某医药高等专科学生性行为相关因素分析

发布时间：2018-04-22 23:29

本文选题：抽样研究 + 性教育　；参考：《现代医药卫生》2014年07期

【摘要】：目的了解医药高等专科学生的性行为特别是高风险性行为现状,分析其影响因素,为高等专科学校开展性健康教育提供参考依据。方法应用研究者自制的调查问卷,采用整群随机抽样方法抽取某医药高等专科学校在校学生517人进行无记名调查,收回有效问卷468份,问卷有效率为90.52%。利用EPIINFO软件录入数据并建立数据库,应用SPSS19.0统计软件进行logistic回归模型逐步回归分析筛选危险因素。结果重庆市某医药高等专科学校学生性交行为发生率为11.54%(54/468),主要与缺乏性心理知识、生育知识,认为未婚先孕不影响前途等12项因素密切相关;16岁以下(含16岁)学生性行为发生率为4.06%(19/468),主要与经常手淫、对性知识不了解、性冲动自责等11项因素密切相关;关于避孕方法,只有24.07%(13/54)学生能够每次性交都选择有效的避孕方法,即避孕套和(或)避孕药,有16.67%(9/54)学生只采用风险很高的避孕方法,即安全期和(或)体外射精,还有7.41%学生(4/54)从未采取避孕措施,未避孕或方法不当主要与性知识不了解、认为未婚先孕不影响前途、经常做性梦等14项因素密切相关;有过性行为的学生中发生过一夜情者占22.22%(12/54),主要与认为爱与性是分离的、认同一夜情、愿与非恋爱异性发生性交等16项因素密切相关。结论医学教育不能代替性与生殖健康教育,医药类高等专科学生仍存在一定的性与生殖健康知识缺乏,导致其存在性安全风险。学校应根据学生性与生殖健康知识的掌握情况开展健康教育与指导,指导其自觉规范性行为、约束性行为,以增加其性安全性。
[Abstract]:Objective to understand the current situation of sexual behavior, especially high risk sexual behavior among medical college students, and to analyze its influencing factors, and to provide reference for sexual health education in medical colleges. Methods A cluster random sampling method was used to select 517 students from a medical college. 468 valid questionnaires were collected. The effective rate of the questionnaire was 90.52%. EPIINFO software was used to input data and establish database. SPSS19.0 statistical software was used for stepwise regression analysis of logistic regression model to screen risk factors. Results the incidence of sexual intercourse among students in a medical college in Chongqing was 11.54 / 468%, which was mainly related to the lack of knowledge of sexual psychology and fertility. It is considered that 12 factors, such as not affecting the future of unmarried pregnancy, are closely related to the incidence of sexual behavior among students under 16 years of age (including 16 years old). The incidence of sexual behavior among students under 16 years of age is 4.06 / 468, which is mainly related to 11 factors, such as frequent masturbation, lack of understanding of sexual knowledge, self-reproach of sexual impulse, and so on. Only 24.07 / 54) students are able to choose effective contraception methods, that is, condoms and / or contraceptives, every time they have sex, and 16.67 / 9 / 54) students use only high-risk contraceptive methods, that is, safe periods and / or in vitro ejaculation. 7.41% of the students never used contraception. The lack of contraception or improper methods was mainly related to 14 factors, such as sex knowledge, sexual dream and so on. Among the students who had had sex, the proportion of one-night stand was 22.22 / 54, which was closely related to 16 factors, such as the separation of love and sex, the identification of one-night stand, and the willingness to have sexual intercourse with non-romantic opposite sex. Conclusion Medical education is not a substitute for sexual and reproductive health education. There is still a lack of knowledge about sexual and reproductive health among medical college students, which leads to sexual safety risk. Schools should carry out health education and guidance according to students' knowledge of sexual and reproductive health to guide their conscious normative behavior and binding sexual behavior in order to increase their sexual safety.
【作者单位】：重庆医药高等专科学校;
【基金】：重庆市教委科技项目(KJ112502) 重庆医药高等专科学校科研计划项目(ygz2013202)
【分类号】：R169;G479

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