泸州市未婚女性婚前性行为态度及影响因素

Attitude towards premarital sex and its influence factors among unmarried females in Luzhou city

目的探讨四川省泸州市未婚女性婚前性行为态度及影响因素,为开展性生殖健康教育提供依据。方法采取多阶段随机抽样方法,在泸州市抽取2 119名≥16岁未婚常住女性进行匿名自填式问卷调查。结果共调查1 989人,59.83%不反对婚前性行为,24.73%有过婚前性行为;多因素logistic回归分析显示,20~24、≥25岁年龄组婚前性行为反对率低于〈20岁年龄组,OR分别为0.336（95%CI=0.211~0.537）和0.460（95%CI=0.288~0.737）,偶尔接受性教育、经常接受性教育组低于从未接受过性教育组,OR分别为0.472（95%CI=0.289~0.770）和0.622（95%CI=0.408~0.950）,知晓性生活安全期组低于不知晓组OR为0.611（95%CI=0.472~0.789）,首次月经年龄13~15、≥16岁组高于10~12岁组,OR分别为2.794（95%CI=1.313~5.949）和1.636（95%CI=0.783~3.419）。结论年龄、接受性教育状况、对性生活安全期的知晓情况以及首次月经的早晚是泸州市未婚女性对婚前性行为态度的影响因素。

Objective To explore the attitude towards premarital sex and its influence factors among unmarried females in Luzhou city,Sichuan province,and to provide scientific evidences for reproductive health education. Methods With multi-stage random sampling,a self-administered anonymous questionnaire survey was conducted among 2 119 unmarried females aged ≥16 years in Luzhou city. Results Of 1 989 participants with valid information,59. 83% were not against premarital sex and 24. 73% reported premarital sex experience. Multivariate logistic regression analysis showed that the participants at the age of 20- 24 and ≥25 years were less likely to oppose premarital sex than those aged ≤20years old,with the odds ratios（ OR） of 0. 336（ 95% confidence interval[95% CI]= 0. 211- 0. 537） and 0. 460（ 95% CI =0. 288- 0. 737）; compared with those never receiving sexual education,the participants receiving sexual education frequently and occasionally were less likely to oppose premarital sex,with the OR of 0. 472（ 95% CI = 0. 289- 0. 770） and0. 622（ 95% CI = 0. 408- 0. 950）; the participants with the knowledge about safe period for contraception were less likely to oppose premarital sex than those without the knowledge,with the OR of 0. 611（ 95% CI = 0. 472- 0. 789）; the participants having their first menstruation at the age of 13- 15 years and ≥ 16 years were more likely to oppose premarital sex than those at the age 10- 12 years,with the OR of 2. 794（ 95% CI = 1. 313- 5. 949） and 1. 636（ 95% CI = 0. 783-3. 419）. Conclusion Age,condition of receiving sexual education,whether having the knowledge about safe period for contraception,and the age at first menstruation are influence factors of attitude towards premarital sex among unmarried females in Luzhou city.