云南省德宏州跨境婚姻家庭青少年子女性与生殖健康调查  

A survey on sexual and reproductive health of adolescents in cross-border marriage families in Dehong,Yunnan

作　　者：陈方方[1] 李林 张金瑞 徐芳[4] 周群博 熊燃[1] 吴纪民[1] 杨跃诚 胡翼云[1] CHEN Fangfang;LI Lin;ZHANG Jinrui;XU Fang;ZHOU Qunbo;XIONG Ran;WU Jimin;YANG Yuecheng;HU Yiyun(National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Dehong Dai and Jingpo Autonomous Prefecture Center for Disease Control and Prevention,Mangshi 678400,Yunnan,China;Jiamusi Prefecture Center for Disease Control and Prevention,Jiamusi 154007,Heilongjiang,China;Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心 [2]德宏傣族景颇族自治州疾病预防控制中心 [3]佳木斯市疾病预防控制中心 [4]天津中医药大学

出　　处：《中国艾滋病性病》2024年第8期837-841,共5页Chinese Journal of Aids & STD

摘　　要：目的了解云南省德宏州跨境婚姻家庭中青少年子女的性与生殖健康状况。方法于2022年9月至2023年9月在云南省德宏州5个县对跨境婚姻家庭的青少年子女进行横断面调查。调查内容包括一般人口学特征、性与生殖健康知识获取途径、知晓情况、知识需求和性行为等。通过描述性分析,比较不同性别和校内外青少年在上述方面的差异。结果共调查青少年1610人,男性占48.9%(788例),初中在读青少年占74.3%(1196例)、高中在读青少年占14.4%(232例)。92.9%(1496例)的青少年曾获得过性与生殖健康知识,女性、校内青少年的知识获取率高于男性、校外青少年。学校课程是获取这类知识的主要途径(86.3%,1389例)。尽管83.5%(1344例)的青少年自我评价对生殖健康知识了解,但实际知晓率较低,生殖健康知识知晓率为52.9%(851例)、性健康知识知晓率为29.3%(472例)。校内青少年的知晓率高于校外青少年,不同性别间知晓率差异无统计学意义。性行为报告率为2.4%(39例),校外青少年高于校内青少年。96.5%(1554例)青少年愿意进一步了解性与生殖健康知识,女性和校内青少年的意愿更高。结论云南德宏州跨境婚姻家庭中青少年子女的性与生殖健康知识知晓情况有待提高,有必要采取综合性教育措施,包括加强学校教育、家庭教育、社区宣传等多方面的合作,同时结合线上线下多种教育形式。此外,还应特别关注男性和校外青少年的需求,以确保性与生殖健康教育的全面性和有效性。Objective This study aimed to assess the sexual and reproductive health status of adolescents in crossborder marriage families in Dehong Prefecture,Yunnan Province.Methods A cross-sectional survey targeting adolescents in cross-border marriage families was conducted from September 2022 to September 2023 in five Dehong Prefecture,Yunnan Province.The survey included questions about demographic characteristics,sources of sexual and reproductive health knowledge,awareness,knowledge needs,and sexual behaviors.Descriptive analysis was used to compare the differences in these aspects among sexes and adolescents in different school settings.Results A total of 1610 adolescents were surveyed,with boys accounting for 48.9%(788 cases).Among them,74.3%(1196 cases)were junior high school students,and 14.4%(232 cases)were high school students.Of the adolescents,92.9%(1496 cases)had acquired sexual and reproductive health knowledge,with girls and students in a school setting having higher knowledge acquisition rates than boys and students outside school.The school curriculum was the main source of this knowledge(86.3%,1389 cases).Although 83.5%(1344 cases)of the adolescents self-assessed their understanding of reproductive health knowledge,the actual awareness rates were lower,with awareness rates of 52.9%(851cases)for reproductive health and 29.3%(472 cases)for sexual health.Students in school settings had higher awareness rates than students outside school,and there was no statistically difference in awareness rates between genders.The reported sexual behavior rate was 2.4%(39 cases),with higher rates among students outside school than among those in school.A total of 96.5%(1554 cases)of the adolescents expressed a willingness to further enhance their knowledge of sexual and reproductive health,with a higher willingness among girls and students in school settings.Conclusions The awareness of sexual and reproductive health knowledge among adolescents in cross-border marriage families in Dehong Prefecture,Yunnan Province,require

关 键 词：青少年 跨境婚姻家庭 性与生殖健康 性行为 

分 类 号：R759[医药卫生—皮肤病学与性病学]