Gender Differences in High-Risk Modifiable Sexual Practices: Insights from a Student Population

Abstract

Introduction: Sexually transmitted infections (STIs) are on the rise, particularly in vulnerable groups with limited sexual education and healthcare access. In Mexico, high rates of STIs underscore the need for effective public health strategies and sexual education. Objective: Investigate gender differences in high-risk sexual practices among students aged 18-25 in a private University in Mexico City, focusing on modifiable behavioral risk factors for STIs. Materials and Methods: This research performed a cross-sectional observational design, surveying students from a private university. A z-score test was performed, with a 95% confidence interval and a 5% error. Results: A difference of 30% (95% CI, p=0.003) between the male and female participants that received health education was identified (80% female vs 50% males). A difference of 25% (95% CI, p=0.0122) between females and males (67.5% females vs 42.5% males), reported discussing STI status before sexual activities. Regarding the use of barrier methods, a difference of 25% (95% CI, p=0.0122), (70% females vs 45% males) reported the consistent use of such methods. Conclusion: These findings underscore the urgent need for targeted sexual health education, particularly for men, to address the substantial knowledge gaps and risky behaviors. Comprehensive and accessible education programs, coupled with community engagement and policy support, are critical to fostering a culture of sexual health responsibility among young adults.