计算机辅助下医学院校新生性行为影响因素调查研究  

A study on influence factors of sexual behaviors among freshman in medical universities by computer assistance

作　　者：余红梅 廖芮[2] 饶静 王华平[2] 黎冉[3] 叶运莉 杨帆[1] 李彦霖[1] 杨义[1] YU Hong-mei;LIAO Rui;RAO Jing;WANG Hua-ping;LI Ran;YE Yun-li;YANG Fan;LI Yan-lin;YANG Yi(Chengdu University of Traditional Chinese Medicine,Chengdu 611137,China)

机构地区：[1]成都中医药大学,四川成都611137 [2]昆明医科大学,云南昆明650000 [3]贵州医科大学,贵州贵阳550000 [4]西南医科大学,四川泸州646000

出　　处：《中国健康教育》2018年第8期723-726,共4页Chinese Journal of Health Education

基　　金：教育部人文社会科学研究青年基金项目(12YJC840050);四川青少年思想道德建设研究中心重点项目(SCQSN2017ZD02);四川应用心理学研究中心项目(CSXL-162103);成都中医药大学校基金人文社科预研项目(SKYY1604)

摘　　要：目的了解医学院校新生性行为发生情况及其影响因素,为医学类院校有针对性地开展性教育提供理论依据。方法分层整群抽取4所医学院校的564名大学新生,采用计算机辅助自填问卷法(CASI),调查性相关知识、态度、行为,并对性行为发生的影响因素进行Logistic回归分析。结果医学院校新生的性生殖健康知识平均得分率为70.2%,其中最高的是性健康知识(80.5%),最低的是避孕知识(56.7%)。性态度平均认同率为39.9%,其中最高的是工具性得分率(62.8%),最低的是交流性得分率(28.9%)。6.9%的新生承认发生过性行为,男生(13.1%)报告率高于女生(2.2%)(P<0.01),在校月生活费高于1500元组的报告率显著高于1000～1499元组(P<0.01)。Logistic回归分析显示:性行为发生的危险因素是男性(OR=4.824)、避孕知识水平高(OR=1.878)、性病及防治知识水平高(OR=1.768)、宽容性大(OR=3.505)。结论医学院校新生性生殖健康知识不全面,性态度总体趋于保守;对待性关系的宽容性越低,越不可能发生性行为,故高校在开展性安全教育的同时,注重培养医学院校新生树立正确的性观念,以降低高危性行为的发生率。Objective To describe sexual behaviors and its influential factors among the freshmen in medical universities, and to provide sex health education in universities. Methods A computer-assisted self-interview questionnaire survey was used to investigate sexual knowledge, attitude and behaviors among 564 medical college freshmen who were se-lected by using multi-stage stratified cluster sampling method, binary logistic analysis was applied for analysis. Results The average scoring rate of sexual reproductive health knowledge was 70. 2%. Among them, the highest scoring rate was sex-ual health （80.5%）,the lowest scoring rate was contraception （56. 7% ）. The average scoring of sexual reproductive health attitude was 39. 9% . Among them, the highest scoring rate was instrumentality （ 62. 8% ） , the lowest scoring rate was communication （28.9%）. The ratio of self-reported sexual behavior was about 6. 9% , the incidence rate of male （13. 1% ） was significantly higher than female （2. 2% ） （ P 〈 0. 01 ） . The incidence rate of those who monthly cost less than ￥ 1500 was significantly higher than those who monthly cost more than ￥ 1500 （F 〈0. 01 ） . The risk factors for sexu-al behavior were male （OR =4. 824） , rich contraception knowledge （OR = 1. 878） , rich STDs and its prevention knowl-edge （OR = 1. 768） and high permissiveness （ OR = 3. 505）. Conclusion The reproductive health knowledge freshmen mastering was not comprehensive and the attitude towards reproductive health was tend to conservative. The less tolerance of sexual relationship was, the less likely to having sex it was. Medical universities should not only carry out sexual safety edu-cation ,but also make efforts to help freshmen establish correct sexual attitudes, so as to reduce the incidence of sexual be-havior including high-risk sexual behavior.

关 键 词：计算机辅助 性行为 影响因素 医学院校新生 

分 类 号：R193[医药卫生—卫生事业管理] R167[医药卫生—公共卫生与预防医学]