性道德对在校未婚青年性KAP的影响

Influence of sex morals on KAP of unmarried undergraduates

目的 了解大学生性KAP现状及变迁 ,探讨性道德对现代青年KAP的影响 ,为制定符合国情的青少年生殖健康规划提供依据。方法 用描述流行病学的方法于 2 0 0 0年对在昆四所高校 1190名 19～ 2 2岁未婚青年作性道德及性KAP的匿名调查 ,并与 1994年 4189名大学生的同质资料作比较 ;用分析流行病学的方法作不同道德观青年KAP的比较。结果 ( 1)有 2 4%认为童贞对男女都不重要 ,16%认为婚前性行为对男女无害 ,15 %认为性行为是对爱的承诺。高达 5 7%的人对婚前性行为持宽容态度 ,70 %的人赞成大学生谈恋爱 ,有 48%的人谈过恋爱 ,其中3 7%谈过两次以上 ,5 4%遭遇失恋。上述KAP具男 >女 ,城 >乡的现象。 ( 2 )与 1994年同质资料相比 ,赞成婚前同居的男生为 3 2 %较前下降 5 % ,而女生 18%则上扬了 5 6% ;可能与友发生性行为的男女较 1994年增长 3 4%。 ( 3 )未婚青年性KAP间呈高度相关 (r =0 45～ 0 81,P <0 0 1) ;对童贞持否定道德观的青年性KAP开放度是持肯定观的2 3～ 7 8倍 ( 95 %IC 1 5 7%～ 10 91% ,P <0 0 1)。结论 大学生性KAP具有高度相关性 ,并有日趋开放之势。传统的贞洁观对性态度 /行为仍具有较大约束力 。

Objective To understand the changes and current state of the undergraduates KAP;to probe into the influence of the sex morals upon the modern youth;to provide some evidences for the reproductive health programme.Methods By way of describing epidemiology,an anonymous investigation was carried out based on the sex morals and sex KAP for 1 190 unmarried undergraduates from four colleges and univerdities in Kunming area.Their ages ranged from 19 to 22.Then the result of the investigation was compared with the one carried out in 1994,which involved 4 189 students.Results The followings were the results of the KAP comparison among the youth with different moral values.(1)24% male and female students thought that virginity was not important.16% students thought that sex act before marriage did no harm to both male and female.15% people considered sex act as a promise for love.More than 57% held a tolerant attitude towards sex act before marriage.70% were in favor of having a love affair.48% had a love affair,37% among them had more than twice love affairs,54% were once disappointed in a love affair.The above KAP showed such a phenomenon that male>female,city>countryside.(2)Compared with the 1994's investigation,the percent of male students who were in favor of living together beore marriage was 32%,which was 15% drop;whereas the percent of the female was 18% with 5.6% rise.The possibility for both male and female of having a sexual behavior increased 3.4% and 2.0% respectively.The percent of male and female who had sexual experiences raised to 7.7% and 0.6% respectively.(3) The KAP among the unmarried youth closely related with each other(r=0.45-0.81,P<0.01).The KAP tolerance among the youth who hold a negative attitude towards virginity was 2.3-7.8 times higher than those with a positive attitude (95%CI 1.57%-10.91%,P<0.01).Conclusion The KAP of the undergraduates were closely related with one another and becoming a more and more acceptable trend.And at the same time,traditional virginity value still possessed an impact on the sexual behavior.The education of sex morals would play an important role in our programme to promote a reproductive health among the youth.