Xu Cui1,2,*, Qing Wang3, Haiyan Chen3, Jinghua Shan3
1Graduate School of Modern Society and Culture, Niigata University in Japan, Niigata, Niigata Prefecture, Japan.
2International Businesses College, Qingdao Huanghai University, Qingdao, Shandong, China.
3Education Department, Qingdao Hengxing University of Science and Technology, Qingdao, Shandong, China.
*Corresponding author: Xu Cui
Abstract
Background: Comprehensive sexuality education (CSE) defined in 2018 by UNESCO. CSE is a curriculum-based process of teaching and learning about the cognitive, emotional, physical and social aspects of sexuality. In China, the family planning policy varied from one-child policy to no limitation on birth since 2011 gradually. As CSE has not been introduced into the compulsory education totally, some scholars worried that missing CSE and no limitation on birth would promote the spread of AIDS and STI. Objective: This study aimed to clarify the relationships between sexual behaviors of university students and social variables in Guangdong Province, China, especially about the difference in gender and regions. Methods: Using the method of stratified cluster sampling, the study sample was comprised of 699 students from the first year to forth grade of two universities in Guangdong Province, China. The data were collected in December 2018, using anonymous and self-administered questionnaires with teachers’ help. Only 517 were usable after screening for the province of birthplace. Results: According to the results of the χ2 test, the expectation of condom usage, the score of the sexual knowledge, the consciousness of AIDS/STI and the consciousness of premarital sex had significant gender difference. According to the results of multinomial logistic regression, students who did not have the expectation of sex with no condoms, are more likely to study science, have a lower score of sexual knowledge, are opposed to premarital sex and care less about the AIDS/STI than students who have the expectation of sex with condoms. Students who have the expectation of sex with condoms are more likely to live in rural-urban fringe zone, be female and have sexuality education at the primary school than students who have the expectation of sex with no condoms. Conclusions: The results of this study suggest that gender difference is the interfering factor on the expectation of condom usage, the score of the sexual knowledge, the consciousness of AIDS/STI, and the consciousness of premarital sex. It is proved that gender, region, basic sexuality education at the primary school is related to the expectation of sex with condoms usage among Chinese university students. To ensure young students have safer sexual behaviors at the university, CSE should be practiced from primary schools.
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