期刊论文详细信息
BMC Public Health
Factors perceived to influence risky sexual behaviours among university students in the United Kingdom: a qualitative telephone interview study
Jennifer V Freeman1  Elizabeth C Goyder1  Alicia O’Cathain1  Elton Chanakira1 
[1] School of Health and Related Research, University of Sheffield, Sheffield, UK
关键词: Qualitative research;    Public health;    Sexually transmitted infections;    Sexual behaviour;    University students;    Young people;   
Others  :  1126278
DOI  :  10.1186/1471-2458-14-1055
 received in 2014-05-26, accepted in 2014-09-16,  发布年份 2014
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【 摘 要 】

Background

In the United Kingdom people under the age of 25 years are at increased risk of contracting sexually transmitted infections. Most university students belong to this age group but little is known about their sexual behaviours. The aim of the study was to explore university students’ perspectives of factors and mechanisms that influence risky sexual behaviours among university students in the United Kingdom.

Methods

All students at a university in a northern city of England were invited via email to participate in qualitative telephone interviews. Interviews were audio recorded and transcribed verbatim. Framework analytical approach was used.

Results

Twenty interviews were conducted with a diverse sample of students. The social context of university lifestyle was perceived to affect risky sex through high levels of alcohol consumption, increased sexual opportunities, liberation from moral surveillance and expectations of the stereotypical highly sexually active student. Individual and cultural differences were also perceived to account for some patterns of risky sex with older students, overseas students and religious students perceived to be less likely to engage in risky sex due to academic priorities and a tendency to be more likely to adhere to moral values. Risk denial was also a key factor that led students to engage in risky sex. Poor access to sexual health services including inconvenient opening times, lack of confidentiality and stigma were perceived to contribute to the limited use of sexually transmitted infections testing and contraceptive services.

Conclusions

Lifestyle, individual and structural factors seem to play an important role in influencing the risky sexual behaviours of university students. Therefore preventive interventions that focus on these factors could be very useful in this sub-population of young people. This study provides useful baseline information that helps us understand how and why some United Kingdom university students engage in risky sexual behaviours that puts them at risk of contracting sexually transmitted infections.

【 授权许可】

   
2014 Chanakira et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Public Health England: Sexually transmitted infections and chlamydia screening in England, 2012. Health Protect Rep 2013, 7:23.
  • [2]Public Health England: Sexually Transmitted Infections Annual Data. Public Health England: Health Protection Agency; 2013.
  • [3]Sonnenberg P, Clifton S, Beddows S, Field N, Soldan K, Tanton C, Mercer CH, da Silva FC, Alexander S, Copas AJ, Phelps A, Erens B, Prah P, Macdowall W, Wellings K, Ison CA, Johnson AM: Prevalence, risk factors, and uptake of interventions for sexually transmitted infections in Britain: findings from the National Surveys of Sexual Attitudes and Lifestyles (Natsal). Lancet 2013, 382:1795-1806.
  • [4]Johnson AM, Mercer CH, Erens B, Copas AJ, McManus S, Wellings K, Fenton KA, Korovessis C, Macdowall W, Nanchahal K, Purdon S, Field J: Sexual behaviour in Britain: partnerships, practices, and HIV risk behaviours. Lancet 2001, 358:1835-1842.
  • [5]National Institute for Health and Clinical Excellence (NICE): One to one Interventions to Reduce the Transmission of Sexually Transmitted Infections (STIs) Including HIV, and to Reduce the Rate of Under 18 Conceptions, Especially Among Vulnerable and at Risk Groups. NICE Public Health Guidance 3. London, NICE: NICE public health guidance 3; 2007.
  • [6]Mercer CH, Tanton C, Prah P, Erens B, Sonnenberg P, Clifton S, Macdowall W, Lewis R, Field N, Datta J, Copas AJ, Phelps A, Wellings K, Johnson AM: Changes in sexual attitudes and lifestyles in Britain through the life course and over time: findings from the National Surveys of Sexual Attitudes and Lifestyles (Natsal). Lancet 2013, 382:1781-1794.
  • [7]Fenton KA, Johnson AM, McManus S, Erens B: Measuring sexual behaviour: methodological challenges in survey research. Sex Transm Infect 2001, 77:84-92.
  • [8]Department of health and cross Government: A Framework for Sexual Health Improvement in England. 18420. London: Crown Copyright; 2013. 8-2-2014
  • [9]Coleman LM, Cater SM: A qualitative study of the relationship between alcohol consumption and risky sex in adolescents. Arch Sex Behav 2005, 34:649-661.
  • [10]Coleman LM: Young people’s intentions and use of condoms: qualitative findings from a longitudinal study. Health Educ J 2001, 60:205-220.
  • [11]Stanley N: Thrills and spills: young people’s sexual behaviour and attitudes in seaside and rural areas. Health Risk Soc 2005, 7:337-348.
  • [12]Jones RJ, Haynes R: The association between young people’s knowledge of sexually transmitted diseases and their behaviour: a mixed methods study. Health Risk Soc 2006, 8:293-303.
  • [13]Brown S: Young men, sexual health and responsibility for contraception: a qualitative pilot study. J Fam Plann Reprod Health Care 2012, 38:44-47.
  • [14]Say R, Mansour D: Contraceptive choice for young people. J Fam Plann Reprod Health Care 2009, 35:81-85.
  • [15]Smith A: Young people’s contraception and sexual health: report of a local needs assessment in Staveley, North Derbyshire. J Fam Plann Reprod Health Care 2001, 27:29-32.
  • [16]Lorimer K, Reid ME, Hart GJ: “It has to speak to people’s everyday life”: qualitative study of men and women’s willingness to participate in a non-medical approach to Chlamydia trachomatis screening. Sex Transm Infect 2009, 85:201-205.
  • [17]Hennink M: Seasonal work and sexual behaviour - statistical data included. J Sex Res 2000, 37:25.
  • [18]Stewart-Brown S, Evans J, Patterson J, Petersen S, Doll H, Balding J, Regis D: The health of students in institutes of higher education: an important and neglected public health problem. J Public Health Med 2000, 22:492-499.
  • [19]Zimmer JC, Thurston WE: Attitudes, beliefs, and practices of nursing students concerning HIV/AIDS: Implications for prevention in women. Health Care Women Int 1998, 19:327-342.
  • [20]Bowling A: Research Methods in Health: Investigating Health and Health Services. 2nd edition. Buckingham: Open University Press; 2002.
  • [21]Sturges JE, Hanrahan K: Comparing telephone and face to face qualitative interviewing: a research note. Qual Res 2004, 4:107-118.
  • [22]Sandelowski M: Focus on research methods: combining qualitative and quantitative sampling, data collection, and analysis techniques in mixed method studies. Res Nurs Health 2000, 23:246-255.
  • [23]Chanakira E, Goyder E, Freeman J, O’Cathain A, Kinghorn G, Jakubovic M: Social and psychosocial factors associated with high risk sexual behaviour among university students in the United Kingdom: a web-survey. Int J Std Aids 2014. doi:10.1177/0956462414538950 [Epub ahead of print]
  • [24]Ritchie J, Spencer L: Qualitative data analysis for applied policy research. In Analyzing Qualitative Data. Edited by Bryman A, Burgess RG. London: Routledge; 1994:173-194.
  • [25]Ritchie J, Spencer L, O’Connor W: Carrying out qualitative analysis. In Qualitative Research Practice: A Guide for Social Science Students and Researchers. Edited by Ritchie J, Lewis J. London: Sage; 2003:219-262.
  • [26]Petersen JL, Hyde JS: Gender differences in sexual attitudes and behaviors: a review of meta-analytic results and large datasets. J Sex Res 2011, 48:149-165.
  • [27]Marston C, King E: Factors that shape young people’s sexual behaviour: a systematic review. Lancet 2006, 368:1581-1586.
  • [28]Dale H, Watson L, Adair P, Moy M, Humphris G: The perceived sexual health needs of looked after young people: findings from a qualitative study led through a partnership between public health and health psychology. J Public Health 2010, 33:86-92.
  • [29]Farrow R, Arnold P: Changes in female student sexual behaviour during the transition to university. J Youth Stud 2003, 6:339-355.
  • [30]Gilchrist H, Smith K, Magee CA, Jones S: A hangover and a one-night stand: alcohol and risky sexual behaviour among female students at an Australian University. Youth Stud Aust 2012, 31:35-43.
  • [31]Scott-Sheldon LAJ, Carey MP, Carey KB: Alcohol and risky sexual behaviour among heavy drinking College students. AIDS Behav 2010, 14:845-853.
  • [32]Shoveller JA, Johnson JL, Langille DB, Mitchell T: Socio-cultural influences on young people’s sexual development. Soc Sci Med 2004, 59:473-487.
  • [33]Tura G, Alemseged F, Dejene S: Risky sexual behaviour and predisposing factors among students of Jumma University, Ethiopia. Ethiop J Health Sci 2012, 22:170-180.
  • [34]Weinstein ND: Unrealistic optimism about future life events. Soc Psychol 1980, 5:806-820.
  • [35]Carroll C, Lloyd M, Cooke J, Owen J: Reasons for the use and non-use of school sexual health services: a systematic review of young people’s views. J Public Health 2011, 34:403-410.
  • [36]Baxter S, Blank L, Guillaume L, Squires H, Payne N: Views of contraceptive service delivery to young people in the UK: a systematic review and thematic synthesis. J Fam Plann Reprod Health Care 2011, 37:71-84.
  • [37]Novick G: Is there a bias against telephone interviews in qualitative research? Res Nurs Health 2008, 31:391-398.
  • [38]Irvine A, Drew P, Sainsbury R: Mode Effects in Qualitative Interviews: A Comparison of Semi-Structured Face to Face and Telephone Interviews Using Conversation Analysis. York: University of York; 2010. [Research Works 2010–03]
  • [39]Opdenakker R: Advantages and disadvantages of four interview techniques in qualitative research. Forum 2006, 7:11.
  • [40]Lincoln YS, Guba E: Naturalistic Inquiry. Beverley Hills: Sage; 1985.
  • [41]Strauss A, Corbin J: Basics of Qualitative research: Techniques and Procedures for Developing Grounded Theory. 3rd edition. Los Angeles: Sage; 2008.
  • [42]Mason M: Sample size and saturation in PhD studies using qualitative interviews. Forum 2010, 11:3. Art 8, [available online http://www.qualitative-research.net/index.php/fqs/article/view/1428/3028 webcite]?(accessed on the 10/06/2014)
  • [43]Bryman A: Social Research Methods. 4th edition. Oxford: Oxford University Press; 2012.
  • [44]Denzin NK, Lincoln YS: Handbook of Qualitative Research. 4th edition. Los Angeles: Sage; 2011.
  • [45]Bowling A: Research Methods in Health: Investigating Health and Health Services. 3rd edition. Maidenhead: Open University Press; 2009.
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