Association between condom use and perspectives on contraceptive responsibility in different sexual relationships among sexually active college students in China

Abstract

China has increasing incidence of unplanned pregnancies among college students these years. Increasing students’ sense of responsibility to protect sexual partners may help reduce the rate of unplanned pregnancies.A self-administered questionnaire was distributed to students from 3 colleges in Sichuan, China. Among them, 559 of male students and 267 of female students were included in this study. The questionnaire collected participants’ characteristics, usage of condom, and investigated male and female students’ perceptions of who should be responsible for contraception use.We found that relationship status was closely related to students perceiving responsibility for reproductive health and condom using. Male students who were in casual relationships during their most recent sexual encounter and shared responsibility for contraception were more likely to use condoms than other male students (P < .001). Female students who were in steady relationships during their most recent sexual encounter and shared responsibility for contraception were more likely to use condoms than other female students (P = .007). The multivariate analysis revealed condom use was associated with greater odds of sharing responsibility for contraceptive use in different types of sexual relationships.Improving students’ attitudes toward responsibility for contraception may increase condom use among students at risk for unplanned pregnancies. Programs providing targeted health education and services may help reduce the rate of unplanned pregnancies among students in China.

Analysis of factors influencing casual sexual behavior among male college students in Zhejiang Province, China

“…Many studies had reported that nearly half of college students had casual sexual behaviors during the university study [9][10][11], casual sexual behaviors may cause unexpected pregnancy or affect their studies [12,13]. Some studies have carried out researches on the casual sexual behaviors of college students and whether they drink alcohol, and the results found that drinking alcohol may increase the occurrence of casual sexual behaviors to a certain extent [11,14].…”

Generaciones centenial y milenial: actitudes hacia la sexualidad

“…En general, las puntaciones de las y los participantes fueron indicativas de actitudes favorables hacia la sexualidad, tal como se ha reportado en otros estudios para jóvenes de la misma edad (Kann et al, 2018;Long et al, 2019;Ojeda et al, 2016;Twenge et al, 2015;Wells & Twenge, 2005). Al comparar los puntajes de hombres y mujeres se encontraron diferencias signi$cativas (p=.0001), pero con un tamaño del efecto pequeño de la variable de sexo en las actitudes (d=.393).…”

“…Uso del condón. Estas áreas se han identi$cado en otros trabajos similares como componentes importantes para comprender la sexualidad de las nuevas generaciones y se ha demostrado su incidencia en la salud sexual y mental de jóvenes y adolescentes (Bauer et al, 2020;Kann et al, 2018;Long et al, 2019;Pérez, 2016;Ruiz et al, 2019;Twenge et al, 2015;Unis & Sällström, 2020;Valdez et al, 2018;Vamos et al, 2020;Wells & Twenge, 2005).…”

“…Estudiar los cambios suscitados a lo largo del tiempo en las actitudes hacia la sexualidad de las generaciones Y y Z permite comprender y dar sentido a las diferencias en las expresiones genéricas y de orientación sexual (Braun-Courville & Rojas, 2009;Kunkel et al, 2007;Strasburger et al, 2010), el número de parejas sexuales y la conducta sexual de riesgo (Long et al, 2019), las expresiones de la violencia (Mikorski & Szymanski, 2017;Miller et al, 2018;Montilla et al, 2016), el éxito y el bienestar en las relaciones sexuales, (Bauer et al, 2020;Twenge et al, 2015;Unis & Sällström, 2020) y el papel de los medios de comunicación (televisión, radio, internet) en el modelamiento de actitudes, relaciones y comportamientos sexuales (Braun-Courville & Rojas, 2009;Kunkel et al, 2007).…”

“…Las preguntas de esta subescala se dirigieron a conocer las actitudes hacia las relaciones sexuales y de pareja casuales o no formales. A diferencia de lo reportado por autores como Eaton et al (2012), Jeynes (2020), Kann et al (2018), Long et al (2019), Twenge et al (2015) y Wells y Twenge ( 2005) nuestros resultados no marcan una tendencia que implique que actitudes favorables hacia las relaciones casuales son características de las generaciones actuales, según señalan estos autores. Los puntajes obtenidos en la muestra reflejan lo que denominamos como actitudes indecisas frente a las relaciones causales y no hemos encontrado una diferencia en hombres y mujeres (p=.257; d=-.122).…”