常熟市未婚男青年生殖健康现状及服务需求调查

Investigation of Reproductive Health Status and Service Needs Among Unmarried Young Men in Changshu

目的 :了解常熟市未婚男青年的生殖健康教育、性心理行为、避孕与婚前妊娠、人流现状 ,探索如何引导、教育未婚男青年正确接受和对待婚前生殖健康教育、性与避孕等问题 ,为进一步宣传教育提供依据。 方法 :采用社会心理行为学方法 ,随机调查有婚前性生活史者 5 10人。 结果 :6 1.2 %的人认为性与避孕知识教育应在学校获得 ,而实际只有 15 3%的人获得 (P <0 .0 1)。现实中获得性与避孕知识多来源于书刊及宣传小册子的人占 87.6 %。与恋人发生性关系时以反正要结婚 (39.4 % )和出于好奇 (32 .7% )居多。同居现象达 86 .8%。知道避孕方法中以避孕套最多 (81.2 % ) ,但知道某种方法却不一定使用该方法。首次性交采用避孕措施比例较低 (34.8% ) ;只有 39.7%的人每次都采用避孕方法 ,结果有 2 7.1%的人使女方怀孕 ,导致部分未婚女青年 (2 2 .4 % )上环避孕。不采用避孕措施的主要原因是怕麻烦 (6 3.6 % ) ;避孕药具主要来源是在药店购买 (5 9.8% )。 结论 :常熟市婚前性行为发生率较高 ,导致婚前妊娠人流等现象较重。应采取多种方式 。

Objectives: To investigate the status of pre marital reproductive health education, sexual psychology behavior, contraception and pre marital abortion in unmarried young men to get the correct way for pre marital guidence and education. Methods: The survey adopted the society psychology behavior methodology. Five hundred and ten objects who had pre marital sexual living history were investigated randomly. Results: The reasons of making sexual pre marital relations were thinking marriage and curiosity. 81.2 % of them thought the best way of contraception is to use the condom. 34.8% of them used the prevenception when they had the first sexual experience. 39.7 % of the objects adoped contraception every time, and 27.1 % of the objects made the women pregnancy which resulted 22.4% women using the IUD for contraception. 63.6% of them thought the main reason of not using contraception was the fear to get trouble. The main source of contraceptives was pharmacy ( 59.8 %). Conclusions: This survey suggested that the prevalence of pre marital sexual behavior is relatively high in Changshu. It should be taken several methods to give unmarried young men the reproductibe education.