Objective To analyze the current situation of sexual behavior of college students in China, and to provide basis for formulating corresponding health education intervention measures. Methods 33 653 universities in 18 provinces (autonomous regions and municipalities) were selected.
The students conducted an anonymous self-administered questionnaire survey. Results The reporting rate of reading pornographic books and audio-visual products was 45. 8% for boys and 8% for girls. 5% for girls. The reporting rate of sexual behavior was 14. 8% for boys and 0/4.8% for girls.
5.6%。 Among those who have had sex, 4 1.7% are men, 28. 5% are women. The incidence of compulsive behavior was 65438 02.7% for boys and 65438 08.8% for girls. condom
The utilization rate is 48. Boys 5%, 5 1. 5% for girls. 18.6% and 20. 5% of boys and girls reported that they made each other or themselves pregnant. The reporting rate of college students' sexual behavior in the western region is significantly higher than that in the eastern and central regions.
Conclusion The current situation of college students' sexual behavior in China is not optimistic, especially in the western region, which is more prominent than in the central and eastern regions. It is imperative to provide reproductive health education and services for college students.
Keywords sexual behavior; Contraception; Pornography; Pregnancy; student
"reproductive health for all in 20 15 years" ranks behind "health for all in 2000"
Health care "is another global public health goal put forward by WHO; Reproduce offspring
Health is everyone's right [1]. As teenagers start having sex earlier and earlier,
The incidence of unwanted pregnancy, induced abortion and sexually transmitted diseases is rising; unsafe/insecurity
Behavior has become one of the important dangerous behaviors faced by teenagers all over the world, with a significant increase.
Increased the adverse consequences of adolescent sexual and reproductive health [2-5]. In order to understand the young people in China.
The current situation of annual sexual behavior, so as to formulate targeted sex in line with China's national conditions
To provide the basis for educational intervention measures, the author conducted a survey of college students in 8 provinces (autonomous regions and municipalities) in China/KLOC-0.
Investigate the current situation of behavior.
1 objects and methods
1. 1 The subjects are universities/college students in Beijing and other provinces 18 [5].
Using stratified cluster sampling method, the province is divided into three grades according to the social and economic level: good, medium and poor.
Select three types of survey cities, and then randomly select universities within their jurisdiction, each 1.
0 ~2 is the monitoring point, and all students are selected as the research objects by cluster sampling. College and undergraduate system
First, according to the grade group, * * * is divided into four grades, from freshman to senior, aged 17~24 years old. close
The overall response rate was 93. 1%,93.5% for boys and 95.7% for girls (χ 2 = 83.73,
P & lt0.0 1)。
1. Methods The provincial centers for disease control and prevention organized testing teams and trained them.
School health professionals as investigators, according to the unified "China adolescent health risks.
Implement the steps and methods specified in the Detailed Rules for Risk Behavior Investigation. In the education sector and hospitals
With the close cooperation of the school, students are organized to be anonymous on the basis of informed consent.
Fill in the questionnaire. Questionnaires are distributed in a unified way, withdrawn within a limited time, and completed by students themselves. close
A total of 33,653 valid questionnaires were collected (male 15765, female 17888).
In view of the special sensitivity of sexual questions, those who do not answer relevant questions are also considered effective.
Questionnaire. The indicators come from the following six questions: "Have you seen it in the past 12 months?"
Porn/audio-visual products "I had sex with several people" for the last time.
Do you or your partner use condoms during sexual intercourse? Is it forced (involuntary)?
Had sexual relations "; Have you ever been pregnant or made her pregnant? χ2 test and χ2 trend were used.
Potential test was used to analyze the differences among different grades, sexes and regions, and Logistic regression analysis was used.
Compare pairwise differences between multiple percentages.
Two results
2. 1 sex and sex-related behaviors of college students of different sexes-grade 1
According to the survey, 25. 9% of college students reported having seen pornographic books, audio-visual products (movies,
Video, VCD, pictures, etc. ), boys are significantly higher than girls (χ 2 = 6 065 438+03.0, P
0.0 1), the reporting rate increased with the grade (χ2 trend = 435.5, P
9.9% of college students reported having sex, with boys 14.8% and girls 14.8%.
5.6%, boys are higher than girls (χ 2 = 762. 3，P < 0。 0 1), with the increase of grade.
The upward trend is obvious (χ2 trend = 357. 4，P
Among the students, 37. 7% had sexual relations with more than two people, male (465,438+0. 7%) is significantly higher.
Female students (28. 5%) (χ 2 = 48.3，P
Boys who have had sex are obviously lower than girls (χ 2 = 18.8, P
It is reported that condoms have been used in recent sexual behavior, and there is no statistical difference between the two sexes.
Meaning (χ2=2. 8，P & gt0.05); However, recently, senior girls have been used once.
The condom reporting rate was significantly higher than that of boys (χ 2 = 6. Page 27
There is no statistical difference between the sexes in reporting unintended pregnancy or causing her pregnancy (χ2=
1.5，P & gt0.05)。
2.2 Analysis of the current situation of college students' sex and sex-related behaviors in different regions Table 2 shows that,
The reporting rate of students' sexual behavior in the western region is significantly higher than that in the eastern and central regions (χ2 value
They are 1 14. 1, 57.5, and the p values are all.
Students in the east (χ 2 = 9. Page 76
Members/audio-visual products, two or more sexual partners, forced sex, condom use, etc.
There is no significant difference. On the contrary, girls in the western region watch pornographic books/videos.
Products (χ2 values are 24 respectively. 2, 3 1.3, p values are all.
Students from Donghe Middle School.
3 discussion
In China, 10~24 years old teenagers account for about1/4 of the total population [6]. For 20 years, along with
Social and economic changes, infiltration of western culture, family structure and lifestyle.
Changes, especially changes in people's sexual concepts and attitudes, plus teenagers.
The "sexual waiting period" is prolonged (sexual development is obviously advanced, but the age of marriage is accompanied by its society.
The expectation of rising is constantly delayed) [7] and other subjective and objective factors make our teenagers dangerous.
The incidence of risk-taking behavior has increased significantly, and its seriousness has attracted more and more attention. Benyan
It is found that the reporting rate of male students who read pornographic books and audio-visual products in China University is quite different.
Higher than girls, suggesting that boys have a stronger demand for sexual knowledge and make more active use of each.
A channel to understand sex and try more actively, so the proportion of having sex is also.
Higher. The survey found that the reporting rate of freshmen reading pornographic books/audio-visual products is low.
It is suggested that sexual health education should be given to students at this stage, which will help them master the subject as soon as possible.
Learn and correct sexual knowledge, so as to have certain immunity to pornographic books.
Six current situations of global human reproductive health reported by WHO in 2005
It is pointed out that 87 million women get pregnant unexpectedly every year, and 50% women get pregnant unexpectedly (about
46 million) chose abortion, of which180,000 were unsafe abortions. Different countries
Women from different social classes have problems in the availability and safety of reproductive health services.
A huge "unfair" phenomenon. Among them, 85% were involuntary deliveries and 95% were babies.
Child mortality and 99% maternal mortality occur in developing countries, which is not only harmful.
The health of women and children hinders the development of the whole society [2]. This is also the country's
The focus of adolescent health risk behavior survey is college students' sex and sex-related behaviors.
Content, and the so-called "dangerous behavior" obviously refers to those behaviors that "easily lead to sexual transmission".
Causes of sexually transmitted diseases and unwanted pregnancy behavior. In other words, according to our country.
The current situation of adolescent sexual behavior, step up the formulation of targeted prevention and intervention strategies.
The measure itself is a contribution to improving human reproductive health [3].
This study is the first time among ordinary college students in China.
A survey of representative sex and sex-related behaviors. The total reporting rate of sexual behavior in this group.
9.9%. However, among those college students who reported sexual behavior, it exceeded 1/3.
Have had sexual relations with more than 2 people; Among the college students who reported having sex, only
Less than 50% people used condoms in their recent sexual behavior. It can be seen that despite the purpose
The incidence of sexual behavior in former China University is not high, but it is unsafe.
But it is very eye-catching. The report rate of girls having multiple sexual partners is lower than that of boys, suggesting that they are interested in sex appeal.
Partners are more single-minded than boys. The reporting rate of girls' forced sexual behavior is significantly higher than that of girls.
Boys, suggesting that they are still in a weak position in sexual relations, are more likely to succumb to others.
Sexual requirements. Compulsive behavior mostly occurs in unprotected state, which is easy to cause sexual transmission.
The spread of communicable diseases and the emergence of unwanted pregnancies. Girls use condoms more than boys.
Consciousness; The higher the grade, the higher the condom use rate in sexual behavior, suggesting that with the increase of age.
With the growth of age, college students' awareness of self-protection is obviously enhanced. However, on the whole, China.
The condom use rate of college students is still lower than that of American teenagers (57. 9% 2006 54 38+0，
62.8% in 2005 and 61.5% in 2007) [8-11]. At present, many places in our country
Sex education is carried out in universities in all districts, but the intensity and pertinence are far from enough.
Yes Different grades of college students should adopt different contents of sex education: junior students
We should focus on the education of sexual knowledge and attitude, and guide them how to have proper heterosexual intercourse.
Go; Senior students need to provide skills-based education and training, such as how to correctly
Ways to refuse others' sexual demands, how to control their sexual impulses, etc. For college students
The regional comparison of sex and sex-related behaviors shows that the sexual behaviors of students in the western region have been reported.
The reporting rate is obviously higher than that in the eastern and central regions, but the condom use rate has not kept up and is directly behind.
One result is a high reporting rate of unwanted pregnancies. This research is limited by the method (questionnaire).
System, unable to compare the reasons for the differences in group behavior in different regions, but no.
There are doubts about the gender of western groups (especially female college students) with relatively weak foundation of health education.
Attention should be paid to health education and protective intervention.
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