Risky Sexual Behaviors and Associated Factors Among College Students in Lusaka, Zambia
Risky sexual behaviors are important factors driving the HIV/AIDS epidemic. Although Zambia experiences a high HIV prevalence, especially among youth, there is a dearth of information regarding risky sexual behaviors among young adults. Therefore, we investigated the prevalence and associated factor...
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| Veröffentlicht in: | Archives of sexual behavior 2019-10, Vol.48 (7), p.2117-2123 |
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| container_title | Archives of sexual behavior |
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| creator | Yang, Xu-hao Yuan, Shuai Zhang, Rui Yu, Jun-feng Nzala, Selestine H. Wang, Pei-gang He, Qi-qiang |
| description | Risky sexual behaviors are important factors driving the HIV/AIDS epidemic. Although Zambia experiences a high HIV prevalence, especially among youth, there is a dearth of information regarding risky sexual behaviors among young adults. Therefore, we investigated the prevalence and associated factors of risky sexual behaviors among college students in Lusaka, Zambia. A cross-sectional study was conducted in February 2017 among 427 college students at the University of Zambia. Participants reported their sexual behaviors, sexual attitudes, and lifestyle using self-administered questionnaires. Multinomial logistic regression models were employed to assess potential determinants of risky sexual behaviors. Among the 205 students who reported ever having sex, 148 (72.2%) engaged in risky sexual behaviors in the last 12 months. Participants who were older (OR 1.30, 95% CI 1.12–1.51), engaged in low physical activity (OR 2.25, 95% CI 1.05–4.84), and reported liberal sexual attitudes (OR 1.88, 95% CI 1.02–3.47) were more likely to engage in any risky sexual behavior, while frequent alcohol use (OR 8.38, 95% CI 4.60–15.27) and suicide attempts (OR 6.42, 95% CI 2.03–20.29) predicted multiple risky sexual behaviors. In conclusion, this study indicates that Zambian college students’ risky sexual behaviors are associated with multiple behavioral health risks. Future research should consider using a multiple-behavior change intervention. |
| doi_str_mv | 10.1007/s10508-019-1442-5 |
| format | Article |
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Although Zambia experiences a high HIV prevalence, especially among youth, there is a dearth of information regarding risky sexual behaviors among young adults. Therefore, we investigated the prevalence and associated factors of risky sexual behaviors among college students in Lusaka, Zambia. A cross-sectional study was conducted in February 2017 among 427 college students at the University of Zambia. Participants reported their sexual behaviors, sexual attitudes, and lifestyle using self-administered questionnaires. Multinomial logistic regression models were employed to assess potential determinants of risky sexual behaviors. Among the 205 students who reported ever having sex, 148 (72.2%) engaged in risky sexual behaviors in the last 12 months. Participants who were older (OR 1.30, 95% CI 1.12–1.51), engaged in low physical activity (OR 2.25, 95% CI 1.05–4.84), and reported liberal sexual attitudes (OR 1.88, 95% CI 1.02–3.47) were more likely to engage in any risky sexual behavior, while frequent alcohol use (OR 8.38, 95% CI 4.60–15.27) and suicide attempts (OR 6.42, 95% CI 2.03–20.29) predicted multiple risky sexual behaviors. In conclusion, this study indicates that Zambian college students’ risky sexual behaviors are associated with multiple behavioral health risks. Future research should consider using a multiple-behavior change intervention.</description><identifier>ISSN: 0004-0002</identifier><identifier>EISSN: 1573-2800</identifier><identifier>DOI: 10.1007/s10508-019-1442-5</identifier><identifier>PMID: 31309429</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; AIDS ; Alcohol use ; Behavioral Science and Psychology ; College students ; Condoms ; Cross-Sectional Studies ; Female ; Humans ; Male ; Original Paper ; Psychology ; Public Health ; Risk-Taking ; Sexual Behavior ; Sexual Behavior - statistics & numerical data ; Social Sciences ; Students ; Suicides & suicide attempts ; Surveys and Questionnaires ; Young Adult ; Zambia</subject><ispartof>Archives of sexual behavior, 2019-10, Vol.48 (7), p.2117-2123</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Archives of Sexual Behavior is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-e160bb85135b0e61849fc448376eac5012dd7c297624beb528b147933d4efdbf3</citedby><cites>FETCH-LOGICAL-c372t-e160bb85135b0e61849fc448376eac5012dd7c297624beb528b147933d4efdbf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10508-019-1442-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10508-019-1442-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31309429$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Xu-hao</creatorcontrib><creatorcontrib>Yuan, Shuai</creatorcontrib><creatorcontrib>Zhang, Rui</creatorcontrib><creatorcontrib>Yu, Jun-feng</creatorcontrib><creatorcontrib>Nzala, Selestine H.</creatorcontrib><creatorcontrib>Wang, Pei-gang</creatorcontrib><creatorcontrib>He, Qi-qiang</creatorcontrib><title>Risky Sexual Behaviors and Associated Factors Among College Students in Lusaka, Zambia</title><title>Archives of sexual behavior</title><addtitle>Arch Sex Behav</addtitle><addtitle>Arch Sex Behav</addtitle><description>Risky sexual behaviors are important factors driving the HIV/AIDS epidemic. Although Zambia experiences a high HIV prevalence, especially among youth, there is a dearth of information regarding risky sexual behaviors among young adults. Therefore, we investigated the prevalence and associated factors of risky sexual behaviors among college students in Lusaka, Zambia. A cross-sectional study was conducted in February 2017 among 427 college students at the University of Zambia. Participants reported their sexual behaviors, sexual attitudes, and lifestyle using self-administered questionnaires. Multinomial logistic regression models were employed to assess potential determinants of risky sexual behaviors. Among the 205 students who reported ever having sex, 148 (72.2%) engaged in risky sexual behaviors in the last 12 months. Participants who were older (OR 1.30, 95% CI 1.12–1.51), engaged in low physical activity (OR 2.25, 95% CI 1.05–4.84), and reported liberal sexual attitudes (OR 1.88, 95% CI 1.02–3.47) were more likely to engage in any risky sexual behavior, while frequent alcohol use (OR 8.38, 95% CI 4.60–15.27) and suicide attempts (OR 6.42, 95% CI 2.03–20.29) predicted multiple risky sexual behaviors. In conclusion, this study indicates that Zambian college students’ risky sexual behaviors are associated with multiple behavioral health risks. Future research should consider using a multiple-behavior change intervention.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS</subject><subject>Alcohol use</subject><subject>Behavioral Science and Psychology</subject><subject>College students</subject><subject>Condoms</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Original Paper</subject><subject>Psychology</subject><subject>Public Health</subject><subject>Risk-Taking</subject><subject>Sexual Behavior</subject><subject>Sexual Behavior - statistics & numerical data</subject><subject>Social Sciences</subject><subject>Students</subject><subject>Suicides & suicide attempts</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><subject>Zambia</subject><issn>0004-0002</issn><issn>1573-2800</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>QXPDG</sourceid><recordid>eNp1kF1LwzAUhoMobk5_gDcS8MYLq_ls2ss5nAoDwakX3oSkPZ3d-qFNK-7fm9GpIAjhJJw85014EDqm5IISoi4dJZJEAaFxQIVggdxBQyoVD1hEyC4aEkJE4AsboAPnlv6kQiH30YBTTmLB4iF6fsjdao3n8NmZAl_Bq_nI68ZhU6V47Fyd5KaFFE9N0m7a47KuFnhSFwUsAM_bLoWqdTiv8KxzZmXO8YspbW4O0V5mCgdH232EnqbXj5PbYHZ_czcZz4KEK9YGQENibSQpl5ZASCMRZ4kQEVchmEQSytJUJSxWIRMWrGSRpULFnKcCstRmfITO-ty3pn7vwLW6zF0CRWEqqDunGZOR4oz7NUKnf9Bl3TWV_92GUnEYMSk8RXsqaWrnGsj0W5OXpllrSvRGuu6lay9db6Rr6WdOtsmdLSH9mfi27AHWA85fVQtofp_-P_ULv3mKkQ</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Yang, Xu-hao</creator><creator>Yuan, Shuai</creator><creator>Zhang, Rui</creator><creator>Yu, Jun-feng</creator><creator>Nzala, Selestine H.</creator><creator>Wang, Pei-gang</creator><creator>He, Qi-qiang</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7R6</scope><scope>7X7</scope><scope>7XB</scope><scope>888</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQGEN</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>QXPDG</scope><scope>7X8</scope></search><sort><creationdate>20191001</creationdate><title>Risky Sexual Behaviors and Associated Factors Among College Students in Lusaka, Zambia</title><author>Yang, Xu-hao ; Yuan, Shuai ; Zhang, Rui ; Yu, Jun-feng ; Nzala, Selestine H. ; Wang, Pei-gang ; He, Qi-qiang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-e160bb85135b0e61849fc448376eac5012dd7c297624beb528b147933d4efdbf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS</topic><topic>Alcohol use</topic><topic>Behavioral Science and Psychology</topic><topic>College students</topic><topic>Condoms</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Original Paper</topic><topic>Psychology</topic><topic>Public Health</topic><topic>Risk-Taking</topic><topic>Sexual Behavior</topic><topic>Sexual Behavior - statistics & numerical data</topic><topic>Social Sciences</topic><topic>Students</topic><topic>Suicides & suicide attempts</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><topic>Zambia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Xu-hao</creatorcontrib><creatorcontrib>Yuan, Shuai</creatorcontrib><creatorcontrib>Zhang, Rui</creatorcontrib><creatorcontrib>Yu, Jun-feng</creatorcontrib><creatorcontrib>Nzala, Selestine H.</creatorcontrib><creatorcontrib>Wang, Pei-gang</creatorcontrib><creatorcontrib>He, Qi-qiang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>GenderWatch</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>GenderWatch (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database (ProQuest)</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest Women's & Gender Studies</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Diversity Collection</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of sexual behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Xu-hao</au><au>Yuan, Shuai</au><au>Zhang, Rui</au><au>Yu, Jun-feng</au><au>Nzala, Selestine H.</au><au>Wang, Pei-gang</au><au>He, Qi-qiang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risky Sexual Behaviors and Associated Factors Among College Students in Lusaka, Zambia</atitle><jtitle>Archives of sexual behavior</jtitle><stitle>Arch Sex Behav</stitle><addtitle>Arch Sex Behav</addtitle><date>2019-10-01</date><risdate>2019</risdate><volume>48</volume><issue>7</issue><spage>2117</spage><epage>2123</epage><pages>2117-2123</pages><issn>0004-0002</issn><eissn>1573-2800</eissn><abstract>Risky sexual behaviors are important factors driving the HIV/AIDS epidemic. Although Zambia experiences a high HIV prevalence, especially among youth, there is a dearth of information regarding risky sexual behaviors among young adults. Therefore, we investigated the prevalence and associated factors of risky sexual behaviors among college students in Lusaka, Zambia. A cross-sectional study was conducted in February 2017 among 427 college students at the University of Zambia. Participants reported their sexual behaviors, sexual attitudes, and lifestyle using self-administered questionnaires. Multinomial logistic regression models were employed to assess potential determinants of risky sexual behaviors. Among the 205 students who reported ever having sex, 148 (72.2%) engaged in risky sexual behaviors in the last 12 months. Participants who were older (OR 1.30, 95% CI 1.12–1.51), engaged in low physical activity (OR 2.25, 95% CI 1.05–4.84), and reported liberal sexual attitudes (OR 1.88, 95% CI 1.02–3.47) were more likely to engage in any risky sexual behavior, while frequent alcohol use (OR 8.38, 95% CI 4.60–15.27) and suicide attempts (OR 6.42, 95% CI 2.03–20.29) predicted multiple risky sexual behaviors. In conclusion, this study indicates that Zambian college students’ risky sexual behaviors are associated with multiple behavioral health risks. Future research should consider using a multiple-behavior change intervention.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31309429</pmid><doi>10.1007/s10508-019-1442-5</doi><tpages>7</tpages></addata></record> |
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| subjects | Acquired immune deficiency syndrome Adolescent Adult AIDS Alcohol use Behavioral Science and Psychology College students Condoms Cross-Sectional Studies Female Humans Male Original Paper Psychology Public Health Risk-Taking Sexual Behavior Sexual Behavior - statistics & numerical data Social Sciences Students Suicides & suicide attempts Surveys and Questionnaires Young Adult Zambia |
| title | Risky Sexual Behaviors and Associated Factors Among College Students in Lusaka, Zambia |
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