Objective To understand junior high school students’ sexual knowledge, sexual attitudes, sexual behaviors, as well as acess to sexual knowledge and related influencing factors, su as to provide reference for the practice of sexuality education.
Methods Using stratified cluster sampling method, 7 341 junior high school students were selected from Anhui, Fujian, Gansu, Guangxi, Henan, Xinjiang, Yunnan, Zhejiang and Beijing, and self-compiled questionnaires were used.
Results Junior high school students scored (61.71±18.79) in sexual knowledge, with pass rate and excellent rate being 59.02% and 18.53%. The attitudes towards LGBT was ( 65.44±20.01), the attitudes towards sexual and healthy behaviors was ( 67.04±49.23), and the attitudes towards sexual relations and behaviors was (70.75±10.46). Students had intimacy needs and sexual behaviors ( 18.70%), and some had such behaviors as kissing ( 13.80%), touching sensitive parts ( 6.70%) and sexual intercourse ( 2.20%). The results of multivariate Logistic regression analysis showed that students’ sexual knowledge was related to region, grade and school-based sexuality education ( OR = 2.11, P<0.05).
Conclusion Junior high school students have sexual needs and behaviors, but their sexual knowledge is not sufficient; there are differences in sexual knowledge and attitudes of junior high school students across region, grade and gender; schools should promote school-based sexuality education for junior high school students’ sexual health.
【摘要】 目的 了解初中生性知识、性态度、性行为和性知识获取渠道及其相关影响因素, 为性教育课程建设与实践 提供参考。 方法 采用分层整群抽样的方法, 在安徽、福建、甘肃、广西、河南、新疆、云南、浙江、北京抽取 7 341 名初中生, 采用自编问卷对初中生性知识、态度和行为进行调查。 结果 初中生性知识得分为 (61.71±18.79) 分, 及格率为 59.02%, 优良率为 18.53%; 初中生对性少数群体的态度为 (65.44±20.01)分, 对性与健康行为的态度为 (67.04±49.23) 分, 对性与关 系和行为的态度为 (70.75±10.46) 分;初中生具有恋爱需求与行为 (18.70%0, 巳有部分初中生发生了诸如接吻 (13.80%)、 触摸敏感部位 (6.70%) 和性交 (2.20%) 等性行为。多因素Logistic回归分析结果显示, 学校性知识获取程度与学生的性知 识水平正性相关 ( OR = 2.11, P<0.05)。 结论 初中生存在与性有关的需求和行为, 但性知识掌握情况不容乐观；初中生的 性知识与性态度存在地区、年级和性别差异;学校应加强性教育课程建设与实践, 促进初中生的性健康发展。