广州市某街道六至八年级学生性知识知晓状况及影响因素分析  

Sexual knowledge status and influencing factors among students in grades 6-8 at a Guangzhou school

作　　者：张金宇 黄后朝 ZHANG Jinyu;HUANG Houchao(Infirmary of Yu Quan School of Huangpu District,Guangzhou 510530,Guangdong,China)

机构地区：[1]广州市黄埔区玉泉学校校医室,广东广州510530

出　　处：《中国校医》2024年第9期658-662,共5页Chinese Journal of School Doctor

摘　　要：目的了解广州市某街道六至八年级学生性知识知晓状况及其影响因素,为学校开展青春期性教育提供依据。方法整群抽取广州市某街道1所学校六至八年级的学生进行问卷调查,调查内容包括基本情况、家庭因素、性知识、获取途径。性知识共15个条目,单项答对定义为知晓,以答对9个条目定义为合格。分析性知识知晓状况及其影响因素。结果最终分析1022名六至八年级学生,性知识总体合格率为74.9%。女孩性发育成熟标志、男孩性发育成熟标志、紧急避孕药需在72 h内使用、过早性行为危害知识的知晓率分别为26.2%、22.6%、38.9%、57.9%。家庭和睦与不和睦的学生的性知识合格率相比差异具有统计学意义(χ^(2)=4.184,P=0.041)。同伴交流与无同伴交流获取性知识的学生的性知识合格率相比差异具有统计学意义(χ^(2)=4.703,P=0.030)。84.1%的学生性知识来源于学校课堂/活动。多因素分析表明:女性(OR=1.743,95%CI=1.307~2.324)、七年级(OR=7.999,95%CI=4.859~13.170)、八年级(OR=1.516,95%CI=1.101~2.087)(相对于六年级)、通过书籍/杂志途径获取性知识(OR=1.390,95%CI=1.036~1.867)、通过学校课堂/活动途径获取性知识(OR=2.100,95%CI=1.470~3.000)、通过非公开发行的录像途径获取性知识(OR=0.595,95%CI=0.398~0.890)是性知识合格率影响因素。结论研究对象的性知识合格率处于中等水平。女性、七至八年级、通过书籍、学校课堂/活动、非公开发行的录像途径获取性知识与六至八年级学生性知识合格率有关。学校课堂/活动是学生获取性知识的主要途径。Objective This study investigated sexual knowledge status and influencing factors among students in grades 6-8 at a Guangzhou school,to provide evidence regarding adolescent sex education in schools.Methods A group of students in grades 6-8 at a school in Guangzhou were selected to conduct a questionnaire survey,including basic informa⁃tion,family factors,sexual knowledge,and access.A total of 15 items pertained to sexual knowledge;a single correct answer was defined as aware,and nine correct answers was defined as qualified.The status of analytical knowledge and its influenc⁃ing factors were analyzed.Results In the final analysis of 1022 students in grades 6-8,the overall qualified rate of sexual knowledge was 74.9%.The knowledge awareness rates of girls’sexual maturity marks,boys’sexual maturity marks,the need to use emergency contraceptives within 72 hours,and the harm of premature sexual behavior were 26.2%,22.6%,38.9%,and 57.9%,respectively.A statistically significant difference in the qualified rate of sexual knowledge was observed between students with harmonious versus disharmonious families(χ2=4.184,P=0.041).Moreover,a statistically significant difference in the qualified rate of sexual knowledge was observed between students who acquired sexual knowledge through peer communication and those who did not(χ2=4.703,P=0.030).In addition,84.1%of students’sexual knowledge came from school classes/activities.Multi⁃factor analysis indicated that female gender(OR=1.743,95%CI=1.307-2.324),grade 7(OR=7.999,95%CI=4.859-13.170),grade 8(OR=1.516,95%CI=1.101-2.087)(relative to grade 6),acquisition of sexual knowledge through books/magazines(OR=1.390,95%CI=1.036-1.867),acquisition of sexual knowledge through school classes/activities(OR=2.100,95%CI=1.470-3.000),and acquisition of sexual knowledge through non⁃public video channels(OR=0.595,95%CI=0.398-0.890)were the fac⁃tors influencing the qualified rate of sexual knowledge.Conclusions The qualified rate of sexual knowledge among participants was moder

关 键 词：青春期 性知识 影响因素 

分 类 号：G637[文化科学—教育学]