我国大学生性教育接受情况及性知识水平的影响因素分析  

Analysis of influencing factors for the sexual education and knowledge level of Chinese college students

作　　者：安芃 符秀霞 邓销销 李子媛 刘子瑜 古迪 An Peng;Fu Xiuxia;Deng Xiaoxiao;Li Ziyuan;Liu Ziyu;Gu Di(Nanshan College,Guangzhou Medical University,Guangzhou 510000,China;Department of Urology,The First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510000,China)

机构地区：[1]广州医科大学南山学院,广州510000 [2]广州医科大学附属第一医院泌尿外科,广州510000

出　　处：《保健医学研究与实践》2024年第2期7-13,共7页Health Medicine Research and Practice

基　　金：广西自然科学基金项目(2020JJYGA140616);广州医科大学附属第六医院开放资助项目(202011-309)。

摘　　要：目的探究我国大学生性教育接受情况及性知识水平的影响因素。方法调查对象为我国内地地区在读大学生。根据《国际性教育技术指导纲要》制作性教育接受情况问卷和性知识测验卷,并通过互联网发送。结果共回收有效问卷1083份。共876人(80.89%)接受过性教育,其中女性接受过性教育的比例高于男性(P<0.001);不同生源地调查对象接受过性教育的比例比较,差异有统计学意义(P=0.046),其中生源地为城市者接受过性教育的比例高于生源地为城镇/乡镇者和农村者。初次接受性教育的时间最常见为初中(51.03%)。学校(67.96%)和网络(67.77%)是主要的性教育途径,家庭性教育途径最少见(24.93%)。性知识水平测试中,性同意年龄相关题目正确率最低;女性比男性对同性恋的包容度更强(87.01%vs.54.36%,P<0.001),且在遇到性健康问题时,更愿意向家庭成员寻求帮助(85.86%vs.74.50%,P<0.001)。Logistics回归分析显示,初次性教育时间是调查对象性知识水平的影响因素,与从小学及以前开始接受性教育者相比,中学和大学才开始接受性教育者在性知识水平测试中获得高分的机会分别降低37%(OR=0.63,P=0.002)和59%(OR=0.41,P=0.007)。结论我国大学生的性教育接受情况存在性别和城乡差异。大学生对性同意年龄了解不足。此外,更早接受性教育者更可能有较高的性知识水平,有必要探索普及小学性教育。Objective This study aims to explore the influencing factors of the sexual education and knowledge level of Chinese undergraduates.Methods The survey participants were college students in Chinese mainland.A questionnaire on sexual education and a test on sexual knowledge were developed based on the International Guidelines on Sexuality Education and distributed through the Internet.Results A total of 1083 valid questionnaires were collected.Among them,876 individuals(80.89%)had received sexual education,with a higher proportion among females compared to males(P<0.001).Significant differences were observed in the proportion of individuals who had received sexual education based on their place of origin(P=0.046),with urban students having a higher proportion compared to students from townships and rural areas.The most common time for initial sexual education was during middle school(51.03%).Schools(67.96%)and the Internet(67.77%)were the main sources of sexual education,while family-based sexual education was the least common(24.93%).In the sexual knowledge test,the lowest accuracy was observed for questions related to age of sexual consent.Females showed a higher level of acceptance towards homosexuality compared to males(87.01%vs.54.36%,P<0.001),and they were more willing to seek help from family members when encountering sexual health issues(85.86%vs.74.50%,P<0.001).Logistic regression analysis revealed that the timing of initial sexual education was an influencing factor for the sexual knowledge level of the participants.Compared to those who received sexual education in primary school or earlier,the chances of obtaining high scores in the sexual knowledge test were reduced by 37%(OR=0.63,P=0.002)and 59%(OR=0.41,P=0.007)for those who received sexual education in middle school and university,respectively.Conclusion There are gender and urban-rural disparities in the sexual education received by Chinese college students.Their understanding of age of sexual consent is insufficient.Furthermore,individuals who recei

关 键 词：性教育 性知识 大学生 影响因素 

分 类 号：R179[医药卫生—妇幼卫生保健]