北京市15~ 24岁未婚青少年高危性行为调查研究  

High-risk sexual behavior among unmarried adolescents aged 15-24 years in Beijing

作　　者：张妍[1] 韩历丽[1] 高丽丽[1] 张月[1] 沈洁[1] ZHANG Yan;HAN Li-li;GAO Li-li;ZHANG Yue;SHEN Jie(Beijing Obstetrics and Gynecology Hospital Affiliated to Capital Medical University,Beijing Maternal and Child Health Care Hospital,Beijing 100026,China)

机构地区：[1]首都医科大学附属北京妇产医院北京妇幼保健院,北京100026

出　　处：《实用预防医学》2020年第10期1189-1192,共4页Practical Preventive Medicine

基　　金：北京市社会科学基金项目(16JYB009)。

摘　　要：目的了解北京市15~24岁未婚青少年高危性行为的现状以及相关危险因素,为制定有针对性的干预措施提供依据。方法在“北京市关爱青少年生殖健康综合防治项目”的四个试点区采用方便抽样的方法调查15~24岁未婚青少年共1354名。采用自行设计的问卷调查青少年的一般情况和性行为情况,分析高危性行为的相关因素。结果未婚青少年性行为发生率为16.3%。在有过性行为的青少年中,高危性行为发生率为51.1%。其中,最近一次性行为中,10.7%的青少年未采取避孕措施,16.8%的青少年采用低效避孕措施。48.2%的青少年表示性行为中避孕药具使用频率低。12.3%的青少年有过意外妊娠史。20.2%的青少年发生过多性伴行为。多因素分析结果显示,首次性行为年龄小于18岁是青少年高危性行为的危险因素(OR=3.737,95%CI:1.804~7.740)。结论青少年高危性行为发生率较高,首次性行为年龄低是发生高危性行为的危险因素。高校和社区应加强青少年的性与生殖健康教育,推迟首次性行为年龄,减少青少年高危性行为的发生。Objective To understand the current status of high-risk sexual behavior and its related risk factors among unmarried adolescents aged 15-24 years in Beijing so as to provide a basis for formulating targeted intervention measures.Methods The convenience sampling method was used to select 1,354 unmarried adolescents aged 15-24 years in four pilot districts implemented the Comprehensive Prevention and Treatment Project for Caring for Beijing Adolescents’Reproductive Health.Self-designed questionnaires were employed to survey the adolescents’general information and sexual behavior,and then the factors related to high-risk behavior were analyzed.Results The incidence rate of sexual behavior among the unmarried adolescents was 16.3%.Among the adolescents with sexual experience,the incidence rate of high-risk sexual behavior was 51.1%.As for the last sexual encounter,10.7%of the adolescents reported no contraception,and 16.8%reported using inefficient contraception.48.2%of the adolescents reported low frequency of contraception usage.12.3%of the adolescents had an experience of unintended pregnancy,and 20.2%had multiple sexual partners.Multivariate analysis results showed that sexual behavior debut under 18 years old was the risk factor for adolescents’high-risk sexual behavior(OR=3.737,95%CI:1.804-7.740).Conclusions The incidence rate of high-risk sexual behavior in the adolescents was high,and initiating sexual activity at an early age was the risk factor for occurring high-risk sexual behavior.Universities and communities should strengthen the education about sexual and reproductive health among adolescents so as to delay the age of first sexual behavior and decline the occurrence of high-risk sexual behavior.

关 键 词：未婚青少年 高危性行为 危险因素 

分 类 号：R161.5[医药卫生—公共卫生与预防医学]