湖北省农村小学生性侵犯发生情况及影响因素分析  

Prevalence of child sexual abuse and its influencing factors among rural primary school students in Hubei Province

作　　者：彭雨霜 杨梅[1] 陈丹[1] 周伽 张祥[1] 郭清[1] 尚明 黄菊芬[3] 向兵[1] PENGYu-shaung;YANGMei;CHEN Dan;ZHOU Jia;ZHANG Xiang;GUOQing;SHANG Ming;HUANG Ju- fen;XIANG Bing(School of Public Health, Medical College, Wuhan University of Science and Technology, Maternal and Child Research Centre, Medical College,Wuhan University of Science and Technology, Wuhan 430065 , Chin)

机构地区：[1]武汉科技大学医学院公共卫生与预防医学系武汉科技大学医学院妇女儿童研究中心,湖北武汉430065 [2]郧西县疾病预防控制中心,湖北郧西442600 [3]汉川市疾病预防控制中心,湖北汉川432300

出　　处：《中国健康教育》2018年第4期321-324,共4页Chinese Journal of Health Education

基　　金：2015年国家社会科学基金项目农村留守儿童性侵犯风险特征与干预对策研究(15BSH057);教育部人文社会科学研究规划基金(13YJAZH104)

摘　　要：目的了解农村小学生性侵犯发生状况并分析其影响因素,为预防农村儿童性侵犯提供科学依据。方法采取分层随机整群抽取湖北省汉川市和郧西县各1所农村小学3～6年级各3个班级的所有学生为研究对象。结果共调查1089名小学生,性侵犯的总发生率为19.5%,男生150人,发生率为25.3%,女生62人,发生率为12.5%,差异具有统计学意义(χ~2=28.514,P<0.01);留守儿童的性侵犯发生比例为19.1%,非留守儿童的性侵犯发生比例为20.6%,差异无统计学意义(χ~2=0.295,P>0.05)。非条件Logistic回归分析结果显示:女生(OR=0.418,95%CI:0.301～0.581)、高年级(OR=0.694,95%CI:0.603～0.798)、与主要看护人关系好(OR=0.596,95%CI:0.408～0.870)是农村小学生性侵犯发生的保护因素。结论我国农村儿童性侵发生率相对较高,且男童、低年级、与看护人关系差的小学生发生率较高。Objective To explore the prevalence of child sexual abuse （ CSA） and its influencing factors among rural primary school students, and to provide scientific evidence for the prevention of CSA in rural children. Methods All the students of Grade 3 - 6 in 2 rural primary schools were recruited by multi-stage stratified cluster sampling method in Han- chuan and Yunxi county towns, Hubei Province. Results The total prevalence of CSA in 1089 primary school students sur-veyed was 19. 5% , with 12. 5% （62） in girls and 25. 3% （150） in boys, and the difference was statistically significant （x = 28. 514 , P 〈 0. 01） . The prevalence of CSA in left-behind children was 19. 1% , and that of non left-behind children was 20. 6% , but the difference was not statistically significant （x^2 =0. 295 , P 〉 0. 05 ） . Girls （ OR = 0. 418 , 95% C l0. 301 - 0. 581） , higher grades （ OR = 0. 694, 95% C l： 0. 603 - 0. 798 ） , and good relationship with caregivers （ OR = 0. 596,95% CI= 0. 408 - 0 . 870） were protect factors of CSA. Conclusion The prevalence of CSA in rural areas is rela-tively high, especially for boys, or lower grades, or poor relationship with caregivers.

关 键 词：小学生 儿童性侵犯 农村 现况调查 

分 类 号：R193[医药卫生—卫生事业管理]