Knowledge,attitudes and behaviors,and influencing factors related to sexual and reproductive health among college students in western Yun-nan
Objective This study was aimed at investigating the status and influencing factors regarding sexual and reproductive health knowledge,attitudes and behaviors among college students in areas with large minority ethnic popula-tions in western Yunnan,to provide a reference for local re-productive health education.Methods From May to July 2023,a self-filled questionnaire survey was conducted among 1 103 college students from four universities in Dali Bai Autonomous Prefecture through a convenience sam-pling method.The questionnaire included four indicators of basic demographic information,knowledge,attitudes and behaviors.Descriptive statistics,t-test,ANOVA,x2 test and multiple linear regression were used to analyze the influencing factors.Results The average score of sexual and reproductive health knowledge among the college students was 11.73±5.63,and the pass rate was 43.1%.The sex knowledge scores of college students with different majors,with different house-hold registration types,with or without school sex education,and with or without independent learning of sex knowledge showed statistically significant differences(t/F=-3.169,3.430,3.594,10.158,all P<0.05).Statistically significant differences were observed in sexual attitudes among college students of different genders,with or without school sex education,and with or without independent learning of sex knowledge(x2=14.687,17.375,68.644,all P<0.00l);Moreover,9.5%of the college students had sexual behavior.Significant differences in sexual behavior were observed among students with different gen-ders,with single parent families and with independent sexual knowledge(x2=47.790,14.421,29.060,all P<0.001).College major,residence registration,and independent learning of sex knowledge were the factors influencing sex knowledge(t/F=2.518,2.073,-9.28,all P<0.05).Gender,having received sex education in school and independent learning of sex knowl-edge were the factors influencing college students'sexual attitudes(t=3.969,2.434,7.459,all P<0.05).Gender,single parent family and independent learning of sex knowledge were the factors influencing of college sexual behavior(t=-13.063,-3.483,-9.992,all P<0.001).Conclusions Reproductive health knowledge among college students in regions with large minority ethnic populations in western Yunnan was generally low.Comprehensive scientific guidance regarding sexual and reproduc-tive health knowledge for sexually mature college students,and sex education to establish correct sexual concepts,are urgently needed to promote healthy sexual behavior.Families,schools and relevant departments should focus on sexual and reproduc-tive health education for boys,non-medical students,rural students and students from single-parent families.
College studentSexual and reproductive healthKnowledge,attitude and practiceInfluencing factor