武汉地区高校本科生生殖健康知识、态度、行为现况调查

Survey on the Status of Reproductive Health Knowledge,Attitudes and Practices among Undergraduates in Wuhan

目的:了解武汉地区高校本科生生殖健康知识、态度、行为现状,为进行生殖健康干预提供科学依据。方法:采用分层随机整群抽样的方法,对武汉地区4类高校的本科生进行不记名问卷调查。结果:共调查8997名,其中男生4963名,女生4034名。被调查者对口服避孕药和紧急避孕相关知识了解最少,对受孕条件和艾滋病的传播途径认知较好;医学生认知水平高于其他3类院校学生(P=0.000);90%以上被调查者认为有必要了解避孕知识和性知识;42.9%的学生对"性解放"持否定态度,68.2%认为贞操对男女都很重要;10.0%的调查对象曾经有过性行为,且第一次性行为时采取避孕措施的占57.4%,大学生使用过的避孕方法主要是安全套(85.6%)、安全期避孕(45.9%)、体外射精(39.2%)、口服避孕药(33.3%)。调查对象意外妊娠发生率为25.7%。文体艺术类院校学生性行为发生率(14.7%)和意外妊娠率(43.6%)均为四类院校中最高。结论:武汉地区在校大学生生殖健康的认知水平较低,性态度较宽容,普遍对生殖健康知识有需求,需要进行系统全面的生殖健康教育。

Abstract Objective： To understand the current status of knowledge, attitudes and practices （KAP） of reproductive health among the undergraduates in Wuhan area, and provide scientific evidences for intervention of reproductive health. Methods： Stratified random cluster sampling was adopted, and anonymous - questionnaire survey was conducted among undergraduates from 4 kinds of colleges in Wuhan. Results： 8,997 undergraduates （4,963 boys and 4,034 girls） were investigated. All subjects knew little about the knowledge of oral contraceptive and emergency contraception, while the awareness of conception condition and AIDS transmitted ways was relatively well. Medical students had a higher cognitive level than students of the other colleges （P = 0. 000）. More than 90% of respondents thought that it＇s necessary to master sexual and contraception knowledge, 42.9% hold negative attitudes for ＂ sex libration＂, 68.2% considered that chastity was important for both male and female. 10.0% admitted sexual behavior and 57.4% of them took contraceptive measures during the first sexual behavior. The main contraception methods used among undergraduates were condoms （85.6%）, safe period contraception （45.9%）, vitro ejaculation （39.2%） and oral contraceptive （33.3%）. And the unexpected pregnancy rate was 25.7%. The incidence rates of sexual behavior and unexpected pregnancy among art style students were the highest of all 4 kinds of colleges, with 14.7% and 43.6%, respectively. Conclusion： The cognitive level of reproductive health knowledge among undergraduates in Wuhan is relatively low, systematic and comprehensive reproductive health education is required according to the tolerant sexual attitude and the popular demand for reproductive health information.