赵冬梅,陈雨阳,蒋泓,等.上海市郊区初中生性态度、性安全意识、拒绝技能的现状及关联分析[J].上海预防医学,2024,36(4):375-381.. doi: 10.19428/j.cnki.sjpm.2024.23294
引用本文: 赵冬梅,陈雨阳,蒋泓,等.上海市郊区初中生性态度、性安全意识、拒绝技能的现状及关联分析[J].上海预防医学,2024,36(4):375-381.. doi: 10.19428/j.cnki.sjpm.2024.23294
ZHAO Dongmei,CHEN Yuyang,JIANG Hong,et al.Current status and association analysis of sexual attitudes, sexual safety awareness and refusal skills among junior high school students in the suburbs of Shanghai[J].Shanghai Journal of Preventive Medicine,2024,36(04):375-381.. doi: 10.19428/j.cnki.sjpm.2024.23294
Citation: ZHAO Dongmei,CHEN Yuyang,JIANG Hong,et al.Current status and association analysis of sexual attitudes, sexual safety awareness and refusal skills among junior high school students in the suburbs of Shanghai[J].Shanghai Journal of Preventive Medicine,2024,36(04):375-381.. doi: 10.19428/j.cnki.sjpm.2024.23294

上海市郊区初中生性态度、性安全意识、拒绝技能的现状及关联分析

Current status and association analysis of sexual attitudes, sexual safety awareness and refusal skills among junior high school students in the suburbs of Shanghai

  • 摘要:
    目的 了解初中生性相关行为接受度、性安全意识及性相关诱惑的拒绝技能现况并进行关联分析,为开展青少年性与生殖健康教育提供参考依据。
    方法 对上海市嘉定区2所初中478名在校初中生进行青春期性生殖健康相关知识和素养的问卷调查。
    结果 初中生性与生殖健康知识合格率仅为36.6%,对谈恋爱、看色情书籍及影片、发生性行为、妊娠、人工流产的接受率分别为24.5%、11.1%、5.6%、4.8%、5.9%。多因素二元logistics回归分析显示,性与生殖健康知识合格的初中生对性相关行为的接受度低于不合格者(aOR=1.666,95%CI:1.124~2.470,P=0.011)。性与生殖健康知识合格(aOR=1.607,95%CI:1.060~2.438,P=0.026)、对性相关行为接受度低(aOR=4.199,95%CI:2.804~6.289,P<0.001)的青少年性安全意识更高。性与生殖健康知识合格(aOR=1.691,95%CI:1.066~2.684,P=0.026)、对性相关行为接受度低(aOR=1.756,95%CI:1.130~2.729,P=0.012)、性安全意识高(aOR=2.872,95%CI:1.826~4.516,P<0.001)的青少年性相关诱惑的拒绝技能更强。
    结论 嘉定区初中生性态度、性安全意识和性相关诱惑拒绝技能有待提高,学校应注重青少年性相关知识和技能的培养,倡导相关机构提供适宜青少年的性保健服务,满足青少年的生殖健康保健需求。

     

    Abstract:
    Objective To understand the acceptance of sex-related behaviors, sexual safety awareness, and refusal skills among junior high school students and conduct association analysis, and to provide a reference for the implementation of sex and reproductive health education for adolescents.
    Methods A questionnaire survey related to knowledge of sexual and reproductive health was conducted among 478 students from two junior high schools in Jiading District, Shanghai.
    Results The pass rate for sex and reproductive health knowledge among junior high school students was only 36.6%, with acceptance rates for dating, watching pornography, engaging in sexual behavior, pregnancy, and artificial abortion at 24.5%, 11.1%, 5.6%, 4.8%, and 5.9%, respectively. Binary logistic regression analysis showed that students who passed the sexual and reproductive health assessment had a significantly lower acceptance rate of sex-related behaviors than those who did not (aOR=1.666, 95%CI: 1.124‒2.470, P=0.011). Adolescents with a passing knowledge of sexual and reproductive health (aOR=1.607, 95%CI: 1.060‒2.438, P=0.026) or a lower acceptance of sex-related behaviors (aOR=4.199, 95%CI: 2.804‒6.289, P<0.001) had higher awareness of sexual safety. Adolescents with a passing knowledge of sexual and reproductive health (aOR=1.691, 95%CI: 1.066‒2.684, P=0.026), a lower acceptance of sex-related behaviors (aOR=1.756, 95%CI: 1.130‒2.729, P=0.012), or higher awareness of sexual safety (aOR=2.872, 95%CI: 1.826‒4.516, P<0.001) had stronger skills to refuse sex-related behaviors.
    Conclusion Sexual and reproductive attitudes, sexual safety awareness, and refusal skills for sex-related behaviors among junior high school students in Jiading District need to be improved. Schools should focus on cultivating adolescents’ sexual and reproductive knowledge and related skills, and advocate for relevant institutions to provide appropriate sexual healthcare services to meet their needs for reproductive healthcare.

     

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