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孙思伟, 李英华, 刘宝花, 聂雪琼, 程玉兰, 卫薇, 魏南方. 校外青少年生殖健康高危行为与社会心理因素关系[J]. 中国公共卫生, 2014, 30(3): 282-286. DOI: 10.11847/zgggws2014-30-03-09
引用本文: 孙思伟, 李英华, 刘宝花, 聂雪琼, 程玉兰, 卫薇, 魏南方. 校外青少年生殖健康高危行为与社会心理因素关系[J]. 中国公共卫生, 2014, 30(3): 282-286. DOI: 10.11847/zgggws2014-30-03-09
SUN Si-wei, LI Ying-hua, LIU Bao-hua.et al, . Reproductive health related behaviors and their social-psychological influencing factors among out-of-school adolescents:a cross-sectional study[J]. Chinese Journal of Public Health, 2014, 30(3): 282-286. DOI: 10.11847/zgggws2014-30-03-09
Citation: SUN Si-wei, LI Ying-hua, LIU Bao-hua.et al, . Reproductive health related behaviors and their social-psychological influencing factors among out-of-school adolescents:a cross-sectional study[J]. Chinese Journal of Public Health, 2014, 30(3): 282-286. DOI: 10.11847/zgggws2014-30-03-09

校外青少年生殖健康高危行为与社会心理因素关系

Reproductive health related behaviors and their social-psychological influencing factors among out-of-school adolescents:a cross-sectional study

  • 摘要: 目的 了解云南、深圳两地校外青少年生殖健康相关行为的发生状况,探讨影响生殖健康高危行为发生的社会心理学因素。方法 采用非概率抽样中的偶遇抽样方法,于2012年5—6月对云南和深圳两地862名15~24岁的校外青少年进行生殖健康、社会支持、总体幸福感、自尊相关情况的问卷调查。结果 校外青少年中与异性有过牵手、拥抱、接吻、抚摸身体、性交行为的比例分别为92.5%、85.7%、75.9%、60.2%和54.5%;在发生性行为的校外青少年中,最近一次性行为未使用安全套和有≥2个性伴的比例分别为45.7%和62.6%;女性为最近一次性行为是否使用安全套行为的高危人群(OR=2.318,95%CI=1.601~3.356),未婚(OR=0.367,95%CI=0.190~0.709)和总体幸福感高(OR=0.971,95%CI=0.955~0.987)为校外青少年该行为的保护性因素;居住地为昆明(OR=2.690,95%CI=1.511~4.790)、深圳(OR=,4.644,95%CI=1.007~2.729)、女性(OR=4.464,95%CI=3.180~6.783)、年龄越大(OR=1.225,95%CI=1.113~1.349)、务工时间越长(OR=1.102,95%CI=1.003~1.022)为校外青少年是否有≥2个性伴的危险因素,总体幸福感高(OR=0.969,95%CI=0.953~0.986)为其保护因素。结论 云南和深圳两地校外青少年生殖健康高危行为的发生率较高,总体幸福感是生殖健康高危行为的保护因素,应注重对校外青少年的心理干预。

     

    Abstract: Objective To study the status of reproductive health related behaviors among out-of-school adolescents in Yunnan province and Shenzhen city,and to explore the social-psychological influencing factors of the behaviors.Methods A cross-sectional study was conducted in Yunnan and Shenzhen and totally 862 out-of-school adolescents aged 15-24 years were recruited with accidental sampling for a survey with a self-administrated questionnaire.Results The ratios of behaviors of holding hands,hugging,kissing,caressing the body,and sexual intercourse with the opposite sex among the adolescents were 92.5%,85.7%,75.9%,60.2%,and 54.5%,respectively and 45.7% of the adolescents who had sexual experience did not use condom in the latest sexual intercourse;the ratio of people having two or more sexual partners was 62.6%.Binary logistic analysis showed that age and marital status of the adolescents were risk factors of condom use in the latest sexual intercourse(P<0.05),with the odds ratios (ORs)of 2.318(95% confidence interval95%CI:1.601-3.356)and 0.367(95%CI:0.190-0.709),while,general well-being of the adolescents was a protective factor with the OR of 0.971(95%CI:0.955-0.987).Survey area,age,gender,migrant times were the risk factors of having more than one sexual partner(P<0.05),with the ORs of 2.690(95%CI:1.511-4.790) for livig in Kunming city,4.644(95%CI:1.007-2.729)for living in Shenzhen city,4.464(95%CI:3.180-6.783) for female,1.225(95%CI:1.113-1.349) for older age,and 1.102(95%CI:1.003-1.022) for having long time of working;general well-being of the adolescents was a protective factor with the OR of 0.969(95%CI:0.953-0.986).Conclusion The incidence of reproductive health related risk behaviors among the out-of-school adolescents in Yunnan and Shenzhen is high.The general well-being is negative correlated with reproductive related risk behaviors.

     

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