(39.77) 212(60.23) 注:a有352名调查对象不常使用安全套,未填写安全套单只价格。 表 3 “校内免费安全套使用及评价情况”与校内免费安全套使用意愿的相关性分析[n(%)]
Table 3. The association between evaluation of campus's free condom and willingness to use on-campus free condom [n(%)]
变量 例数 校内免费安全套使用意愿 χ2值 P值 有意愿 无意愿 校内提供免费安全套吸引力评价(n=3 523) 201.235 <0.001 很高 380(10.79) 190(50.00) 190(50.00) 较高 471(13.37) 186(39.49) 285(60.51) 一般 1 140(32.36) 307(26.93) 833(73.07) 差 492(13.97) 71(14.43) 421(85.57) 不了解 1 040(29.52) 210(20.19) 830(79.81) 校内提供免费安全套获取便捷度评价(n=3 540) 68.480 <0.001 很方便 261(7.37) 112(42.91) 149(57.09) 方便 327(9.24) 106(32.42) 221(67.58) 不太方便 633(17.88) 178(28.12) 455(71.88) 不方便 529(14.94) 176(33.27) 353(66.73) 不了解 1 790(50.56) 399(22.29) 1 391(77.71) 表 4 影响校内免费安全套使用意愿的多因素分析
Table 4. Multiple logistic regression analysis of influencing factor for willingness to use on-campus free condom
变量 例数(n) β(%)值 Wald值 OR(95% CI)值 P值 性别 女 1 481 1.000 男 1 420 0.173 3.884 1.412(1.001~1.189) 0.049 是否使用过校内提供的免费药具 否 2 666 1.000 是 235 0.420 6.945 2.079(1.114~1.522) 0.008 校内提供免费药具吸引力评价 不了解 816 1.000 很高 260 1.282 64.363 4.931(2.635~3.605) 0.000 较高 401 0.940 45.085 3.368(1.946~2.560) 0.000 一般 991 0.358 9.329 1.799(1.137~1.430) 0.002 差 433 -0.565 11.385 0.789(0.409~0.568) 0.001 校内提供免费药具获取便捷度评价 不了解 1 452 1.000 很方便 195 0.197 1.185 1.737(0.854~1.218) 0.276 方便 275 0.027 0.029 1.399(0.755~1.027) 0.864 不太方便 536 0.124 1.042 1.435(0.892~1.132) 0.307 不方便 443 0.455 13.230 2.015(1.234~1.577) 0.000 日常使用的安全套平均单只价格(元) 30元及以上 707 1.000 10元~<30元 1 202 0.070 0.396 1.336(0.862~1.073) 0.529 10元及以下 969 0.131 1.279 1.430(0.909~1.140) 0.258 各类免费渠道获取 23 1.910 12.886 19.175(2.381~6.756) 0.000 -
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