摘要
目的 了解我国在校大学生性健康知识、态度、行为现状,为全社会开展性教育提供参考依据,以提高大学生性健康水平.方法 于2022年8-11月采用方便抽样方法,在全国34个省级行政区的大学中抽取24 816名在校大学生,采用自行设计的问卷开展线上网络调查,利用SPSS 26.0软件进行描述性分析,并采用x2检验和logistic回归分析模型对在校大学生性健康现状进行分析.结果 性知识方面,男、女生避孕方法知晓率分别为90.4％、83.5％,差异均有统计学意义(均P＜0.05);性态度方面,"婚前性行为""开放或同居""一夜情或约炮"男生接受度分别为42.1％、45.5％、12.2％,女生接受度分别为20.4％、20.0％、2.0％,差异均有统计学意义(均P＜0.05);性行为方面,民族、性取向、性知识知晓情况及是否为独生子女是女生发生性行为的影响因素.与少数民族女生相比,汉族女生发生性行为是其1.817倍(95％CI:1.513～2.181);与异性恋女生相比,非异性恋女生发生性行为是其2.163倍(95％CI:1.749～2.675);与不知晓避孕方法的女生相比,知晓的女生发生性行为是其19.898倍(95％CI:12.093～32.738);与非独生子女的女生相比,是独生子女的女生发生性行为是其2.945倍(95％CI:2.412～3.595).结论 大学生在性健康知识、态度、行为方面存在较多问题,建议高校等教育部门应予以高度重视,充分利用互联网、课堂等平台开展相关的科普教育,加强性健康教育的通识教育.
Abstract
Objective To understand the current situation of sexual knowledge,attitude and behavior of Chinese college students,and provide reference for the whole society to carry out sex education,so as to improve the level of sexual health of college students.Methods From August to November 2022,a convenient sampling method was adopted to select 24 816 college students from universities in 34 provinces,municipalities directly under the Central government and autonomous regions across the country.A self-designed questionnaire was used to carry out online survey,and SPSS 26.0 software was used for descriptive analysis.Chi-square test and logistic regression analysis model were used to analyze the sexual health status of college students.Results In terms of sexual knowledge,the knowledge rate of male and female contraceptive methods was 90.4％and 83.5％,respectively,and the difference was statistically significant(P＜0.05).In terms of sexual attitudes,the acceptance rates of"premarital sex","open or cohabitation"and"one-night stand or hookup"were 42.1％,45.5％and 12.2％for male students,and 20.4％,20.0％and 2.0％for female students,respectively,with statistical significance(all P＜0.05).In terms of sexual behavior,ethnic group,sexual orientation,sexual knowledge,and whether girls are the only child are the influencing factors of sexual behavior.The sexual activity of Han girls was 1.817 times that of minority girls(95％CI:1.513-2.181).Non-hetero-sexual girls were 2.163 times likely to have sex than heterosexual girls(95％CI:1.749-2.675).Women who knew about contraception were 19.898 times likely to have had sex(95％CI:12.093-32.738)than those who did not know about contraception.Women who were only children were 2.945 times likely to have sex than women who were not only children(95％CI:2.412-3.595).Conclusions College students have many problems in sexual knowledge,attitude and behavior,so it is suggested that universities and other education departments should attach great importance to it,make full use of Internet,classroom and other platforms to carry out relevant popular science education,and strengthen the general education of sexual health education.
基金项目
山东省大学生创新创业训练计划(S202210422048)
NETL
NSTL
万方数据