Multiple sex partner behavior in female undergraduate students in China: a multi-campus survey.
BACKGROUND
China is realizing increases in women engaged in premarital sex and multiple sex partner behavior. Our aim was to examine prevalence and determinants of multiple sex partner behavior among female undergraduates in China.


METHODS
Anonymously completed questionnaires were received from 4,769 unmarried female undergraduates, recruited using randomized cluster sampling by type of university and students' major and grade. Items captured demographic, family, peer and work influence, and student factors (major, academic performance, and sex-related knowledge and attitudes). To examine risk factors for sexual behaviors, we used multi-level logistic regression, yielding odds ratios (OR) and 95% confidence intervals (95% CI).


RESULTS
Of 4,769 female students, 863 (18.10%) reported ever having sexual intercourse, and 5.31% reported having multiple sex partners (29.32% of all women having sexual intercourse). Several demographic, family, peer and work influences, and student factors (including major, performance, knowledge, and attitude toward sex) were risk factors for ever having sex. However, risk factors for multiple sex partners only included working in a place of entertainment, having current close friends that were living with boyfriends, poor academic performance, and positive attitudes toward multiple partners. These women also were more likely to practice masturbation, start having sex at a younger age, have sex with married men and/or men not their "boyfriends" at first coitus, and not use condoms consistently.


CONCLUSIONS
A small but important subset of Chinese female undergraduates is engaged in unprotected sex with multiple sex partners. Interventions need to target at risk women, stressing the importance of consistent condom use.
Yan
Hong
H
School of Public Health of Wuhan University, Wuhan, Hubei, PR China. yanhmj@yahoo.cn
Chen
Weiqi
W
Wu
Haocheng
H
Bi
Yongyi
Y
Zhang
Miaoxuan
M
Li
Shiyue
S
Braun
Kathryn L
KL
D000293:Adolescent; D000328:Adult; D002681:China; D003625:Data Collection; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D012307:Risk Factors; D012725:Sexual Behavior; D012747:Sexual Partners; D013334:Students / Q000523:psychology*; D011795:Surveys and Questionnaires; D014495:Universities; D055815:Young Adult
J Sex Marital Ther. 1994 Fall;20(3):178-99
7996590
MMWR Surveill Summ. 2008 Jun 6;57(4):1-131
18528314
Health Rep. 2005 May;16(3):39-45
15971514
Behav Med. 2003 Spring;29(1):33-41
14977246
Sex Health. 2004;1(1):39-46
16335294
AIDS Care. 1999 Oct;11(5):581-9
10755033
Health Place. 2001 Dec;7(4):261-71
11682326
Fam Plann Perspect. 1999 Sep-Oct;31(5):228-36
10723647
BMC Public Health. 2006 Sep 18;6:232
16981985
Contraception. 2008 Feb;77(2):108-13
18226674
BMC Public Health. 2009 May 29;9:165
19480660
Asian J Androl. 2008 Jan;10(1):110-4
18087650
Am J Health Behav. 2004 Jan-Feb;28(1):3-12
14977154
Am J Public Health. 1992 Oct;82(10):1388-94
1415868
Sex Transm Infect. 1999 Feb;75(1):3-17
10448335
Am J Health Behav. 2001 Nov-Dec;25(6):537-44
11720301
Adolescence. 2003 Spring;38(149):1-14
12803450
Perspect Sex Reprod Health. 2004 Jan-Feb;36(1):6-10
14982671
AIDS Patient Care STDS. 2005 Nov;19(11):769-77
16283837
Sex Transm Dis. 2002 Apr;29(4):212-5
11912462
Fam Plann Perspect. 1998 Nov-Dec;30(6):271-5
9859017
J Adolesc Health. 2007 Mar;40(3):206-17
17321420
Sex Transm Dis. 2000 Mar;27(3):138-42
10726645
World Health Organ Tech Rep Ser. 2006;938:103-50; discussion 317-41
16921919
Chin Med J (Engl). 2008 Jul 5;121(13):1230-6
18710645
Cell Res. 2005 Nov-Dec;15(11-12):852-7
16354559