中西部农村青少年生殖健康观念及行为探究.docVIP

中西部农村青少年生殖健康观念及行为探究【摘要】 目的 了解我国中西部农村地区青少年生殖健康相关观念和行为，为有针对性的进行生殖健康干预提供依据。方法 在山西、甘肃、青海和广西各选择1个县，每县选择2个乡的13～19岁在校生约200名，16～19岁校外青少年约100名，男、女各半，共1 230名接受自填式问卷调查。结果 中西部农村约半数青少年明确反对婚前性行为，表示同意的比例低于25%。女青少年在观念上对婚前性行为的开放程度低于男青少年，差异有统计学意义（P＜0.05）。中西部农村校内青少年“经常”有不利于自我保护行为的比例低于15%，校外青少年为0.7%～30.4%，男性高于女性，部分指标的差异有统计学意义（P值均＜0.05）。校外男青少年“经常”及“偶尔”去青少年保健门诊咨询的比例最高（31.4%），校内低年龄组女青少年最低（8.5%）。结论 中西部农村青少年能认识到生殖健康问题的重要性。在进行生殖健康教育时，不仅要注重观念上的引导，还应针对不利的生殖健康行为给予指导。 【关键词】 生殖医学；态度；行为；青少年；农村人口 【中图分类号】 R 179 G 479 【文献标识码】 A 【文章编号】 1000-9817(2009)04-0323-03 Rural Adolescents’ Reproductive Health Related Attitudes and Behaviors in Middle-west China/FENG Ning, JIN Xi, YANG Qi, et al. National Center for Women and Children’s Health, Chinese Center for Disease Prevention and Control, Beijing(100013),China 【Abstract】 Objective To understand adolescents’ reproductive health related attitudes and behaviors in Chinese middle-west rural areas, and to provide evidence for the intervention. Methods A county was selected from Shanxi, Gansu, Qinghai and Guangxi, respectively, and 200 students from two valleys were chosen from each county. Finally, 1 230 students received the self-administered questionnaire survey.Results About half of them disapproved pre-marriage sexual behavior. The percentage of approval was lower than 25%. Girl’s sexual permissiveness degree was lower than boy’s significantly(P＜0.05). The percentage of in-school adolescents who had behaviors going against self-protection was lower than 15%. For out-school adolescents, the percentage was 0.7%-30.4%. Boy’s was higher than girl’s(P＜0.05). The percentage of consulting adolescent health clinic was highest(31.4%)among out-school boys and lowest among in-school younger girls. Conclusion Adolescents in Chinese middle-west rural areas can recognize the importance of reproductive health. Guidance should be given to the students according to their attitudes and incorrect reproduction health practice. 【Key words】 Reproductive medicine;A