Sexual knowledge status and influencing factors among students in grades 6-8 at a Guangzhou school
Objective This study investigated sexual knowledge status and influencing factors among students in grades 6-8 at a Guangzhou school,to provide evidence regarding adolescent sex education in schools.Methods A group of students in grades 6-8 at a school in Guangzhou were selected to conduct a questionnaire survey,including basic informa-tion,family factors,sexual knowledge,and access.A total of 15 items pertained to sexual knowledge;a single correct answer was defined as aware,and nine correct answers was defined as qualified.The status of analytical knowledge and its influenc-ing factors were analyzed.Results In the final analysis of 1 022 students in grades 6-8,the overall qualified rate of sexual knowledge was 74.9％.The knowledge awareness rates of girls'sexual maturity marks,boys'sexual maturity marks,the need to use emergency contraceptives within 72 hours,and the harm of premature sexual behavior were 26.2％,22.6％,38.9％,and 57.9％,respectively.A statistically significant difference in the qualified rate of sexual knowledge was observed between students with harmonious versus disharmonious families(x2=4.184,P=0.041).Moreover,a statistically significant difference in the qualified rate of sexual knowledge was observed between students who acquired sexual knowledge through peer communication and those who did not(x2=4.703,P=0.030).In addition,84.1％of students'sexual knowledge came from school classes/activities.Multi-factor analysis indicated that female gender(OR=1.743,95％CI=1.307-2.324),grade 7(OR=7.999,95％CI=4.859-13.170),grade 8(OR=1.516,95％CI=1.101-2.087)(relative to grade 6),acquisition of sexual knowledge through books/magazines(OR=1.390,95％CI=1.036-1.867),acquisition of sexual knowledge through school classes/activities(OR=2.100,95％CI=1.470-3.000),and acquisition of sexual knowledge through non-public video channels(OR=0.595,95％CI=0.398-0.890)were the fac-tors influencing the qualified rate of sexual knowledge.Conclusions The qualified rate of sexual knowledge among participants was moderate.Female gender;grades 7 or 8;and access to sexual knowledge through books and magazines,school classes/activities,and non-public videos were associated with the qualified rate of sexual knowledge among students in grades 6-8.School classroom/activity was the main route through which students acquired sexual knowledge.
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