无锡市成年男性生育健康相关知识态度和行为调查

The investigation on the knowledge, attitude and practice about reproductive health of adult men in Wuxi City

目的了解无锡市成年男性有关生育健康的知识、态度和行为。方法以无锡市市区20岁以上的成年男性为调查对象,分层抽取1200人进行问卷调查,问卷内容包括一般人口学特征和有关的生育健康知识、态度和行为。结果1133名完成问卷的成年男性中,40.9%(463/1133)知晓女性最易受孕的时间;8.5%(96/1133)知晓紧急避孕措施;57.5%(651/1133)知晓性传播性疾病的概念;对于各种容易感染艾滋病的危险行为,均有65.0%以上的男性不知晓;48.0%(544/1133)的成年男性认为可以接受婚前性行为,可接受者所占的比例随年龄增加而降低(P<0.0001);30.7%(348/1133)的成年男性有过婚前性行为,且随着年龄减小婚前性行为发生率逐渐增加(P<0.0001);仅有21.8%(76/348)的男性第一次婚前性行为中使用了避孕措施;56.0%(586/1047)和44.6%(462/1036)的成年男性经常在性生活前和性生活后清洗外生殖器,随着年龄增加该比例逐渐下降(P<0.001)。结论无锡市成年男性生育健康知识比较缺乏,对婚前性行为的认可程度和婚前性行为发生率较高,婚前性生活中避孕措施使用率较低,性卫生习惯较差。因此,开展生育健康教育,提高男性的生育健康知识水平和自我保健意识是必要而迫切的任务。

Objective To understand the health of adult men in Wuxi city. Methods knowledge, attitude and practice about reproductive Adult men over 20-year-old in Wuxi city were the subjects of the study. Applying stratified sampling method, 1 200 men were selected for the questionnaires investigation. The questionnaires covered information on adult men＇s demographic characteristics, knowledge, attitude and practice about reproductive health. Results Of the 1 133 adult men who finished the questionnaires, 40. 9 % knew the period when the female were easy to become pregnant, 8.5 % knew the emergency contraceptive method, and 57.5 % knew the concept of STDs. More than 65.0 % of them did not know the risk behaviors related to communication of AIDS. 48.0 % of them could accept premarital sex, and the proportions of people holding such attitude decreased with the age increasing （p〈0.0001） .30.7 % of the interviewed men had premarital sexual experiences, and the proportions of people having such experience increased with the age decreasing （P〈0.0001）. Of the men having premarital experience, only 21.8 % reported having used contraceptive measures in the first time premarital sex. 56.0 % and 44.6 % of the interviewed adult men cleaned the genital before and after making love, and the proportions of having such sanitary habits decreased with the age increasing（P〈0. 001）. Conclusion Adult men in Wuxi city were short of reproductive health knowledge. There were high proportions of the adult men who could accept premarital sex and the men who had premarital sexual experience. The proportion of men who used contraceptive measures in premarital sex was very low. Some adult men lacked relevant sanitary habits in sexuality. Therefore, it is necessary to develop reproductive health education to improve reproductive health knowledge level and self-care awareness of the men.