Analysis of associated factors of the inconsistency for knowledge and behavior in condom use among college students in Zhuhai City
10.16835/j.cnki.1000-9817.2023.10.013
- VernacularTitle:珠海市大学生安全套使用知行分离影响因素分析
- Author:
TAN Xiaoxia, ZHOU Yi, FENG Shuaixin, DAI Wencan, HUANG Zhaoqian, LIU Yawei, HUANG Ying, HUANG Shanzi, LIN Kaihao, LI Xiaofeng, YAN Yao, JIANG Hongbo
1
Author Information
1. Department of Epidemic and Health Statistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou (510310) , China
- Publication Type:Journal Article
- Keywords:
Condoms;
Tool use behavior;
Health knowledge,attitudes,practice;
Regression analysis;
Students
- From:
Chinese Journal of School Health
2023;44(10):1497-1500
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the prevalence and factors influencing the inconsistency for knowledge and behavior in condom use among college students, so as to provide suggestions for AIDS prevention and education in universities.
Methods:From October to December 2019, a multistage cluster sampling method was employed to collect data relating to inconsistency for knowledge and behavior in condom use and other related factors among 1 303 students from six colleges in Zhuhai, China. Chi square test and Logistic regression were performed to analyze the influencing factors and moderating effect.
Results:The reporting rate of in consistency of knowledge and behavior in condom use among college students was 41.1%. Multivariate Logistic regression analysis showed that seeking sexual partners offline was negatively correlated with inconsistency for knowledge and behavior in condom use ( OR=0.70, 95%CI =0.51-0.95). However, condom nonuse during the first sexual experience (OR=7.11, 95%CI=5.23-9.67), smoking before sex ( OR=1.47, 95%CI =1.07-2.02), drinking before sex ( OR=1.44, 95%CI =1.09-1.91), history of intimate partner violence ( OR=1.53, 95%CI =1.13-2.07), and having multiple sexual partners ( OR=1.69, 95%CI =1.25-2.29) were positively correlated with inconsistency for knowledge and behavior in condom use ( P <0.05). The moderating effect analysis showed that condom use during the first sexual experience had a moderating effect on smoking before sex and inconsistency for knowledge and behavior in condom use ( β=0.92, P <0.05). Among students who did not use condoms during the first sexual experience, a positive correlation was observed between smoking before sex and inconsistency for knowledge and behavior in condom use ( OR= 2.76 , 95%CI=1.09-6.99, P <0.05). However, no correlation was found between smoking before sex and inconsistency for knowledge and behavior in condom use ( OR=1.32, 95%CI=0.92-1.88, P >0.05) among students who used condoms during the first sexual experience.
Conclusion:High levels of inconsistency for knowledge and behavior in condom use are found among college students in Zhuhai City. Colleges should carry out sex education activities as soon as possible, and explore new health education models to promote the transformation of their knowledge into behavior.