Sexual behavior and related factors among middle school students in Chengdu

Abstract

Objective To investigate sexual behavior and related factors among middle school students in Chengdu, and to provide a reference for improving the content and the way of their sexual health education.

Methods Stratified cluster sampling was used to select 935 students from 11 schools in Chengdu. A self-designed questionnaire was implemented to estimate sexual behavior and related factors.

Results Thirty-six (3.9%) students reported sexual behavior during the past year. The difference between boys (5.6%) and girls (1.7%) was of statistical significance (χ ² = 9.79, P<0.01). 77.8% (28/36) of all the participants reported first sexual contact experience, 2.4% (22/935) reported homosexual behavior. Five out of 935 students had experienced unplanned pregnancy, four of them chose to have an abortion. Multivariate Logistic regression showed that masturbation experience, talking about sex-related things with friends, asking for help from friends when in sex-related troubles positively with higher risk of sextual behavior ( OR = 6.67, 0.30, 0.28, P<0.05).

Conclusion There are multiple types of unsafe sexual behavior among middle school students in Chengdu. Strategies including positive behavior support, peer education, sustainable environment and youth-friend services are essential for health education in the future.

Abstract

【摘要】 目的 了解成都市中学生性行为现状及相关影响因素, 为改善中学生性健康教育内容及方式提供依据。 方法 2018 年 6 月采用分层整群抽样法, 对四川省成都市 11 所中学 935 名学生进行问卷调査, 采用自行设计问卷测量研究 对象性行为特征及其相关因素。 结果 成都市中学生在过去 1 年内性行为报告率为 3.9% (36/935), 其中男生为 5.6% (29/517), 女生为 1.7% (7/418), 性别间差异有统计学意义 ( χ ²=9.79, P<0.01)。首次性行为报告率为 77.8% (28/36), 同 性性行为报告率为 2.4% (22/935), 意外妊娠报告率为 0.5% (5/935), 人工流产率为 0.4% (4/935)。Logistic 回归分析显 示, 有自慰史, 曾经与朋友讨论过与性有关话题, 在遇到避孕、流产、感染性病等问题时更愿意向同学或朋友求助的中学生 更容易发生性行为 ( OR 值分别为 6.67, 0.30, 0.28, P 值均<0.05)。 结论 成都市中学生存在诸多不安全性行为, 中学生性 健康教育应该重视行为指导;重视同伴教育; 积极构建支持性环境, 提供青少年友好服务。