沪浙两地中学生性健康教育需求现况调查  

Investigation on demand for sexual health education among middle school students in Shanghai and Zhejiang

作　　者：曹莉 王彦欢 王莹莹 赵琦[1] 徐飚[1] 付朝伟[1] CAO Li;WANG Yanhuan;WANG Yingying;ZHAO Qi;XU Biao;FU Chaowei(School of Public Health,NHC Key Laboratory of Health Technology Assessment(Fudan University),Key Laboratory of Public Health Safety,Fudan University,Shanghai,200032,China)

机构地区：[1]复旦大学公共卫生学院,国家卫生健康委员会卫生技术评估重点实验室(复旦大学),公共卫生安全教育部重点实验室,上海200032

出　　处：《中国儿童保健杂志》2023年第9期1038-1044,共7页Chinese Journal of Child Health Care

基　　金：上海市加强公共卫生体系建设三年行动计划(2020—2022年)(GWV9.4)。

摘　　要：目的了解沪浙两地中学生性健康教育需求及影响因素,探讨适宜的教育策略。方法采用自行设计的调查问卷,于2021年10月在上海市和浙江省台州市选取普通初、高中学校各3所,采用分层随机整群抽样方法,抽取初二至高三共2042名学生开展自填式匿名调查。采用独立样本t检验、χ^(2)检验和Wilcoxon检验进行单因素分析,采用二元Logistic回归进行多因素分析。结果共回收1733份有效问卷,其中69.4%的学生曾接受过性健康教育,男生接受过性健康教育的比例低于女生(χ^(2)=24.897),台州就读学生接受过性健康教育的比例低于上海就读学生(χ^(2)=7.949),差异均有统计学意义(P<0.05);51.7%的学生很满意既往接受的教育,女生表示满意的比例低于男生(χ^(2)=7.910),高中生表示满意的比例低于初中生(χ^(2)=13.615),差异均有统计学意义(P<0.05);67.8%的学生认为自己容易获取性健康知识,上海就读学生认为容易获取知识的比例高于台州就读学生,差异有统计学意义(Z=2.700,P=0.007);63.9%的学生希望学习更多性健康知识,台州就读学生希望学习更多知识的比例高于上海就读学生(χ^(2)=36.044,P<0.001),差异有统计学意义。性心理(52.8%)、性卫生保健(48.1%)和性道德法律(46.7%)是需求程度最高的前三类知识,学校(60.2%)和教师(51.0%)是学生最青睐的性健康教育开展场所和提供者。多因素Logistic回归分析显示,男生(OR=0.54,95%CI:0.39~0.75)、台州就读(OR=0.64,95%CI:0.46~0.87)、与父母一方关系不和(OR=0.64,95%CI:0.45~0.92)、家庭经济低于平均水平(OR=0.42,95%CI:0.25~0.69)的学生,既往获取过性健康教育的比例更低(P<0.05);台州就读(OR=1.64,95%CI:1.10~2.48)和已有月经/遗精(OR=2.03,95%CI:1.24~3.33)的学生对性健康教育的获取意愿更高(P<0.05),而父母关系不和睦(OR=0.49,95%CI:0.26~0.96)的学生对性健康教育的获取意愿更低(P<0.05)。结论中学生对性健康教育存在�Objective e To investiagte the demand and influencing factors of sexual health education,and to explore appropriate education strategies among middle school students in Shanghai and Zhejiang.MethodsA self-designed questionnaire was used to conduct a self-administered anonymous survey in selected six middle schools of Shanghai and Zhejiang Province,China in October 2021.Totally 2042 students were cluster-sampled.Univariate analysis was performed using t test,x’test and Wilcoxon test,and multivariate analysis was performed using Logistic regression analysis.Results Among 1733 valid subjects,69.4%had received sexual health education before,and it was significantly lower among boys(χ^(2)=24.897)and students in Taizhou(χ^(2)=7.949)compared with girls and students in Shanghai(P<0.05).More than half(51.7%)were very satisfied with their received education,and it was significantly lower among girls(χ^(2)=7.910)and senior high school students(χ^(2)=13.615)compared with boys and junior high school students(P<0.05).Near 67.8%of the students believed that they had easy access to sexual health knowledge,and the proportion was significantly higher among students in Shanghai(χ^(2)=2.700,P=0.007).Nearly 63.9%were willing to learn more about sexual health,and Taizhou students had a larger demand than Shanghai students(χ^(2)=36.044,P<0.001).Sexual psychology(52.8%),sexual health care(48.1%)and sexual moral law(46.7%)ranked top 3 in what students wanted.Schools(60.2%)and teachers(51.0%)were the most welcome facility and provider of sexual health,respectively.Multiple Logistic regression analysis showed that students who were boys(OR=0.54,95%CI:0.39-0.75),studied in Taizhou(OR=0.64,95%CI:0.46-0.87),had good relationship with only mother/father(OR=0.64,95%CI:0.45-0.92),and students with belowaverage household finances(OR=0.42,95%CI:0.25-0.69)were less likely to have received sexual health education before.Demands of sexual health education were statistically higher among those studied in Taizhou(OR=1.64,95%CI:1.10-2.48)and alr

关 键 词：中学生 性健康教育 需求 健康促进 

分 类 号：R179[医药卫生—妇幼卫生保健]