基于CGSS 2023的中国成年人性观念现状及影响因素研究OA

Objective To analyze the current status and influencing factors of Chinese adults＇attitudes towards premarital,extramarital,and homosexual sexual behaviors based on data from the Chinese General Social Survey 2023(CGSS 2023),providing a scientific basis for the prevention and control of sexually transmitted diseases(STDs).Methods Utilizing nationally representative data from CGSS 2023,a total of 5 252 valid adult samples were selected.Descriptive analysis,one-way ANOVA,and multiple linear regression models were employed to analyze the impact of socio-demographic characteristics,psychological factors,and behavioral factors on the three types of sexual attitudes(premarital sexual behavior,homosexual behavior,extramarital sexual behav-ior).Results Significant differences were found in the acceptance of the three types of sexual behaviors among Chinese adults(P＜0.001).Acceptance was highest for premarital sexual be-havior(2.15±1.28),followed by homosexual behavior(1.60±1.03),and lowest for extramar-ital sexual behavior(1.25±0.67).Ordinal logistic regression analysis indicated that males showed higher acceptance of premarital and extramarital sexual behaviors(B=0.314,P＜0.001;B=0.394,P＜0.001),while females showed higher acceptance of homosexual behavior(B=-0.353,P＜0.001).Younger and highly educated groups held more open attitudes towards pre-marital and homosexual behaviors(P＜0.05).Individuals with a higher self-rated frequency of depressive symptoms showed greater acceptance of homosexual behavior(B=0.559,P=0.002).Conclusions The diverse sexual attitudes among Chinese adults,shaped by multiple factors,ne-cessitate targeted risk-reduction education and behavioral interventions for populations with more permissive attitudes to prevent unsafe sex and lower STI rates.