中学生对利用网络开展性教育的认知及影响因素分析

夏瑞宏; 陈佳俊; 瞿先国

doi:10.16835/j.cnki.1000-9817.2022.04.009

中学生对利用网络开展性教育的认知及影响因素分析

doi: 10.16835/j.cnki.1000-9817.2022.04.009

夏瑞宏¹,
陈佳俊²,
瞿先国^{1, 3, ,}

1.
浙江中医药大学第四临床医学院，杭州 310053
2.
浙江中医药大学第二临床医学院
3.
杭州市第一人民医院科研部

基金项目:

浙江省大学生创新创业训练项目 S202010344059

浙江中医药大学研究生教育教学改革项目 YJSYB2021007

详细信息

作者简介:
夏瑞宏(1999-)，女，浙江湖州人，在读本科

通讯作者:
瞿先国，E-mail：quxianguo@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G478 R179
计量
- 文章访问数: 705
- HTML全文浏览量: 384
- PDF下载量: 35
- 被引次数: 0
出版历程
- 收稿日期: 2021-10-22
- 修回日期: 2022-02-09
- 网络出版日期: 2022-04-25
- 刊出日期: 2022-04-25

Awareness of Internet-based sex education and associated factors among middle school students

1.
The Fourth Clinical Medical College of Zhejiang Chinese Medicine University, Hangzhou (310053), China

摘要

摘要: 目的探究中学生对于利用网络开展性教育的认知情况及其影响因素，为采取措施提高有关网络平台的性教育能力提供科学依据。方法采用分层整群随机抽样方法，利用自行设计的问卷，对抽取的浙江省内8所中学449名学生进行问卷调查，采用χ²检验、Logistic回归、“重要性-满意度”(importance-performance analysis, IPA)模型分析等方法进行分析。结果中学生对于利用网络开展性教育知晓率为66.59%(299名)，17.15%(77名)中学生选择“微信公众号”、7.35%(33名)中学生选择“性教育网站”、42.09%(189名)中学生选择“视频平台”作为网络性教育的主要途径。中学生性健康素养中，性安全与性侵害维度下的条目正确率均高于40%；性疾病传播与预防维度下的条目正确率均高于70%；性生理与性发育维度下的条目正确率均高于80%。Logistic回归分析结果显示，性健康素养得分更高的中学生对利用网络开展性教育的认知更高(OR=1.06，95%CI=1.01~1.11，P < 0.05)。根据IPA法显示，教学效果和教学内容在优势区，趣味性在保持区，实用性和互动性在机会区，课程模式在改进区。结论中学生利用网络开展性教育的认知情况有待提高。应努力提升中学生性健康素养水平。提供性教育线上网络平台应重点改善课程模式，加强课程的实用性和互动性，继续保持课程的教学效果、教学内容、趣味性方面。
- 因特网 /
- 性教育 /
- 认知 /
- 回归分析 /
- 学生
Abstract: Objective To investigate the awareness of Internet-based sex education and associated among middle school students, and to provide scientific basis to improve sex education using online resources. Methods By using stratified cluster random sampling method, 449 students from 8 middle schools in Zhejiang Province were investigated with a self-designed questionnaire by Chi-square test, Logistic regression, and Importance Performance Analysis (IPA). Results The awareness of Internet-based sex education was 66.59%(299), among which 17.15%(77) chose "WeChat", 7.35%(33) chose "sex education website", and 42.09%(189) chose"video platform" as the primary resources of online sex education, respectively. In the sexual health literacy of middle school students, the correct rate in sexual safety and sexual assault was higher than 40%, with STD transmission and prevention higher than 70%. The correct rate was more than 80% when it came to sexual physiology and sexual development. Logistic regression analysis showed that higher score of sexual health literacy was associated with higher awareness of Internet-based sex education (OR=1.06, 95%CI=1.01-1.11, P < 0.05). According to the IPA, the teaching effect and content in area A (the dominant area) had higher scores of importance and satisfaction.The funniness of content in area B (retention area) had a lower importance score and a higher satisfaction score. The practicality and interactivity in area C (opportunity area) had low scores of importance and satisfaction. The curriculum model in area D (improvement area) scored higher in importance and lower in satisfaction. Conclusion The awareness of Internet-based sex education needs to be improved among middle school students. Efforts should be made to improve sexual health literacy. Online platforms providing sex education should focus on improving the relevant course model, strengthening the practicability and interactivity of the course, and continue to maintain the advantage of teaching effect, teaching content and interesting aspects of the course.
- Internet /
- Sex education /
- Cognition /
- Regression analysis /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

HTML全文

表 1 不同组别中学生对于网络性教育认知的单因素分析

Table 1. Analysis on the cognition of online sex education among different groups of middle school students

组别	分组	人数	报告人数	χ²值	P值
性别	男	215	144(66.98)	0.03	0.87
	女	234	155(66.24)
教学效果	满意	317	224(70.66)	8.03	< 0.01
	不满意	132	75(56.82)
教学内容	满意	291	208(71.48)	36.47	< 0.01
	不满意	158	91(57.59)
课程模式	满意	284	194(68.31)	1.03	0.31
	不满意	165	105(63.64)
趣味性	满意	295	212(71.86)	10.75	< 0.01
	不满意	154	87(56.49)
互动性	满意	274	198(72.26)	10.16	< 0.01
	不满意	175	101(57.71)
实用性	满意	278	198(71.22)	7.04	0.01
	不满意	171	101(59.06)
注： ()内数字为报告率/%。

下载: 导出CSV

表 2 中学生对于网络性教育认知的多因素非条件Logistic回归分析(n=449)

Table 2. Multivariate unconditional Logistic regression analysis on the factors related to of middle school students' cognition on online sex education (n=449)

自变量	β值	标准误	P值	OR值(OR值95%CI)
性健康素养	0.06	0.02	0.02	1.06(1.01~1.11)
教学效果	0.06	0.34	0.78	1.10(0.56~2.15)
教学内容	0.21	0.34	0.54	1.23(0.63~2.39)
趣味性	0.34	0.34	0.32	1.41(0.72~2.75)
互动性	0.27	0.32	0.41	1.31(0.70~2.45)
实用性	-0.07	0.34	0.83	0.93(0.48~1.81)

下载: 导出CSV

参考文献(16)

[1]	World Health Organization. The sexual and reproductive health of younger adolescents: research issues in developing countries[EB/OL]. (2018-09-02)[2021-10-22]. https://toolkits.knowledgesuccess.org/toolkits/very-young-adolescent-sexual-and-reproductive-heal-th-clearinghouse/sexual-and-reproductiv-0.
[2]	中国疾病预防控制中心性病艾滋病预防控制中心. 艾滋病防治宣传教育核心知识[EB/OL]. (2019-11-29)[2021-10-22]. http://ncaids.chinacdc.cn/zxzx/zxdteff/201910/t20191024_206453.htm. National Center for AIDS/STD Control and Prevention, China CDC. Core knowledge of AIDS prevention and control education[EB/OL]. (2019-11-29)[2021-10-22]. http://ncaids.chinacdc.cn/zxzx/zxdteff/201910/t20191024_206453.htm.
[3]	中共中央国务院印发《"健康中国2030"规划纲要》[J]. 中华人民共和国国务院公报, 2016(32): 5-20. CPC Central Committee and State Council issued the "Healthy China 2030" Planning Outline[J]. Gazette State Council PRC, 2016(32): 5-20.
[4]	共青团中央维护青少年权益部, 中国互联网络信息中心. 《2020年全国未成年人互联网使用情况研究报告》在京发布[EB/OL]. (2021-07-20)[2021-10-22]. http://www.cnnic.cn/hlwfzyj/hlwxzbg/qsnbg/202107/t20210720_71505.htm. Youth Rights Protection Department of the Central Committee of the Communist Youth League, China Internet Network Information Center "2020 National Research Report on Internet Usage of Minors" released in Beijing[EB/OL]. (2021-07-20)[2021-10-22]. http://www.cnnic.cn/hlwfzyj/hlwxzbg/qsnbg/202107/t20210720_71505.htm.
[5]	邓钦元. 高中生性心理健康量表的编制[D]. 昆明: 云南师范大学, 2019. DENG Q Y. Compilation of questionnaire on sexual psychological health in senior student[D]. Kunming: Yunnan Normal University, 2019.
[6]	朱云霞. 基于学生感知的课程教学质量提升研究: IPA分析法在程序设计类课程改革中的应用[J]. 大学教育, 2021(8): 188-190, 195. doi: 10.3969/j.issn.2095-3437.2021.08.057 ZHU Y X. Research on curriculum teaching quality improvement based on student sense: application of IPA analysis in programming curriculum reform[J]. Univ Educ, 2021(8): 188-190, 195. doi: 10.3969/j.issn.2095-3437.2021.08.057
[7]	詹依依, 陈功. 主流媒体微信视频号实践现状与不足探析: 以"央视新闻"视频号为例[J]. 新闻前哨, 2021(8): 47-48. doi: 10.3969/j.issn.1003-2827.2021.08.023 ZHAN Y Y, CHEN G. Analysis of the current situation and deficiencies of mainstream media WeChat video account practice: taking the "CCTV News" video account as an example[J]. Press Outpost, 2021(8): 47-48. doi: 10.3969/j.issn.1003-2827.2021.08.023
[8]	SIMONDS S K. Health education as social policy[J]. Health Educ Monographs, 1974, 2(Suppl 1): 1-10. doi: 10.1177/10901981740020s102?journalCode=heba
[9]	甘维, 杨丹, 祁欢, 等. 国内外医务人员健康素养研究现状[J]. 中国健康教育, 2021, 37(4): 346-349. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202104013.htm GAN W, YANG D, QI H, et al. A review on health literacy of medical staff at home and abroad[J]. Chin J Health Educ, 2021, 37(4): 346-349. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202104013.htm
[10]	王洋, 徐晓阳, 曹红梅, 等. 四川农村留守中学生性健康同伴教育干预效果评价[J]. 上海交通大学学报(医学版), 2014, 34(5): 719-724, 730. https://www.cnki.com.cn/Article/CJFDTOTAL-SHEY201405033.htm WANG Y, XU X Y, CAO H M, et al. Evaluation of intervention of peer-led education on sexual health of rural left-behind middle school studengts in Sichuan[J]. J Shanghai Jiaotong Univ(Med Sci), 2014, 34(5): 719-724, 730. https://www.cnki.com.cn/Article/CJFDTOTAL-SHEY201405033.htm
[11]	GHASEMI V, SIMBAR M, FAKARI F R, et al. The effect of peer education on health promotion of iranian adolescents: a systematic review[J]. Int J Pediatr, 2019, 7(3): 9139-9157.
[12]	沈洁, 陆梅, 陆珍, 等. 新媒体平台对青少年性与生殖健康教育需求识别的探索研究[J]. 中国性科学, 2016, 25(10): 147-149. https://www.cnki.com.cn/Article/CJFDTOTAL-XKXZ201610050.htm SHEN J, LU M, LU Z, et al. Exploring study of the new Wechat platform on adolescent sexual and reproductive health education[J]. Chin J Human Sex, 2016, 25(10): 147-149. https://www.cnki.com.cn/Article/CJFDTOTAL-XKXZ201610050.htm
[13]	赵茜. 5G时代新型数字教育资源及应用策略[J]. 西南师范大学学报(自然科学版), 2021, 46(11): 96-101. https://www.cnki.com.cn/Article/CJFDTOTAL-XNZK202111013.htm ZHAO Q. The new types of digital education resources and application strategies on 5G Era[J]. J Southwest China Normal Univ(Nat Sci Edit), 2021, 46(11): 96-101. https://www.cnki.com.cn/Article/CJFDTOTAL-XNZK202111013.htm
[14]	余小鸣, 张芯, 谭雪庆, 等. 学校性教育政策的国际间比较[J]. 中国学校卫生, 2018, 39(8): 1135-1139, 1143. doi: 10.16835/j.cnki.1000-9817.2018.08.005 YU X M, ZHANG X, TAN X Q, et al. Comparison of international policies on schools-based sexuality education[J]. Chin J Sch Health, 2018, 39(8): 1135-1139, 1143. doi: 10.16835/j.cnki.1000-9817.2018.08.005
[15]	金凤, 刁华, 蒲杨, 等. 同伴教育对中小学生青春期知识信念行为干预效果评价[J]. 中国学校卫生, 2021, 42(7): 987-990. doi: 10.16835/j.cnki.1000-9817.2021.07.007 JIN F, DIAO H, PU Y, et al. Effect of Peer education on adolescent knowledge, attitude and practice among primary and middle school students[J]. Chin J Sch Health, 2021, 42(7): 987-990. doi: 10.16835/j.cnki.1000-9817.2021.07.007
[16]	陈晓. 基于网络平台的同伴教育在多囊卵巢综合征护理中应用效果[J]. 实用中西医结合临床, 2019, 19(11): 161-162. https://www.cnki.com.cn/Article/CJFDTOTAL-SZXL201911084.htm CHEN X. Application effect of peer education based on network platform in nursing of polycystic ovary syndrome[J]. Pract Clin J Integr Tradit Chin Western Med, 2019, 19(11): 161-162. https://www.cnki.com.cn/Article/CJFDTOTAL-SZXL201911084.htm