Predictors of the Sexual Assertiveness Among Chinese Female College Students: A Cross-sectional Study

Abstract

Sexual assertiveness can facilitate sexual autonomy and satisfaction and protect individuals against unsafe sexual relations. However, when a person lacks sexual assertiveness, they tend to use less powerful strategies in response to unwanted sex, and they are more likely to engage in unsafe sexual behaviors. This cross-sectional study aimed to identify the factors predicting sexual assertiveness among Chinese female college students. An anonymous online survey was conducted among a convenience sample of 304 female college students in three colleges in China. Data were collected using a demographic data form, the Sexual Assertiveness Scale, the Body Appreciation Scale-2, the Alcohol Use Disorders Identification Test, the Scale of Sexual Communication with Parents and Peers, the Anticipated Negative Partner Reaction Scale, the Sexual Double Standard Scale, and the adapted Media and Technology Usage and Attitudes Scale. Data were analyzed using descriptive statistics, Pearson’s correlation test, and multiple regression analysis. Results revealed that anticipated negative partner reaction, sexual double standard, sexual communication with parents, alcohol use, and body appreciation could together predict sexual assertiveness, accounting for 21% of the variance with anticipated negative partner reaction is the strongest. These findings help determine approaches for health providers, including nurses, to promote sexual health interventions that include enhancing sexual assertiveness, coping with anticipated negative partner reactions, sexual double standards, and alcohol use. It is essential to encourage self-body appreciation and communication with parents on sexual issues among female college students.