高校学生避孕节育干预的效果评价与分析  

Assessment for the Intervention Effect on Contraceptive Knowledge,Attitude,Practice Among College/University Students

作　　者：周远忠[1,2] 熊承良[1] 庞雪冰[1] 肖敦振[1] 官黄涛[1] 王敏[3] 

机构地区：[1]华中科技大学同济医学院计划生育研究所,武汉430030 [2]遵义医学院预防医学教研室 [3]华中科技大学同济医学院公共卫生学院,武汉430030

出　　处：《国际生殖健康／计划生育杂志》2010年第6期434-437,442,共5页Journal of International Reproductive Health/Family Planning

基　　金：科技部十一五国家科技支撑计划项目(2006BAI15B04)

摘　　要：目的:分析专题讲座对大学生避孕节育知、信、行的影响,为在高校开展适宜的避孕节育教育提供理论依据。方法:使用调查问卷,在开展避孕节育专题讲座前和讲座后半年共2次调查大学生避孕节育相关知识、态度和行为情况,对干预前后的数据做对比分析。结果:通过干预,大学生对女性最容易妊娠的时间、紧急避孕不能代替常规避孕和紧急避孕方法的认知率提高,差异具有统计学意义(P<0.01);通过干预,选择避孕药具时最优先考虑避孕效果的比例升高,而反对西方流行的"性解放"观念、反对大学生未婚同居的比例下降,差异具有统计学意义(P<0.01);通过干预,大学生发生性交行为时每次都采取了避孕措施,性交中采用避孕套作为避孕措施的比例升高,半年内发生过意外妊娠的比例下降,差异均具有统计学意义(P<0.01)。结论:专题讲座提高了大学生对避孕节育的认知,增强了其安全性行为的意识,同时也导致大学生性的态度更加开放,提示在大学生中采用自愿参与的专题讲座能在一定程度改善大学生的避孕节育知识和行为,但是性教育中应强化性道德和性节制的教育。Objective： To evaluate the intervention effect on contraceptive knowledge, attitude, practice among college/university students, and to provide theoretical bases for further contraceptive education in college/university. Methods： Questionnaires were conducted anonymously among college students before intervention and half a year after intervention, and contraceptive knowledge, attitude and practice were surveyed. Results： Compared with pre-intervention, the cognition regarding ovulation period and emergency contraception were improved after intervention, the proportion of ＂most concerned about contraceptive effectiveness in using contraception＂ was increased, but the proportions of ＂opposes the sexual liberation＂ and ＂against unmarried cohabitation＂ were declined after intervention, the proportions of ＂always use contraception＂ and ＂use condoms in sexual intercourse＂ were increased, and the prevalence of unintended pregnancy was declined after intervention which showed significant difference （P〈0.01）. Conclusions： After intervention, the rates of contraceptive knowledge and safe sex awareness are improved, but sex attitude became more open among college students, which demonstrate that the special topic lecture is an effective method to improve the contraceptive knowledge and practice among college/university students, however, sex abstinence should be paid more attention in the further education.

关 键 词：大学 学生 避孕 性教育 干预性研究 安全性行为 健康知识 态度 实践 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]