校外青少年生殖健康高危行为与社会心理因素关系

Reproductive health related behaviors and their social-psychological influencing factors among out-of-school adolescents:a cross-sectional study

目的了解云南、深圳两地校外青少年生殖健康相关行为的发生状况，探讨影响生殖健康高危行为发生的社会心理学因素。方法采用非概率抽样中的偶遇抽样方法，于2012年5—6月对云南和深圳两地862名15—24岁的校外青少年进行生殖健康、社会支持、总体幸福感、自尊相关情况的问卷调查。结果校外青少年中与异性有过牵手、拥抱、接吻、抚摸身体、性交行为的比例分别为92．5％、85．7％、75．9％、60．2％和54．5％；在发生性行为的校外青少年中，最近一次性行为未使用安全套和有≥2个性伴的比例分别为45．7％和62．6％；女性为最近一次性行为是否使用安全套行为的高危人群（OR：2．318，95％CI=1．601～3．356），未婚（OR=0．367，95％CI：0．190～0．709）和总体幸福感高（OR=0．971，95％CI=0．955—0．987）为校外青少年该行为的保护性因素；居住地为昆明（OR=2．690，95％CI=1．511～4．790）、深圳（OR=，4．644，95％CI=1．007～2．729）、女性（OR=4．464，95％CI=3．180—6．783）、年龄越大（OR=1．225，95％CI=1．113～1．349）、务工时间越长（OR=1．102，95％CI=1．003～1．022）为校外青少年是否有1〉2个性伴的危险因素，总体幸福感高（OR=0．969，95％CI=0．953～0．986）为其保护因素。结论云南和深圳两地校外青少年生殖健康高危行为的发生率较高，总体幸福感是生殖健康高危行为的保护因素，应注重对校外青少年的心理干预。

Objective To study the status of reproductive health related behaviors among out-of-school adolescents in Yunnan province and Shenzhen city, and to explore the social-psychological influencing factors of the behaviors. Meth- ods A cross-sectional study was conducted in Yunnan and Shenzhen and totally 862 out-of-school adolescents aged 15 -24 years were recruited with accidental sampling for a survey with a self-administrated questionnaire. Results The ratios of behaviors of holding hands, hugging, kissing, caressing the body, and sexual intercourse with the opposite sex among the adolescents were 92. 5%, 85.7%, 75.9%, 60. 2%, and 54. 5%, respectively and 45.7% of the adolescents who had sexual experience did not use condom in the latest sexual intercourse;the ratio of people having two or more sexual partners was 62. 6%. Binary logistic analysis showed that age and marital status of the adolescents were risk fac- tors of condom use in the latest sexual intercourse （ P 〈 0. 05 ）, with the odds ratios （ORs） of 2. 318 （ 95% confidence interval E 95 % CI ： 1.601 - 3. 356） and 0. 367 （95 % C1： 0. 190 - 0. 709 ）, while, general well-being of the adolescents was a protective factor with the OR of 0. 971 （95 % CI：O. 955 -0. 987 ）. Survey area, age, gender, migrant times were the risk factors of having more than one sexual partner（P 〈0. 05） ,with the ORs of 2. 690（95% CI：I. 511 -4. 790） for livig in Kunming city,4. 644 （95 % CI： 1. 007 - 2. 729 ） for living in Shenzhen city, 4. 464 （ 95 % CI： 3.180 - 6. 783 ） for female, 1. 225 （95% CI： 1.113- 1. 349 ） for older age, and 1. 102 （95% CI： 1. 003 -1. 022 ） for having long time of working; general well-being of the adolescents was a protective factor with the OR of 0. 969 （95 % CI：O. 953 -0. 986）. Conclusion The incidence of reproductive health related risk behaviors among the out-of-school adolescents in Yunnan and Shen zhen is high. The general well-being is negative correlated with reproductive related risk behaviors.