摘要
目的了解上海和陕西中职生的性与生殖健康知识、性教育状况及相关因素,为中职校开展性教育提供科学依据。方法2021年4—6月,采用方便与整群抽样相结合的方法在上海市和陕西省3座城市(商洛、安康和宝鸡)共选取6所中职学校一至三年级3180名中职生进行调查。采用自行设计的调查问卷进行线上调查,调查内容包括个人特征、家庭背景、家庭及学校性教育现况、青少年的性与生殖健康(SRH)知识及来源。采用t检验和χ^(2)检验进行组间比较,对SRH知识总分按四分位数进行分组拟合多分类有序Logistic回归模型分析。结果中职生性与生殖健康知识总均分为(51.36±21.61),在不同维度的知识得分中,以性骚扰/性侵害知识得分(66.45±42.27)较高,生殖生理(47.67±31.94)和避孕知识得分(43.85±26.81)较低。两地中职生最主要的知识来源是学校/老师、网络、同学或朋友。学校性教育主题以青春期发育与保健为主(占比超过80%),与父母讨论SRH最多的话题是人际关系(占比超过55%),且两地中职生的报告率差异均有统计学意义(χ^(2)值分别为28.56,32.02,P值均<0.05)。多因素Logistic回归分析结果显示,居住地区、性别、年级、户籍、与父母讨论的SRH话题数量、接受学校SRH教育主题数量、从同学/朋友交流过SRH信息、从书籍/杂志/报纸获取过SRH信息、从网络和社区获取过SRH信息与中职生性知识水平均有关(OR值分别为1.62,0.72,1.20,1.58,2.09,1.17,1.18,1.66,1.62,1.69,1.22,P值均<0.05)。结论上海和陕西中职生的性与生殖健康知识水平普遍偏低。应加强学校老师和家长的培训,提高其性教育意识和性教育能力,推动中职生性教育的开展。
Objective To understand sexual and reproductive health knowledge, access to sexuality education and associated factors among secondary vocational school students in Shanghai Municipality and Shaanxi Province, so as to provide a scientific basis for conducting sexuality educaiton in vocational schools. Methods A cross-sectional survey was conducted among 3 180 students in grades 1-3 selected by cluster sampling during April to June 2021 in six secondary vocational schools from three cities of Shanghai and Shaanxi(Shangluo, Ankang, Baoji). Participants were investigated through online questionnaire survey, inlcuding demographic characteristics, household information, sexual health at home and school, knowledge on sexual and reproductive health. Both t test and Chi-square test were used for group comparisons, and multivariate ordial Logistic regression was used to explore possible risk factors for sexual and reproductive health score in quartiles. Results Respondent's average score was (51.36±21.61), with the highest score on sexual harassment/sexual abuse(66.45±42.27) and the lowest score on reproduction and physiology(47.67±31.94) and contraception(43.85±26.81). Although significant differences were observed between two study sites, the primary source of knowledge in both sites was schools/teachers, followed by the Internet or friends;the main theme of school sexuality education was puberty development and health care(more than 80%);the most frequently reported topic between respondents and their parents in both sites was interpersonal relationships(more than 55%), and there were significant differences in the reporting rates of secondary vocational school students between the two regions(χ^(2)=28.56,32.02,P<0.05). The results of multivariable Logistic regression analysis showed that residential area, gender, grade, registered residence, number of sexual related topics communicated with parents, number of subjects received from school sexuality education, and reported information sources from classmates/frien
作者
贾欣
房宇航
金焰
左霞云
余春艳
廉启国
李立鹤
洪苹
涂晓雯
JIA Xin;FANG Yuhang;JIN Yan;ZUO Xiayun;YU Chunyan;LIAN Qiguo;LI Lihe;HONG Ping;TU Xiaowen(School of Public Health,Fudan University/Shanghai Institute for Biomedical and Pharmaceutical Technologies/Shanghai-MOST Key Laboratory of Health and Disease Genomics/NHC Key Lab of Reproduction Regulation,Shanghai(200037),China;不详)
出处
《中国学校卫生》
CAS
北大核心
2024年第5期659-664,共6页
Chinese Journal of School Health
基金
中国计划生育协会调研项目(20CFPAY03A)。
关键词
性
知识
健康教育
回归分析
学生
Sex
Knowledge
Health education
Regression analysis
Students
