Status and associated factors of the knowledge and health education needs about sexual abuse of middle school students in rural areas

Abstract

Objective To explore the status and associated factors of the knowledge and health education needs about child sexual abuse of middle school students by sex, so as to provide a basis for targeted safety education of preventing child sexual abuse.

Methods From June to July 2023, 1 256 junior high school students from 2 middle schools in southern area of Shaanxi Province were selected by a convenience sampling method. A self-designed general information questionnaire, Children’s Sexual Assault Cognition Questionnaire, and Health Education Needs Questionnaire were used for questionnaire survey. Group comparisons were conducted using t-tests, analysis of variance, and Chi-square tests. Multiple linear regression analysis was used to explore the factors related to cognitive scores of sexual assault, and binary Logistic regression analysis was used to explore the factors related to the willingness of middle school students to receive sexual assault safety education.

Results The correct response rate of the participants for knowledge of sexual assault cognition (CSA) was (80.97±12.09) %. For each item, the correct response rate ranged 46.7%-97.2%. The correct rate (78.98±12.23) % of male students’ knowledge of CSA was lower than female students (83.17±11.55) % statistically ( t = −6.23, P<0.01). The factors influencing the participants’ knowledge of CSA included gender (β=0.16), mother’s occupation (β = 0.07) and experience of CSA safety education (β=0.10) ( P<0.05). Most students (92.7%) were willing to receive CSA education. Girls ( OR = 1.72, 95% CI = 1.06-2.77) and students who previously received CSA education ( OR = 6.98, 95% CI = 4.44-10.96) had more willingness to receive CSA education ( P<0.05). A total of 71.8% of middle school students preferred their parents as educators, while 43.4% of students chose on-site instruction as the preferred method of CSA education.

Conclusions Middle school students have a strong willingness to accept CSA safety education. Knowledge of CSA and willingness to receive CSA safety education are related to gender and previous educational experience.

Abstract

【摘要】 目的 探讨不同性别初中生对儿童性侵犯认知和健康教育需求现状并分析其相关因素, 为针对性的预防性侵犯 教育提供依据。 方法 于 2023 年 6—7 月, 方便抽取陕西省陕南地区 2 所中学的 1 256 名初中生作为研究对象, 采用自行 编制的一般资料问卷、儿童性侵犯认知问卷及健康教育需求问卷进行问卷调查, 组间比较采用《检验、方差分析、χ ² 检验。采用多重线性回归分析探讨性侵犯认知得分的相关因素, 采用二元 Logistic 回归分析探讨初中生接受预防性侵犯教育意愿 的相关因素。 结果 农村地区初中生性侵犯认知的得分率为 (80.97± 12.09) %, 条目回答正确率为 46.7%~97.2%, 男生对 性侵犯认知得分率 [(78.98±12.23) %] 低于女生 [(83.17±11.55) %], 差异有统计学意义 ( t = −6.23, P<0.01)。影响初中生 对性侵犯认知的相关因素包括性别 (β = 0.16)、母亲职业 (β = 0.07)和预防性侵犯教育经历(β = 0.10) ( P 值均<0.05)。92.7% 的初中生愿意接受预防性侵犯教育。女生 ( OR = 1.72, 95% CI =1.06~2.77) 和有预防性侵犯教育经历的学生 ( OR = 6.98, 95% CI = 4.44~10.96) 更愿意接受预防性侵犯教育 ( P 值均<0.05)。71.8% 的初中生选择父母作为预防性侵犯教育者, 43.4% 的学生选择现场指导作为教育的首选方式。 结论 农村初中生接受预防性侵犯教育的意愿较强, 性侵犯认知和接 受预防性侵犯教育的意愿与性别和既往教育经历有关。