高校本科生性行为知识、态度、行为调查研究(1).pdf

华中科技大学 硕士学位论文 高校本科生性行为知识、态度、行为调查研究 姓名：周爱平 申请学位级别：硕士 专业：流行病与卫生统计学 指导教师：尹平 2011-01 华华 中中 科科 技技 大大 学学 硕硕 士士 学学 位位 论论 文文 I 高校本科生性行为知识高校本科生性行为知识、、态度态度、、行为调查研究行为调查研究 硕士研究生：周爱平 硕士生导师：尹 平 摘摘 要要 目目 的的：通过分析 68222 份高校本科生生殖健康与避孕节育现状调查问卷， 了解高校本科生生殖健康与避孕节育知识的掌握情况、相关观念与态度、性行为 发生情况和影响因素以及生殖健康与避孕节育需求状况， 掌握我国高校本科生的 生殖健康现状， 为高校学生开展生殖健康教育和提供相关服务提供科学的理论依 据 方方 法法：运用分层整群抽样方法抽取全国七个项目城市的“重点综合类、一 般综合类、医学类或综合院校医学部、文体艺术类”四类高校 56 所，对 56 所高 校的在校本科生进行问卷调查所得资料经 Epidata3.1 建库进行整理与核查，用 SAS8.2 进行统计描述，运用多因素 Logistic 回归分析性行为发生的影响因素。

结结 果果：①本次调查获得有效问卷 68222 份，调查对象男女性别分布均衡， 18 岁到 22 岁之间的占 97.73%，25.15%为医学专业②高校本科生生殖健康知 识各条目的知晓率均较低，知识掌握总得分较低，不同专业、不同性别间差异均 有统计学意义③87.07%的学生认为有必要了解避孕节育相关知识，91.25%认 为需要了解性知识，超过 50.00%的本科生对婚前性行为持开放态度④12.55% 的高校本科生有过性行为，不同性别、年龄以及专业性行为的发生率有差异并有 统计学意义 ⑤53.57%的本科生第一次性行为时采取了避孕措施， 每次性行为均 采取避孕措施的比例为 30.71%， 在有过性行为的学生中 32.67%出现过意外妊娠 ⑥现阶段高校本科生了解生殖健康相关知识的渠道主要是报刊杂志和网络， 91.80%的学生认为有必要在大学开展相关知识教育， 希望采取的形式主要是专题 讲座 华华 中中 科科 技技 大大 学学 硕硕 士士 学学 位位 论论 文文 II 结结 论论：①目前我国高校本科生生殖健康相关知识缺乏，女性对其的掌握程 度好于男生，医学专业学生的掌握程度好于非医学专业。

②高校本科生性观念和 态度逐渐开放，对婚前性行为持宽容态度，女生观念相对于男生保守，医学专业 学生相对非医学专业保守 ③高校本科生性行为发生率较高且较以往研究有增高 趋势，不同性别、年龄、专业等学生的性行为发生情况差异有统计学意义④高 校本科生性行为的发生多在毫无准备情况之下，避孕节育相关措施使用率低，意 外妊娠的发生率较高⑤高校本科生希望在学校开展生殖健康相关知识教育，并 且希望从意多种形式学习系统的、全面的知识 建建 议议：①充分发挥教育部门的主渠道作用开展生殖健康知识教育，树立正 确的性观念，建立健康的性心理②根据学生的不同特点进行不同特色的生殖健 康教育③以学校为主，发挥家长在生殖健康教育中的作用④健全相关社会服 务体系对青少年提供生殖健康与避孕节育服务 关键词关键词：：高校本科生；生殖健康；避孕节育 华华 中中 科科 技技 大大 学学 硕硕 士士 学学 位位 论论 文文 III The knowledge, attitudes and behavior research of the undergraduates’ sexual behavior Candidate: Zhou Aiping Supervisor: Yin Ping ABSTRACT Object: To understand the undergraduates’ learning situation of the reproductive health and contraception knowledge, the related conceptions and attitudes about the reproductive health and contraception and the undergraduates’ sexual behavior status and its influencing factors by analyzing the 68,222 questionnaires of the undergraduates’ status of reproductive health and contraception, to command the undergraduates’ situation of reproductive health, in order to provide scientific basis of providing high quality reproductive health education and birth control service. Method: Undergraduates who come from 56 colleges or universities that are four categories ("focus on integrated, comprehensive general categories, medicine or the medical department of university, the style of art") in seven cities by stratified cluster sampling were investigated. The database was constructed with Epidata3.1. SAS8.2 was used for data analysis. Multivariate Logistic regression was used to analysis the risk factors affecting sexual behavior. Result: 68222 valid questionnaires have been obtained in the survey. Gender ① distribution of the respondents is balanced. Those aged from 18 to 22 accounts for 97.73%. Medical specialist accounts for 25.15%. The awareness rate of college ② undergraduate reproductive health related knowledge is relatively low and the total score of knowledge mastered is low. Differences between different specialties, different gender is statistically significant. 87.07% of the respondents thinks it is ③ necessary to know contraceptive knowledge. 91.25% think they need to learn about sex knowledge. More than 50.00% undergraduates hold an open-minded attitude on premarital sex. 12.55% college undergraduates have had sexual behavior, the ④ incidence of sexual behavior among different gender, age and professional are 华华 中中 科科 技技 大大 学学 硕硕 士士 学学 位位 论论 文文 IV statistical different. 53.57% undergraduates adopted a contraceptive measure during ⑤ the first sexual experience. The proportion of adopting contraceptive measures each time is 30.71%. 32.67% of the students who have had sex appeared accidental pregnancy. For colleges and universities undergraduates, the ways of understanding ⑥ related knowledge of reproductive health mainly is the newspapers, magazines and network. 91.80% students think it is necessary to carry out relevant knowledge education in university, which are hoped in form of seminar mainly. Conclusion: At present, college undergraduates in our country are lack of ① mastering related knowledge of reproductive health, the situation of the female is better than the male, and the situation of medical students is better than non-medical profession students. The conceptions and attitudes of college undergraduates on sex ② become open gradually most hold tolerant attitudes on premarital sex, girls are more conservative than the boys, medical students are more conservative than the non-medical professional. The incidence of sex behavior among college ③ undergraduates is higher than that of the previous research. The situation among different gender, age, and professional is different. The sex behavior of college ④ undergraduates often occurred in unprepared circumstances, utilization rate of contraceptive measures is low. The incidence of accidental pregnancy is high. College undergraduates hope schools bring i。