摘要
目的了解贵州省兴义市农村在校儿童性与生殖健康知识知晓情况、发生性行为及其影响因素,为改善农村在校儿童性与生殖健康状况提供依据。方法 2015年3—4月采用整群抽样方法对兴义市小学五、六年级和初中一、二年级548名农村在校儿童进行调查,采用单因素及多因素logistic回归分析知识知晓及发生性行为的影响因素。结果调查的548名儿童中,有297人(54.2%)知晓性与生殖健康知识;多因素logistic回归分析显示,男生(OR_(调整)=1.454,95%CI=1.027~2.058)、经常与父母交流沟通(OR_(调整)=1.460,95%CI=1.003~2.125)、经常与老师交流沟通(OR_(调整)=1.608,95%CI=1.129~2.289)、在校学习过性教育课程(OR_(调整)=2.035,95%CI=1.418~2.919)是知晓性与生殖健康知识的影响因素。5.8%(32/548)的农村在校儿童发生过性行为,多因素分析显示,经常与父母交流沟通(OR_(调整)=0.267,95%CI=0.128~0.558)和在校学习过性教育课程(OR_(调整)=0.447,95%CI=0.216~0.925)是减少儿童过早性行为的保护因素。结论农村在校儿童性与生殖健康知识待完善,应注意加强学校及家庭教育,营造良好网络环境,促进农村儿童健康成长。
Objective To examine current status and influence factors of sexual and reproductive knowledge and sexual behavior among rural school adolescents and to provide references for improving sexual- and reproductive-related health among the rural adolescents. Methods A self-designed questionnaire survey was conducted among 548 rural pupils of grade 5 and 6 and rural junior high school students of grade 1 and 2 selected with cluster random sampling in Xingyi municipality of Guizhou province from March to April 2015. Univariate and multivariate logistic regression analyses were used to explore influence factors of sexual and reproductive knowledge and sexual behavior. Results Of the rural school adolescents surveyed,54. 2% had general sexual and reproductive health knowledge ( answering 〉 80% of the related questions correctly). The results of multivariate logistic regression showed that male gender (adjusted odds ratio [ aOR] = 1. 454,95% confidence interval [ 95% CI] = 1. 027 - 2. 058 ), regular communication with parents ( OR = 1. 460,95 % CI = 1. 003 - 2. 125 ), regular communication with teachers ( OR = 1. 608,95 % CI = 1.129 - 2. 289 ), and having sexual and reproductive health courses ( OR = 2. 035,95% CI = 1.418 - 2. 919 ) were statistically associated with having general sexual and reproductive health knowledge. Among the adolescents ,5.8% reported the experience of sexual behavior. The results of multivariate logistic regression revealed that regular communication with parents ( OR = 0. 267, 95% CI = 0. 128 - 0. 558) and having sexual and reproductive health courses ( OR = 0. 447,95% CI = 0. 216 - 0. 925 ) were statistically associated reversely with having sexual behavior. Conclusion Rural school adolescents in Xingyi mu- nicipality are lack of knowledge about sexual and reproductive health and related education among the adolescents needs to be promoted in the schools and families.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2017年第2期261-263,共3页
Chinese Journal of Public Health
关键词
农村在校儿童
性与生殖健康
性行为
影响因素
rural school adolescents
sexual and reproductive health
sexual behavior
influencing factor