不同性别务工青少年生殖健康状况分析  

Gender difference in sexual and reproductive health among young migrant workers

作　　者：高素红[1] 余小鸣[1] 宫露霞[2] 王冰[3] 于明[3] 许俐[3] 

机构地区：[1]北京大学儿童青少年卫生研究所,北京100191 [2]山东省济南市卫生局 [3]山东省济南市妇幼保健院

出　　处：《中国公共卫生》2009年第8期913-915,共3页Chinese Journal of Public Health

基　　金：世界卫生组织/卫生部合作项目〔01.01.01.AW.04(2)〕

摘　　要：目的了解15～24岁不同性别进城务工青少年的性与生殖健康知信行状况及影响因素。方法采用自编结构式匿名问卷对山东省济南市1075名15～24岁进城务工青少年进行自填式问卷调查。结果男性与女性进城务工青少年的性与生殖健康知识水平均较低,尤其流产相关知识,男性得分中位数仅25.0分;35.0%的男性认为只要双方愿意就可以发生婚前性行为,高于女性的16.1%;面对恋人性要求,男性坚持不发生性行为的比例(18.1%)远低于女性(53.1%),差异有统计学意义(χ2=141.704,P<0.001);30.7%的调查对象自我报告发生过性行为,其中男性为40.1%,女性为23.7%,差异有统计学意义(χ2=29.385,P<0.001);不同性别进城务工青少年发生婚前性行为的共同影响因素为年龄、文化程度、对避孕的态度;女性还与对婚前性行为的看法、对恋人性要求的处理方式有关。结论为进城务工青少年提供性与生殖健康教育及服务时应考虑性别差异。Objective To understand the sexual and reproductive health knowledge, attitude and practice status among male and female young migrants aged 15 -24 years old and its influencing factors. Methods A total of 1 075 migrants aged 15 -24 were investigated with anonymous self-administered questionnaire in Ji＇nan city. Results The sexual and reproductive health knowledge of male and female young migrants were rather low with an average score of 25. 0 for abortion knowledge in the males. 35.0% of male subjects considered that one could have premarital sex if the partner nodded,while only 16. 1% of female subjects agreed with the attitude. The proportion of sticking to having no sex with lovers in the males was lower than that of in the females（x^2 = 141. 704 ,P 〈0. 001 ）. 30. 7% of the subjects reported sex experience with the ratios 40. 1% in males and 23.7 % in females, and the difference was of significance （x^2 = 29. 385, P 〈 0. 001 ）. Sex experience of both males and females was positively influenced by education level, the attitude about contraception. The attitude toward unmarried sex and the coping method with lover＇s sex request were positively associated with sex experience in the female. Conclusion The gender differences between male and female should be considered when sexual and reproductive health education and services are provided to unmarried young migrants.

关 键 词：进城务工青少年 生殖健康 性别 

分 类 号：R181.31[医药卫生—流行病学]