Attitudes,current status and related factors towards sex education among middle school,high school and vocational high school freshmen in Jiading District,Shanghai Municipality
Objective To understand the attitudes towards and current status of sex education among middle school,high school and vocational high school freshmen in Jiading District,Shanghai Municipality,and to provide a basis for adolescent health care services.Methods A convenient cluster sampling method was used to select one middle school,one high school and one vocational high regarding school in Jiading District,Shanghai Municipality.We conducted a questionnaire survey regarding knowledge related to adolescent sexual and reproductive health,attitudes towards sex education and current status of sex education among 1,051 new students.Non parametric tests and x2 tests were employed to conduct univariate analysis on continuous variables and categorical variables respectively.A multivariate binary logistic regression model was applied to analyzing the factors influencing attitudes towards sex education.Results There was a statistically significant difference in the qualified rate of sexual and reproductive health knowledge among new students from different types of schools(P＜0.001).Adolescents with more positive attitudes towards sex education also scored higher in terms of sexual and reproductive health knowledge(Z=-8.509,P＜0.001).The proportions of adolescents who received sex education from schools,fathers,and mothers were 83.5％,33.6％and 51.2％respectively.Family sex education was relatively insufficient.The proportion of vocational high school freshmen receiving school sex education was the lowest(75.4％),while the proportion of high school freshmen was the highest(92.2％),with a statistically significant difference(P＜0.001).There was a statistically significant difference in the proportion of receiving sex education from mothers among freshmen from different types of schools(P=0.003).75.6％of the adolescents had a positive attitude towards receiving sex education.Logistic regression analysis revealed that female students(OR=1.434,95％CI:1.016-2.023,P=0.040),adolescents who received school sex education(OR=1.844,95％CI:1.263-2.809,P=0.002),adolescents who had qualified knowledge about sexual and reproductive health(OR=2.389,95％CI:1.734-3.292,P＜0.001)and adolescents with a conservative attitude towards sexual behavior(OR=4.315,95％CI:2.924-6.367,P＜0.001)had a more positive attitude towards sex education.Compared with middle school freshmen,high school freshmen(OR=3.104,95％CI:1.977-4.873,P＜0.001)and vocational high school freshmen(OR=2.420,95％CI:1.664-3.519,P＜0.001)had more positive attitudes towards sex education.Conclusion Vocational high school freshmen in Jiading District lack sex education the most,and the adolescents'attitudes towards sex education need to be further improved.Schools and families should provide appropriate comprehensive health services for the adolescents so as to improve their enthusiasm for receiving sex education and enhance the effectiveness of sex education.
adolescentsex educationattitudesexual and reproductive health knowledgeschoolparents
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