Analysis of influencing factors for the sexual education and knowledge level of Chinese college students
Objective This study aims to explore the influencing factors of the sexual education and knowledge level of Chi-nese undergraduates.Methods The survey participants were college students in Chinese mainland.A questionnaire on sex-ual education and a test on sexual knowledge were developed based on the International Guidelines on Sexuality Education and distributed through the Internet.Results A total of 1 083 valid questionnaires were collected.Among them,876 indi-viduals(80.89%)had received sexual education,with a higher proportion among females compared to males(P<0.001).Significant differences were observed in the proportion of individuals who had received sexual education based on their place of origin(P=0.046),with urban students having a higher proportion compared to students from townships and rural are-as.The most common time for initial sexual education was during middle school(51.03%).Schools(67.96%)and the In-ternet(67.77%)were the main sources of sexual education,while family-based sexual education was the least common(24.93%).In the sexual knowledge test,the lowest accuracy was observed for questions related to age of sexual consent.Females showed a higher level of acceptance towards homosexuality compared to males(87.01%vs.54.36%,P<0.001),and they were more willing to seek help from family members when encountering sexual health issues(85.86%vs.74.50%,P<0.001).Logistic regression analysis revealed that the timing of initial sexual education was an influencing fac-tor for the sexual knowledge level of the participants.Compared to those who received sexual education in primary school or earlier,the chances of obtaining high scores in the sexual knowledge test were reduced by 37%(OR=0.63,P=0.002)and 59%(OR=0.41,P=0.007)for those who received sexual education in middle school and university,respectively.Conclu-sion There are gender and urban-rural disparities in the sexual education received by Chinese college students.Their under-standing of age of sexual consent is insufficient.Furthermore,individuals who receive sexual education at an earlier stage are more likely to have a higher level of sexual knowledge,highlighting the need to explore the implementation of sexual educa-tion in primary schools.
Sexual educationSexual knowledgeCollege studentsInfluencing factors