泸州市中学生儿童期性虐待发生情况及影响因素分析  

Analysis of the occurrence and influencing factors of childhood sexual abuse of middle school students in Luzhou City

作　　者：张雯 范颂 谢茂林 李朋林 叶运莉 ZHANG Wen;FAN Song;XIE Maolin;LI Penglin;YE Yunli(School of Public Health, Southwest Medical University, Luzhou （646000） Sichuan Province, Chin)

机构地区：[1]西南医科大学公共卫生学院,四川泸州646000

出　　处：《中国学校卫生》2018年第6期854-856,859,共4页Chinese Journal of School Health

基　　金：四川性社会学与性教育研究中心一般项目(SXJYB1619)

摘　　要：目的了解泸州市中学生儿童期性虐待的发生情况及其影响因素,为制定预防儿童性虐待对策和干预措施提供理论依据。方法选取泸州市8所中学的2 292名初、高中学生,于2016年12月下旬至2017年1月上旬对儿童期性虐待经历进行不记名自填式问卷调查。结果泸州市中学生儿童期性虐待的报告率为15.4%,其中性骚扰报告率为12.5%、猥亵为6.6%、性侵害为4.0%。性虐待发生年龄主要集中在10~15岁;施虐对象主要为同龄熟人(62.1%)、陌生人(27.9%)和长辈(10.0%)。多因素Logistic回归分析结果显示,年级越高(OR=0.81,95%CI=0.74~0.88)和父母至少有一方去世(OR=0.37,95%CI=0.16~0.85)是中学生儿童期性虐待发生的保护因素;家庭经济情况差(OR=1.46,95%CI=1.12~1.90)、看色情内容(OR=2.13,95%CI=1.57~2.89)、对异性感兴趣(OR=2.32,95%CI=1.72~3.14)、约会谈恋爱(OR=2.83,95%CI=2.07~3.86)、与人爱抚(OR=2.07,95%CI=1.40~3.07)和发生性行为(OR=1.99,95%CI=1.00~3.94)是性虐待发生的危险因素。结论中学生儿童期性虐待发生情况不容忽视,需重视未成年人学校和家庭性教育。Objective To understand the prevalence of childhood sexual abuse among middle school students in Luzhou city, and to provide theoretical basis for prevention and intervention. Methods A total of 2 292 middle school students from 8 middle schools in Luzhou were investigated with an anonymous questionnaire collecting information on sexual abuse during from the late December 2016 to early January 2017. Results The prevalence of childhood sexual abuse was 15. 4% among middle school students in Luzhou, with 12.5% sexual harassment, 6. 6% indecent assault and 4. 0% sexual assault. Childhood sexual abuse occurred mainly in the age of 10-15. The key perpetrators of sexual abuse included peers（ 62.1%）, strangers（ 27.9%） and elders（ 10.0%）. Multivariate analysis showed that higher grade（ OR = 0.81, 95%CI = 0.74-0.88） and at least one parent was died（ OR =0.37, 95%CI = 0.16-0.85） was associated with low risk of childhood sexual abuse, while low household economic situation（ OR =1.46, 95%CI = 1.12-1. 90）, interested in pornography（ OR = 2. 13, 95% CI = 1. 57-2. 89）, interested in opposite sex（ OR = 2. 32,95%CI = 1.72-3.14）, having a romantic relationship（ OR = 2.83, 95%CI = 2.07-3.86）, intimate behaviors in a relationship（ OR =2.07, 95%CI = 1.40-3.07） and sexual behaviors（ OR = 1. 99, 95% CI = 1. 00-3. 94） was associated with higher risk of childhood sexual abuse. Conclusion The prevalence of childhood sexual abuse in middle school students cannot be ignored. The results emphasize the need of school-and family-based sexual health education for adolescents for sexual abuse prevention.

关 键 词：性 虐待 回归分析 学生 儿童 性教育 

分 类 号：C913.5[经济管理] D669.5[社会学]