滇西民族地区大学生性与生殖健康知信行现况及影响因素分析  

Knowledge, attitudes and behaviors, and influencing factors related to sexual and reproductive health among college students in western Yunnan

作　　者：赵慧娟 杨巧娟 李月 赵汝娟 苏晓芬 严文静 ZHAO Huijuan;YANG Qiaojuan;LI Yue;ZHAO Rujuan;SU Xiaofen;YAN Wenjing(Department of Nursing,Dali Nursing Vocational College,Dali 671000,Yunnan,China;School of Nursing,Dali University,Dali 671000,Yunnan,China;The First Affiliated Hospital of Dali University,Dali 671000,Yunnan,China;Zhongzhuang Primary School,Wanqiao Town,Dali 671008,Yunnan,China;Yangbi County People’s Hospital,Yangbi 672500,Yunnan,China)

机构地区：[1]大理护理职业学院护理系,云南大理671000 [2]大理大学护理学院,云南大理671000 [3]大理大学第一附属医院,云南大理671000 [4]大理湾桥镇中庄完全小学,云南大理671008 [5]漾濞县人民医院,云南漾濞672500

出　　处：《中国校医》2024年第8期597-602,共6页Chinese Journal of School Doctor

基　　金：云南省教育厅科学研究基金项目(2023J1961);云南省科技厅地方高校联合专项(202001BA070001-076)。

摘　　要：目的 了解滇西民族地区大学生性与生殖健康知识、态度、行为现况及其影响因素,为开展生殖健康教育提供参考依据。方法 2023年5—7月采用方便抽样法对大理白族自治州内4所高校1 103名大学生进行自填式问卷调查,问卷内容包括基本人口学信息、知识、态度、行为4个方面的指标。采用描述性统计、t检验、方差分析、χ^(2)检验和多元线性回归方法进行数据的影响因素分析。结果 大学生性生殖健康知识平均得分为(11.73±5.63)分,及格率为43.1%;不同专业、不同户口类型、既往有无学校性教育、有无自主学习过性知识的大学生性知识得分存在差异,差异具有统计学意义(t/F值分别为-3.169、3.430、3.594、10.158,P均<0.05);不同性别、既往有无学校性教育、有无自主学习过性知识的大学生性态度存在差异,差异具有统计学意义(χ^(2)值分别为14.687、17.375、68.644,P均<0.001);有9.5%的大学生发生过性行为,不同性别、是否单亲家庭、有无自主学习过性知识的大学生性行为存在差异,差异具有统计学意义(χ^(2)值分别为47.790、14.421、29.060,P均<0.001)。专业、户口所在地、有无自主学习过性知识是性知识的影响因素(t/F值分别为2.518、2.073、-9.28,P均<0.05);性别、既往有无学校性教育、有无自主学习过性知识是大学生性态度的影响因素(t值分别为3.969、2.434、7.459,P均<0.05);性别、是否单亲家庭、有无自主学习过性知识是大学生性行为的影响因素(t值分别为-13.063、-3.483、-9.992,P均<0.001)。结论 滇西民族地区性与生殖健康知识水平普遍低下,对于性成熟期的大学生急需进行性与生殖健康知识全面科学的普及指导,对其开展性教育知识,树立正确的性观念,以形成良好的性健康行为。家庭、学校和相关部门应重点关注男生、非医学类学生、农村学生、单亲家庭学生的性生殖健康教育。Objective This study was aimed at investigating the status and influencing factors regarding sexual and reproductive health knowledge,attitudes and behaviors among college students in areas with large minority ethnic populations in western Yunnan,to provide a reference for local reproductive health education.Methods From May to July 2023,a self-filled questionnaire survey was conducted among 1103 college students from four universities in Dali Bai Autonomous Prefecture through a convenience sampling method.The questionnaire included four indicators of basic demographic information,knowledge,attitudes andbehaviors.Descriptive statistics,t-test,ANOVA,χ^(2) test and multiple linear regression were used to analyze the influencing factors.Results The average score of sexual and reproductive health knowledge among the college students was 11.73±5.63,and the pass rate was 43.1%.The sex knowledge scores of college students with different majors,with different household registration types,with or without school sex education,and with or without independent learning of sex knowledge showed statistically significant differences(t/F=-3.169,3.430,3.594,10.158,all P<0.05).Statistically significant differences were observed in sexual attitudes among college students of different genders,with or without school sex education,and with or without independent learning of sex knowledge(χ^(2)=14.687,17.375,68.644,all P<0.001);Moreover,9.5%of the college students had sexual behavior.Significant differences in sexual behavior were observed among students with different genders,with single parent families and with independent sexual knowledge(χ^(2)=47.790,14.421,29.060,all P<0.001).College major,residence registration,and independent learning of sex knowledge were the factors influencing sex knowledge(t/F=2.518,2.073,-9.28,all P<0.05).Gender,having received sex education in school and independent learning of sex knowledge were the factors influencing college students’sexual attitudes(t=3.969,2.434,7.459,all P<0.05).Gender,single pa

关 键 词：大学生 性与生殖健康 知信行 影响因素 

分 类 号：R179[医药卫生—妇幼卫生保健]