Premarital Sex-related Knowledge, Attitudes And Behaviours, And HIV/AIDS Of Students In Nanning

Objectives: The aims of the present study are to describe the understanding ofthe university students’ sexual health-related knowledge, attitudes and practices;to provide an insight into their understandings of sexually transmitted diseasesand HIV/AIDS; to further explore some affecting factors of the universitystudents’ premarital sexual behavioursMethod:a. Sample: Five universities that were chosen for the survey including:Guangxi Medical University, Guangxi University, Guangxi University forNationalities, Guangxi Teacher Education University, Guangxi ArtsInsititute. Students from grades1to5participated and the total samplewas655students.b. Content: Questionnaire " PREMARITAL SEX-RELATEDKNOWLEDGE, ATTITUDES AND BEHAVIOURS, ANDHIV/AIDS OF STUDENTS IN NANNING" is designed, whichconsists of the following aspects:①General information of therespondents;②Sexual health knowledge;③Sexual attitudes;④Sexual behaviors;⑤The risk of sexual behavioursc. Method: With the method of the stratified cluster sampling, Afterthe selection of the five schools was made, the the research team met the teacher of each school to establish contact and gain agreement for thesurvey administration in the universities. The teacher together with theresearch team chose the classes. Monitors were informed of the deadlineand time for the survey. After that, students were informed about thesurvey. All students agreed to be involved in the survey that wasconducted on the internet. The purpose of the study was explained by theresearcher and teachers who gave instructions on how to fill in thequestionnaire anonymously. After completing the survey, students wereasked to click “Done” in the questionnarie bottom that sending data forthe research team.d. Data analysis: The data analysis was done using Statistical Package forSocial Sciences (SPSS). Descriptive analysis was done to calculate meansand standard deviations for the continuous variables and to runfrequencies for the nominal and ordinal variables. Univariate analysis wasconducted by calculating Odds Ratio using gender, hometown and type ofmajor (medical and non-medical colleges/universities) as exposures andKAPs regarding sexual issues, contraception and pregnancy as outcome,using binary logistic regresstion analysis in the sexual behavior aspect toeliminate confounding, locate the main affecting factors.Discussion:a.Demographic characteristics of respondentsOf the655surveyed students,339(51.8%) were girls and316(48.2%) boys.The mean age for women was21.4years ranging from19to29with a SD of2.1.The mean age for men was21.6ranging from19to29with a SD of2. Female’ssexual physiological development age is earlier than male’s b.The university students’ sexual knowledge:Most of the students,(60.5%) had good level of knowledge with total scoresof more than15. About preventing pregnancy methods,3methods were mostlyknown to prevent pregnancy: condoms,pills, emergency contraceptionpills,condoms. Approximately62%of respondents agreed that condom is is themost effective method that could be avoid pregnancy.More than80%of studentscorrectly identified that the HIV/AIDS infections are as a result of unprotectedsexual intercourse. However, more than90%of students had correct informationunprotected sexual intercourse is one of reasons that being infected withHIV/AIDS.Relating the STDs aspect: the majority of students agreed that“STDs infections are as a result of unprotected sexual intercourse” with64.4%.In response to question “What are the signs and symptoms of STDs in a man”,29.4%men believed that full3symptoms in a man were: discharge from penis,pain during urination and ulcers/sores in genital area. In “What are the signsand symptoms of STDs in a woman” question,31.5%women believed that full3symptoms in a woman were: Vaginal discharge, pain during urination andulcers/sores in genital area.. Overall mean knowledge score for the655students was15.8±4.4. Their knowledge scores range from0to28. Meanknowledge scores was significantly different by hometown (p=0.004), studymajor (p=0.00), year of study (p=0.013) and universities (p=0.00).Overall,This survey revealed that2factors affecting the levels of sexual knowledgeincluding: Had ever receipted the information relating sexuality, students groupfrom Guangxi Medical University.This results could be explained that thestudents who from GuangXi Medical University may had more advantages toapproach courses relating sexual education. This factor may had been consisted with some previous studies done but the interesting factors that we want toindicate that most of information relating sexual health that students hadreceipted almost were correct and had a huge influence to their knowledge levels.c.The university students’ sexual attitude:The mean score of attitude is3.65±2.1for students who are in19-29years.A half of the participants (38.9%) had more acceptable attitudes towardsexual activities. When the subject were asked about “Do you believe thathaving sex before marriage is alright?” the majority agreed with59%. Theoverall responses to this question was surprisingly. While the majority ofwomen believed that girls should remain virgins until marry (62%), menbelieved that that boys should remain virgins until marry were42%. A highproportion of men and women believed that “Love is essential for sex”(60%).Their knowledge scores range from0to7. Mean attitude scores wassignificantly different by hometown (p=0.00), gender (p=0.00) andknowledge (p=0.002) The results of the analysis show that male students are2.4times more likely had had more acceptable attitudes toward sexual activitiesthan female students, the students who had a bad knowledge are0.6times morelikely had more acceptable attitudes toward sexual activities than the goodknowledge students, students from cities are1.5times more likely had had moreacceptable attitudes toward sexual activities than students from countryside.Andinterestingly for the students exposured with most friends in sexual activitiesare4.1times more likely had acceptable attitudes toward sexual activities thanthe students had no friends in sexual activities. Morever this factor wasn’tfocused too much on other research, further research is needed to evaluate the levels of influence in sexual environment and determine how the factorsmentioned in this study affect to sexual environment.d.The university students’ sexual behaviours:The proportions of sexually experienced persons among the males were73.4%(n=232) for masturbation,37.3%(n=118) for sexual intercourse, and19.6%(n=62) for one night stand, while those among the females were only7.7%(n=26) for masturbation and22.7%(n=77) for sexual intercourse and10%(n=34) for one night stand.These proportions is higher in student groupsfrom cities than those from countryside, male group higher than female group.The factors affecting sexual behaviours are: sexual behaviours includingmasturbation, had sex, had one night stand (dependent variables) wereregressed on a dichotomous variable (gender, hometown, getting pressure fromsexually environment) and dummy variables such as university, knowledgelevels, attitude levels.This part showed that those were a strong relationship:gender, hometown, knowledge levels, attitude levels, getting pressure fromenvironmental influences on sexuality versus sex behavioursOverall, there’re4factors affecting masturbation behaviours including: gender,attitude levels, students group from Guangxi Medical University and studentsgroup from Guangxi Teacher Education University,7factors affectingmasturbation behaviours including: gender, hometown,, knowledge levels,attitude levels, getting pressure from sexually environment, students group fromGuangxi Medical University and students group from Guangxi University.7factors affecting one night stand behaviours including: gender, knowledgelevels, attitude levels, getting pressure from sexually environment, students group from Guangxi Medical University, students group from GuangxiUniversity and students group from Guangxi University for Nationalitiese.The risk of sexual behaviours:There’re4factors affecting condom use inthe first intercourse including: gender, students group from Guangxi MedicalUniversity, students group from Guangxi University and students group fromGuangxi University for Nationalities. The results showed that gender and thedifference from universities have a big role in condom use. With the levels ofknowledge, our results were inadequate below expectations. However, thisresults could be explained that for the first sexual intercourse, there’re a lot ofreasons that forced them in the first sexual intercourse. Some of reasons maybe‘re less positive in sexuality, lack of expriences in sexual behaviours v…v…Our study also revealed prevalent unsafe sexual practices among respondents;30.4%of respondents from both genders reported never or sometime-usingcontraceptive methods in one night stand relationships.This results suggested that further research need to have more theimplementation of sexual education.Of those who had consumed alcohol beforesex (88students),28.4%of students didn’t remember how much alcohol theygot and19.8%of students who had sex don’t remember about their number ofsex partner. These results mean that students could get more risks of diseases(HIV, STDs) or unwanted pregnancy. Morever, if this trend continues togetherwith the increase in early sex initiation associated with more non-regular andmore multiple partnership, the number of students engaging in unsafe sexualpractices will expand, potentially leading to an increased incidence of inducedabortion and probably increased future STDs and HIV infection Conclusion:The majority of students had good knowledge relating sexuality.However,the students in this study appear poorly informed about the prospect of STDs.This study revealed that sexual environment is the main factor of students’attitude.In the other hand, some factors can be effected on sexual behaviourssuch as: gender, hometown, knowledge, attitude and sexually environment.The politicians should provide appropriate education to suggest that a morecomprehensive curriculum be developed in order to provide young people withthe skills and knowledge to negotiate these activities safely will immediatelyprovoke the concern that such education may actually promote increased sexualactivity among students.