外来务工青年婚前性行为状况与生殖健康需求  

The Situation of Sex-related Behaviors and Needs for Reproductive Health Among Unmarried Factory Migrant Youth

作　　者：王小敏 许姜姜[2,3] 吴金英 张水英 强伟萍 沈婷 程艳[3] 楼超华[3] 高尔生[3] 

机构地区：[1]上海市青浦区人口和计划生育委员会,201700 [2]复旦大学公共卫生学院 [3]上海市计划生育科学研究所 [4]上海市青浦区徐泾镇人民政府

出　　处：《国际生殖健康／计划生育杂志》2010年第6期429-433,共5页Journal of International Reproductive Health/Family Planning

摘　　要：目的:了解工厂未婚外来务工青年的性相关行为状况及其生殖健康需求,为今后向未婚流动人口开展性与生殖健康教育和服务提供科学依据。方法:本研究为横断面调查。采用面对面访谈的形式进行问卷调查,共回收509份有效问卷。运用SAS9.0软件进行统计分析。结果:调查对象的平均年龄为男性(21.4±1.9)岁,女性(20.7±1.6)岁。婚前性行为的发生比例为男性34.9%,女性7.8%,两者比较差异有统计学意义(P<0.01)。多因素分析结果显示,性与生殖健康知识得分和对婚前亲密行为的宽容度与男性对象是否发生婚前性行为有关联(OR值分别为1.04和1.33),而年龄和对婚前亲密行为的宽容度与女性对象是否发生婚前性行为有关联(OR值分别为1.47和1.41)。对104例发生过性行为的对象分析显示:①每次性行为都采取避孕措施的比例为男性24.4%,女性33.3%。②17.1%的男性回答曾经使对方妊娠,30.0%的女性回答自己曾经妊娠过。③妊娠过的女性对象做过人工流产的比例为83.3%(5/6),男性使其性伴侣做人工流产的比例为78.6%。多数未婚流动青年希望获得性与生殖健康服务,妨碍其接受性教育及生殖健康服务的主要障碍是感觉不好意思。结论:未婚外来务工青年发生不安全性行为的比例较高,且面临意外妊娠及人工流产的危险,所以提高其生殖健康知识水平以及服务的可及性非常必要。Objective： To understand the situation of sex-related behaviors and needs for reproductive health among unmarried factory migrant youth, and so as to provide scientific evidences for future sexual and reproductive health education and services among unmarried migrant youth. Methods： It＇s a cross-sectional survey. Face-to-face interviews were adopted in the questionnaire survey and totally 509 valid questionnaires were collected. SAS 9.0 software was used for data analyses. Results： Tile average age was 21.4±1.9 and 20.7± 1.6 among male and female subjects, respectively. 34.9% of the male subjects and 7.8% of the female subjects have had premarital sexual intercourse, and the difference was statistically significant （P〈0.01）. Results of binary logistic regression analysis indicated that male subjects＇ scores for knowledge of sexual and reproductive health and scores for premarital sexual permissiveness （PSP） were significantly associated with premarital sexual intercourse, while female subjects＇ age and scores for premarital sexual permissiveness （PSP） were significantly associated with premarital sexual intercourse. Among 104 subjects who have had sexual intercourse, 24.4% of male subjects and 33.3% of female subjects used contraceptive methods every time, 17.1% of male subjects made their sexual partners pregnant and 30.0% of female subjects responded they have ever been pregnant. 83.3%（5/6） of female subjects have had abortion and 78.6% of male subjects＇ partners have had abortion. Though most of unmarried migrant youths expected to have access to sexual and reproductive health services, and felt too ashamed to get reproductive health education and services. Conclusions： The proportion of unsafe sexual behavior is quite high among factory unmarried migrants, which make them face the risk of unwilling pregnancy and abortion. It is necessary to strengthen the provision of sex and reproductive heahh education and service among unmarried migrant youth in the future.

关 键 词：居住流动性 人口 青少年保健服务 生殖健康服务 健康教育 性行为 因素分析 统计学 性别因素 Logistic模型 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]