中职生负性生活事件与性行为的相关性研究  

A study on correlation between negative life events and sexual behaviors among secondary vocational students

作　　者：张培 佘露 王世伟 黄成静 李炜 向兵[1,2] 曾婧[1,2] 周峰[1,2] 杨梅[1,2] ZHANG Pei;SHE Lu;WANG Shi-wei;HUANG Cheng-jing;LI Wei;XIANG Bing;ZENG Jing;ZHOU Feng;YANG Mei(Wuhan University of Science and Technology School of Public health,Wuhan 430065,China)

机构地区：[1]武汉科技大学公共卫生学院,湖北武汉430065 [2]武汉科技大学妇女儿童健康促进中心,湖北武汉430065 [3]黄石市疾病预防控制中心,湖北黄石435000 [4]湖北省妇幼保健院药剂科,湖北武汉430064

出　　处：《中国健康教育》2024年第7期626-630,共5页Chinese Journal of Health Education

基　　金：国家自然科学基金项目(81703239);湖北省教育厅科学技术研究计划(B2020006);2020年武汉科技大学教学研究项目(2020X070)。

摘　　要：目的探讨中职生负性生活事件与性行为及不安全性行为的相关性。方法2021年3—5月分层整群随机抽取武汉市2所中等职业技术学校4378名在校生进行问卷调查。采用青少年生活事件量表(ASLEC)和自制《青少年生殖健康促进调查问卷》评定负性生活事件和中职生性行为发生情况,并采用Logistic回归分析两者之间的关系。结果回收有效问卷4282份,回收率为97.8%。调查人群中,中职生性行为发生率为4.13%,其中不安全性行为占58.2%。有性行为的中职生生活事件量表总分及6个因子的得分均高于无性行为组(P均<0.05)。多因素Logistic回归分析显示,控制人口学变量后,生活事件中“学习压力(OR=0.91,95%CI:0.84~0.98)”和“其他(OR=1.27,95%CI:1.17~1.38)”因子与性行为发生的关联性OR值具有统计学意义(P均<0.05);进一步分析显示,“受惩罚(OR=1.14,95%CI:1.04~1.25)”“丧失(OR=0.85,95%CI:0.71~1.00)”和“其他(OR=1.21,95%CI:1.08~1.35)”因子与不安全性行为发生的关联性OR值具有统计学意义(P均<0.05)。结论武汉市中职生性行为及不安全性行为报告率相对较高,且负性生活事件的不同因子对其影响程度不同。社会、学校及家庭在开展性教育的同时,也应减少不必要的批评惩罚,提高学生应对负性生活事件的能力,针对不同学生群体采取对应的行为干预措施,减少其性行为,尤其是不安全性行为的发生。Objective To explore the correlation between negative sexual life events and sexual behaviors among secondary vocational students.Methods From March to May 2021,a stratified cluster method was used to randomly select4378 students from 2 secondary vocational and technical schools in Wuhan for a questionnaire survey.Negative life events and sexual behavior were evaluated by Adolescent Life Events Scale(ASLEC)and self-made Adolescent Reproductive Health Promotion Questionnaire,and the relationship between them was analyzed by logistic regression.Results A total of 4282valid questionnaires were collected with a recovery rate of 97.8%.Among the survey population,the incidence of sex behavior was 4.13%,of which unsafe sex accounted for 58.2%.The total scores of life events scale and six factors of sexual behavior were higher than those of non-sexual group(all P<0.05).Multivariate logistic regression analysis showed that after controlling for demographic variables,"learning stress(OR=0.91,95%CI:0.84-0.98)"and"other factor(OR-1.27,95%CI:1.17-1.38)"were associated with the occurrence of sexual behavior and the OR value was statistically significant(all P<0.05).Further analysis showed that"punished(OR=1.14,95%CI:1.04-1.25)","lost(OR=0.85,95%CI:0.71-1.00)"and"other factor(OR=1.21,95%CI:1.08-1.35)"were associated with unsafe sexual behavior significantly(all P<0.05).Conclusion The reported rate of sexual behavior and unsafe sex is relatively high in Wuhan,and different factors of negative sexual life events showed different influence.Except carrying out sexual education,society,schools and families should also reduce unnecessary criticism and punishment,improve students'ability to cope with negative sexual life events,and take corresponding behavioral intervention measures for different student groups to reduce their sexual behavior,especially the occurrence of unsafe sexual behavior.

关 键 词：中职生 负性生活事件 性行为 

分 类 号：R193[医药卫生—卫生事业管理] R179[医药卫生—公共卫生与预防医学]