Relationship between the incidence of sexual behavior and childhood abuse among students in a university in Chongqing
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摘要:
目的 调查重庆市某高校大学生性行为发生率与遭受童年期虐待间的关系，为开展大学生性教育提供参考。 方法 采用方便取样，抽取重庆市某高校2 504名大学生完成性行为及儿童期创伤问卷，采用logistic回归分析模型分析童年期虐待对大学生性行为发生率的影响。 结果 大学生性行为发生率为16.6%，不同特征学生发生率差异均有统计学意义(均P < 0.05)，男生性行为发生率(25.5%)高于女生(9.8%)，二、三年级学生性行为发生率(19.1%、20.9%)高于一年级学生(10.9%)，城市学生性行为发生率(19.5%)高于农村学生(14.7%)，体育专业学生性行为发生率(44.5%)高于文科、理科及美术生(8.9%、10.7%、18.8%)，受到童年期躯体虐待、性虐待、情感忽视、躯体忽视的学生性行为发生率(23.9%、31.5%、20.4%、21.1%)高于未受虐者(16.2%、15.6%、15.7%、15.0%)。遭受童年期性虐待(OR=1.137，95% CI：1.005~1.221)、情感忽视(OR=1.036，95% CI：0.944~1.039)与大学生性行为发生率呈正相关。 结论 高校应结合童年期虐待对性行为的影响开展性教育，引导大学生避免通过性行为应对童年期虐待的负性影响。 Abstract:Objective To investigate the relationship between the incidence rate of sexual behavior and childhood abuse among students in a university in Chongqing and to provide suggestions for sexual education in college. Methods Using convenience sampling, a total of 2 504 college students from a university in Chongqing were selected and completed the Sexual Behavior Questionnaire and Childhood Trauma Questionnaire. Logistic regression was used to analyze the impact of childhood abuse on the incidence rate of sexual behavior. Results The prevalence of sexual behavior among college students was 16.6%. Significant difference were found in the prevalence of sexual behavior across various characteristics (both P < 0.05). Sexual behaviour was more prevalent in men (25.5%) than that in women (9.8%), and higher in second and third-year student (19.1%, 20.9%) than first-year students (10.9%). Students from urban areas (19.5%) and those studying physical majors (44.5%) showed higher rates than those from rural areas (14.7%) and those in arts, science and fine arts majors (8.9%, 10.7%, 18.8%). Students who had experienced physical abuse, sexual abuse, emotional neglect, and physical neglect during childhood exhibited higher prevalence (23.9%, 31.5%, 20.4%, 21.1%) than those who had not (16.2%, 15.6%, 15.7%, 15.0%). Childhood sexual abuse (OR=1.137, 95% CI: 1.005-1.221) and emotional neglect (OR=1.036, 95% CI: 0.944-1.039) were positively associated with the prevalence of sexual behavior. Conclusions Colleges should carry out sexual education that consider the influence of childhood abuse on sexual behavior, aiming to guide students to avoid coping with the negative impact of childhood abuse through sexual behavior. -
Key words:
- Incidence of sexual behavior /
- Childhood abuse /
- Relationship /
- College students
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表 1 不同特征大学生性行为发生率差异
Table 1. Differences in the prevalence of sexual behavior among college students with different characteristics
变量
Variable调查人数①
Number of participants ①性行为① Sexual behavior ① χ2值value P值value 有Have 无None 性别Sex 109.080 < 0.001 男Male 1 087(43.4) 277(25.5) 810(74.5) 女Female 1 417(56.6) 139(9.8) 1 278(90.2) 年级Grade 35.458 < 0.001 一One 926(37.0) 101(10.9) 825(89.1) 二Two 817(32.6) 156(19.1) 661(80.9) 三Three 761(30.4) 159(20.9) 602(79.1) 生源地Native place 9.996 0.002 农村Rural 1 498(59.8) 220(14.7) 1 278(85.3) 城市Urban 1 006(40.2) 196(19.5) 810(80.5) 专业Major 249.966 < 0.001 文科Arts 853(34.1) 76(8.9) 777(91.1) 理科Science 723(28.9) 77(10.7) 646(89.3) 体育Physcial 344(13.7) 153(44.5) 191(55.5) 美术Fine arts 584(23.3) 110(18.8) 474(81.2) 情感虐待Emotional abuse 0.459 0.498 无No 2 392(95.5) 400(16.7) 1 992(83.3) 有Yes 112(4.5) 16(14.3) 96(85.7) 躯体虐待Physical abuse 5.618 0.018 无No 2 366(94.5) 383(16.2) 1 983(83.8) 有Yes 138(5.5) 33(23.9) 105(76.1) 性虐待Sexual abuse 27.636 < 0.001 无No 2 342(93.5) 365(15.6) 1 977(84.4) 有Yes 162(6.5) 51(31.5) 111(68.5) 情感忽视Emotional neglect 6.078 0.014 无No 2 023(80.8) 318(15.7) 1 705(84.3) 有Yes 481(19.2) 98(20.4) 383(79.6) 躯体忽视Physical neglect 13.125 < 0.001 无No 1 835(73.3) 275(15.0) 1 560(85.0) 有Yes 669(26.7) 141(21.1) 528(78.9) 注：①以[人数(占比/%)]表示。
Note: ① [Number of people (proportion/%)].
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表 2 性行为发生率与童年期虐待关系的logistic回归分析模型
Table 2. Logistic regression analysis of the relationship between the prevalence of sexual behavior among college students and childhood abuse
自变量
Independent variable参照组
Reference groupβ值value s值value Wald值value OR值value(95% CI) P值value 男Male 女Female 1.114 0.144 59.934 3.047(2.298~4.039) < 0.001 一年级Grade one 三年级Grade three -0.868 0.152 32.738 0.420(0.312~0.565) < 0.001 二年级Grade two -0.245 0.141 3.019 0.782(0.593~1.032) 0.082 农村Rural 城市Urban -0.586 0.122 23.152 0.557(0.438~0.707) < 0.001 文科Arts 美术Fine arts -0.688 0.168 16.653 0.503(0.361~0.700) < 0.001 理科Science -1.045 0.182 33.018 0.352(0.246~0.502) < 0.001 体育Physcial 0.860 0.177 23.555 2.363(1.670~3.344) < 0.001 情感虐待Emotional abuse -0.045 0.030 2.258 0.956(0.902~1.014) 0.133 躯体虐待Physical abuse 0.018 0.033 0.283 1.018(0.954~1.087) 0.595 性虐待Sexual abuse 0.128 0.036 12.435 1.137(1.005~1.221) < 0.001 情感忽视Emotional neglect 0.035 0.015 5.386 1.036(0.944~1.039) 0.020 躯体忽视Physical neglect -0.010 0.024 0.164 0.990(0.944~1.039) 0.686 注：情感虐待、躯体虐待、性虐待、情感忽视、躯体忽视为连续型变量。
Note: Emotional abuse, physical abuse, sexual abuse, emotional neglect and physical neglect are continuous variables.
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