农村地区家长幼儿性教育知识态度行为一致率及影响因素  

Consistency and influencing factors in parents'knowledge,attitude and practice about early childhood sex education in rural areas

作　　者：闫润 李卉 刘娅 张容 叶运莉 YAN Run;LI Hui;LIU Ya;ZHANG Rong;YE Yunli(School of Public Health,Southeast Medical University,Luzhou(646000),Sichuan Province,China)

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》2023年第7期1017-1020,1025,共5页Chinese Journal of School Health

基　　金：四川省性社会学与性教育研究中心项目(SXJYA1801);西南医科大学2021年科研项目(2021KPPX01)。

摘　　要：目的 了解农村家长幼儿性教育知识态度行为(以下简称“知信行”)一致率及影响因素,为改善农村幼儿性教育现状提出有效的建议和对策。方法 于2019年3—5月,采用多阶段分层抽样的方法对四川农村地区16所幼儿园的1 015名家长进行幼儿性教育知信行情况的问卷调查,采用χ^(2)检验和多因素Logistic回归分析影响家长幼儿性教育知信行一致的因素。结果 家长幼儿性教育的知识及格率、支持率、开展率依次为64.9%,85.9%,44.7%,知信行一致率为30.2%。多因素Logistic回归分析结果显示,家长年龄<31岁(OR=5.35,95%CI=2.93~9.77)、31~40岁(OR=4.82,95%CI=2.65~8.76)和41~50岁(OR=2.37,95%CI=1.10~5.11),母亲文化程度为初中(OR=3.67,95%CI=1.75~7.69)、中专/高中(OR=2.83,95%CI=1.32~6.05)和大专/本科及以上(OR=5.44,95%CI=2.23~12.98),孩子问过性相关问题(OR=2.00,95%CI=1.44~2.78),家人对孩子开展过性教育(OR=5.38,95%CI=3.82~7.59)和认为父母应负责幼儿性教育(OR=2.58,95%CI=1.40~4.74)的家长幼儿性教育知信行一致率更高(P值均<0.05)。结论 四川农村地区家长幼儿性教育的支持率高,知识及格率和开展率低,知信行一致率低。应注重加强对农村地区的宣传和教育,尤其关注年龄大、文化程度低、不支持和未开展过幼儿性教育的家长。Objective To understand the consistency and factors influencing rural parents'knowledge,attitude and practice about early childhood sex education,so as to put forward effective suggestions and countermeasures for improving childhood sex education in rural areas.Methods A multi-stage stratified sampling method was used to investigate the knowledge,attitude and practice of early childhood sex education among 1015 parents in 16 kindergartens in rural areas of Sichuan from March to May 2019.Chi-square text and multivariate Logistic regression analysis were used to analyze factors affecting the consistency of parents'knowledge,attitude and practice of childhood sex education.Results Nearly 64.9%,85.9%and 44.7%of parents with sufficient knowledge,support,and implement of early children's sex education,respectively,and the consistency rate of knowledge,attitude and practice were 30.2%.The results of the multivariate Logistic regression analysis showed that parents aged<31 years(OR=5.35,95%CI=2.93-9.77),31-40 years(OR=4.82,95%CI=2.65-8.76)and 41-50 years(OR=2.37,95%CI=1.10-5.11),and the mother's education level being middle school(OR=3.67,95%CI=1.75-7.69),secondary/high school(OR=2.83,95%CI=1.32-6.05)and college/bachelor's degree and above(OR=5.44,95%CI=2.23-12.98),sex-related questions asked by child(OR=2.00,95%CI=1.44-2.78),having sex education in the family(OR=5.38,95%CI=3.82-7.59),believing that parents should be responsible for sex education for young children(OR=2.58,95%CI=1.40-4.74)had a higher consistency rate of knowledge,attitude and practice in early childhood sex education(P<0.05).Conclusion In rural areas of Sichuan,although parents highly support early childhood sex education,the eligible rate of knowledge and the implementing rate are quite low,as well as the consistent rate of knowledge,attitude and practice.Relevant departments should pay attention to strengthen publicity and education,especially among older parents,low-educated parents and those opposed to or not yet implementing child sex education.

关 键 词：性教育 健康知识 态度 实践 回归分析 法定监护人 农村人口 

分 类 号：G78[文化科学—教育学] R179[医药卫生—妇幼卫生保健]