某综合性高校女大学生月经知信行及其影响因素分析

Analysis of the Knowledge, Attitude and Behavior of Menstruation among Female Students at a University

目的：分析女大学生对月经知晓情况、态度和行为及其影响因素,为女大学生月经期保健提供理论依据。方法：采用分层整群抽样选取样本,利用自编问卷进行调查,利用Epidata软件包建立数据库和SPSS17.0统计软件进行统计分析。结果：女大学生月经相关知识主要来源于课堂学习、同学或朋友、父母或师长和书籍杂志,医学专业和非医学专业女大学生二者在课堂学习（χ^2=13.620,P=0.020）、书籍杂志（χ^2=11.684,P=0.033）、互联网（χ^2=7.968,P=0.041）这3种知识来源渠道上差异有统计学意义;医学专业女大学生月经相关知识知晓率为89.56%,非医学专业女大学生月经相关知识知晓率为71.09%,二者在＂月经＂概念（χ^2=10.263,P=0.027）、月经周期（χ^2=14.274,P=0.013）、月经经期（χ^2=12.827,P=0.038）这3方面的知识知晓率差异有统计学意义。通过Logsitic回归分析,女大学生是否学医、年龄和独生子女因素会影响月经知识的知晓,OR及其95%的可信期间分别为1.980（1.345-2.916）、2.827（1.382-5.785）和0.604（.367-.992）。结论：女大学生对月经相关知识有一定的了解,但不全面,高校应针对不同专业的女大学生进一步加强学校教育。

Objective：To analyze the knowledge, attitude and behavior of menstruation among female students of a university and the influencing factors, and to provide the theoretical basis for health care in the menstrual period of female college students. Methods： A stratified random sampling was used. Questionnaires designed independently were adopted. Epidata software was used to establish database and the statistical software SPSS17.0 was chosen for statistical analysis.Results： Female college students＇ knowledge of menstruation mainly came from classroom learning, classmates, friends, parents, teachers, books and magazines. The difference between female students of medicine major and non-medicine major was statistically significant（P﹤0.05）as to three kinds of sources of knowledge, i.e. classroom learning（χ^2=13.620, P=0.020）, books and magazines（χ^2=11.684, P=0.033）, the internet（χ^2= 7.968, P=0.041）. The rates of awareness of menstruation between female students of medicine major and non-medicine major were 89.56% and 71.09% respectively. The difference between female students of medicine major and non-medicine major was statistically significant（P﹤0.05）as to the rates of awareness of three aspects, i.e. the concept of ＂menstruation＂（χ^2=10.263,P=0.027）, menstrual cycle（χ^2=14.274,P=0.013）and menstrual period（χ^2=12.827,P=0.038）. According to regression analysis, factors influencing the knowledge of menstruation included the major（medicine or non-medicine）, age, and the only child or not. The OR and 95% confidence interval were 1.980（1.345-2.916）, 2.827（1.382-5.785） and 0.604（.367-.992）. Conclusion： The female college students have some knowledge of menstruation, but it is not comprehensive. The university should strengthen education aiming at female students of different majors.