父母对向未婚年轻人提供生殖健康服务的态度及影响因素分析

Study on parents'perspectives toward provision of sexual and reproductive health information and services to unmarried youth in Chengdu

目的:了解并分析父母对向未婚年轻人提供性与生殖健康信息及服务的态度。方法:采用分层、多级和整群抽样方法以及结构式问卷调查。结果:有效调查2871名家庭中至少有1个15～24岁的未婚子/女的父亲和母亲。约80%的父母对未婚年轻人寻求性与生殖健康咨询和服务持理解和赞成,但对未婚者使用避孕措施理解和赞成者减少;超过50%的父母赞成向未婚年轻人提供性与生殖健康教育和信息,但对于主动提供避孕服务,反对和赞成者各占1/4,理解者超过1/3。结论:父母的态度既宽容又矛盾,与其人口学特征及自身的性与生殖健康知识水平有关,提示应重视家庭性教育水平和能力的提高。

Objective：To explore the parents＇perspectives toward provision of sexual and reproductive health（SRH） information and services to unmarried youth.Methods：A stratified,multi-stage and cluster sampling,as well as structured questionnaire survey were used for data collection.Results：A total of 2 871 mothers and fathers who had at least one unmarried child aged 15 to 24 years old were investigated.About 80% parents accepted and understood unmarried youth seeking SRH counseling service,but the percentages of such positive attitude declined when facing issues of premarital contraceptive use;over half of parents were supportive toward providing SRH education and information to unmarried youth;whereas regarding provision of contraceptive service to sexually active unmarried youth,one quarter opposed and one quarter accepted,and more than one third indicated understanding.Conclusion：A dissonant attitude was found in parents：tolerant and ambivalent,which was associated with parents＇socio-demographic characteristics as well as parental SRH knowledge level.The results suggest that attentions should be paid to enhance family-based sex education in terms of enhancing parents＇SRH knowledge and their capacity and skills of providing such information to unmarried youth.