山西省某医学院校大学生婚前性行为态度与社会生态学风险因素的关联  

Association between premarital sexual attitudes and socioecological risk factors among college students in a medical school,Shanxi

作　　者：李晗 永忠甜 王凯 袁家盛 白文琳[1] 李晨阳 朱文华[3] 万宇辉[4] 王莉[1,5] LI Han;YONG Zhong-tian;WANG Kai;YUAN Jia-sheng;BAI Wen-ling;LI Chen-yang;ZHU Wen-hua;WAN Yu-hui;WANG Li(Department of Pediatrics,School of Public Health,Shanxi Medical University,Taiyuan,Shanxi 030001,China;不详)

机构地区：[1]山西医科大学公共卫生学院儿少教研室,山西太原030001 [2]山西医科大学第二临床医学院 [3]太原市中小学学生卫生保健所 [4]安徽医科大学公共卫生学院 [5]山西医科大学早期儿童健康发展研究中心

出　　处：《现代预防医学》2024年第18期3374-3380,共7页Modern Preventive Medicine

基　　金：国家自然科学基金项目(82073576);中国青少年行为健康新型风险因素监测与队列研究(横向合作项目)。

摘　　要：目的 探讨医学生对婚前性行为的态度及与社会生态学风险因素的关联,为学校和相关部门性教育工作提供科学依据。方法 于2021年9月至11月,对山西省某医学院校1 280名学生进行了包括一般人口学特征、社会生态学风险因素、婚前性行为态度的匿名调查。结果 对婚前性行为持积极态度的学生占39.75%。调整一般人口学特征后二元logistic回归分析得出在家庭维度中,高风险组(OR=1.61,95%CI:1.02~2.54)对婚前性行为赞同度是低风险组的1.61倍。在时间维度中,中风险组(OR=1.57,95%CI:1.14~2.17)对婚前性行为赞同度是低风险组的1.57倍;相对于文化维度低风险组,文化维度的中风险组(OR=1.96,95%CI:1.43~2.69)、高风险组(OR=4.75,95%CI:3.24~6.97)均与婚前性行为态度呈正相关,即随着维度风险的增加,对婚前性行为的赞同度越高。WQS模型分析结果显示文化维度对医学生婚前性行为态度影响最大,占45.40%,时间维度和家庭维度分别占15.60%和14.40%。结论 医学生对婚前性行为的态度是社会生态风险因素综合作用结果,高风险家庭因素、中风险的时间因素和中、高风险的文化因素增加医学生对婚前性行为的赞同,其中文化因素的影响程度最大。Objective To explore the attitude of medical students to premarital sex and its association with social ecological risk factors,so as to provide scientific basis for sex education in schools and relevant departments.Methods From September to November 2021,an anonymous survey was conducted among 1 280 students from a medical college in Shanxi Province,including general demographic characteristics,socio-ecological risk factors,and attitudes toward premarital sexual behavior.Results There was 39.75 percent of the students who had a positive attitude toward premarital sex.After adjusting for general demographic characteristics,binary logistic regression analysis showed that in the household dimension,the approvingrate about premarital sex of high-risk group(OR=1.61,95%CI:1.01-2.54) was 1.61 times higher than in the low-risk group.In the time dimension,the approvingrate about premarital sex of medium-risk group(OR=1.57,95%CI:1.14-2.17) was 1.57 times more than the low-risk group,and compared with the low-risk group of the cultural dimension,the medium-risk group(OR=1.96,95%CI:1.43-2.69) and the high-risk group(OR=4.75,95%CI:3.24-6.97) were positively correlated with premarital sexual attitudes,that is,the higher the approval of premarital sex is,as the risk increased.The results of WQS model analysis showed that cultural dimension had the most influence on medical students' attitudes towards premarital sexual behavior,accounting for 45.40%,meantime,time dimension and family dimension accounted for 15.60% and 14.40%,respectively.Conclusion The positive attitude of medical students towards premarital sexual behavior is the result of the comprehensive effect of social and ecological risk factors.Besides the high-risk family factors and the medium-risk time factors,the medium and high-risk cultural factors increase the approval of premarital sexual behavior of medical students.Then,the cultural factors have the most influences on the outcome.

关 键 词：社会生态学模型 婚前性行为 性态度 医学生 

分 类 号：R195.4[医药卫生—卫生统计学]