生殖健康教育对大学新生安全套使用自我效能及意向的影响

王洋; 庹琳; 刘玮; 杨玲玲; 孙昕霙; 常春; 史宇晖

doi:10.16835/j.cnki.1000-9817.2022.06.013

生殖健康教育对大学新生安全套使用自我效能及意向的影响

doi: 10.16835/j.cnki.1000-9817.2022.06.013

王洋¹,
庹琳²,
刘玮²,
杨玲玲¹,
孙昕霙³,
常春³,
史宇晖^3, ,

1.
北京大学医学部医院保健科，北京 100191
2.
北京大学医学部医院管理处
3.
北京大学公共卫生学院社会医学与健康教育系

详细信息

作者简介:
王洋(1983-)，女，河北唐山人，博士，主治医师，主要研究方向为妇幼儿少卫生与传染病防控

通讯作者:
史宇晖，E-mail：yuhuishibmu@bjmu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G647.8 R179 R193
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出版历程
- 收稿日期: 2021-12-30
- 修回日期: 2022-02-23
- 网络出版日期: 2022-06-23
- 刊出日期: 2022-06-25

Effect of reproductive health education on self-efficacy and intention of condom use among college freshmen

1.
Department of Prevention and Health Care, Hospital of Health Science Center, Peking University, Beijing (100191), China

摘要

摘要: 目的分析中学生殖健康教育对大学新生安全套使用自我效能及意向的影响，为生育力保护相关干预活动和政策制定提供证据。方法采用分层随机整群抽样方法，对北京市3 001名大学新生进行安全套使用自我效能及意向问卷调查。使用χ²检验、t检验和方差分析进行差异比较，采用多元线性和Logistic回归模型分析安全套使用自我效能和使用意向的影响因素。结果北京市大学新生在中学接受生殖健康教育报告率为65.11%(1 954名)；生源地为城市的大学新生在中学接受生殖健康教育报告率为71.11%(1 216名)，高于生源地为非城市的新生(59.36%)(P < 0.05)。中学接受生殖健康教育的大学新生，联合国大会艾滋病特别会议指标总分[(4.22±0.90，4.05±0.98)分]、安全套使用自我效能总分[(24.64±5.34，23.09±4.93)分]和安全套使用意向(82.44%，70.88%)均高于中学未接受生殖健康教育的新生(P值均 < 0.01)。多元线性回归分析发现，中学接受生殖健康教育的大学新生安全套使用自我效能总分比未接受过生殖健康教育新生高(β=1.21，95%CI=0.79~1.63，P < 0.01)。多因素Logistic回归结果显示，中学接受生殖健康教育的大学新生安全套使用意向高于未接受过生殖健康教育新生(OR=1.63，95%CI=1.33~2.01，P < 0.01)。结论在中学接受生殖健康教育可以提高大学新生安全套使用自我效能和意向，有助于大学生安全性行为的实施，对生育力保护具有重要意义。
- 生殖 /
- 健康教育 /
- 避孕套 /
- 回归分析 /
- 学生
Abstract: Objective To analyze the influence of reproductive health education in middle school on self-efficacy and intention of condom use among college freshmen, so as to provide evidence for fertility protection-related intervention and policy-making. Methods A questionnaire survey was conducted among college freshmen in Beijing by hierarchical cluster sampling method. A total of 3 001 students were surveyed. The difference was compared by using χ² test and ANOVA. Multivariate linear and Logistic regression model was used to analyze the influencing factors associated with condom-use self-efficacy and condom-use intention. Results The overall rate that reproductive health education received before college among freshmen in Beijing was 65.11%. The college freshmen from urban areas reported more adequate reproductive health education (71.11%) than those from non-urban areas before college (59.36%)(P < 0.05). The total scores of UNGASS (4.22±0.90 vs 4.05±0.98), condom use self-efficacy (24.64±5.34 vs 23.09±4.93) and the intention of condom-use (82.44% vs 70.88%) of college freshmen received reproductive health education in middle school were higher than those of college students without pre-college reproductive health education(P < 0.01). Multiple linear regression analysis showed that the score of condom-use self-efficacy of college students received pre-college reproductive health education was higher than those without pre-college reproductive health education(β=1.21, 95%CI=0.79-1.63, P < 0.01). Multivariate Logistic regression analysis showed that reproductive health, the intention of condom-use of college freshmen who received pre-college reproductive health education was higher than that of college freshmen without reproductive health education(OR=1.63, 95%CI=1.33-2.01, P < 0.01). Conclusion Reproductive health education in middle school can improve college freshmen's self-efficacy and intention of condom use, contribute to the implementation of safe sex, and is of great significance to the protection of college students' fertility.
- Reproduction /
- Health education /
- Condoms /
- Regression analysis /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 不同组别大学新生在中学接受过生殖健康教育报告率比较

Table 1. Comparison of report rates of reproductive health education among freshmen in different groups in middle school

组别	选项	人数	接受人数	χ²值	P值
性别	女	1 180	806(68.31)	4.21	0.04
	男	1 751	1 132(64.65)
民族	汉族	2 568	1 687(65.69)	1.51	0.22
	少数民族	367	253(68.94)
生源地	城市	1 710	1 216(71.11)	43.45	<0.01
	非城市	1 196	710(59.36)
专业	人文社科	255	165(64.71)	3.52	0.17
	理工学科	2 113	1 382(65.40)
	医药学科	585	406(69.40)
注：()内数字为报告率/%。各组数据均存在缺失项。

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表 2 大学新生安全套使用自我效能影响因素的多元线性回归分析(n=3 001)

Table 2. Multiple linear regression analysis of influencing factors of condom use self-efficacy among college freshmen(n=3 001)

自变量	选项	B值	标准误	β值(β值95%CI)	t值	P值
性别	女	0.15	0.21	1.59(1.17~2.00)	7.54	< 0.01
专业	人文	-0.04	0.37	-0.66(-1.38~0.07)	-1.88	0.08
	医药	0.03	0.26	0.36(-0.15~0.87)	1.37	0.17
生源地	城市	0.09	0.21	0.99(0.58~1.39)	4.79	< 0.01
中学生殖健康教育	有	0.11	0.21	1.21(0.79~1.63)	5.64	< 0.01
UNGASS总分		0.13	0.11	0.76(0.55~0.98)	6.96	< 0.01
注：自变量分别以男、理工、非城市、中学未接受过生殖健康教育为参照组，UNGASS总分为连续型变量。

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表 3 大学新生安全套使用意向影响因素的多因素Logistic回归分析(n=3 001)

Table 3. Logistics regression analysis of factors affecting the intention to use condoms among college freshmen(n=3 001)

自变量	选项	β值	标准误	OR值(OR值95%CI)	t值	P值
性别	女	-0.03	0.11	0.97 (0.78~1.21)	0.07	0.80
专业	人文	-0.09	0.21	0.91(0.61~1.37)	0.19	0.66
	医药	0.04	0.14	1.05(0.80~1.37)	0.10	0.75
生源地	城市	0.28	0.11	1.32(1.07~1.62)	6.95	0.01
中学接受生殖健康教育	有	0.49	0.11	1.63(1.33~2.01)	21.93	< 0.01
UNGASS总分		0.31	0.05	1.36(1.23~1.50)	34.33	< 0.01
安全套自我效能总分		0.11	0.01	1.12(1.10~1.15)	115.75	< 0.01
注：自变量分别以男、理工、非城市、中学未接受过生殖健康教育为参照组，UNGASS总分和安全套自我效能总分为连续型变量。

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参考文献(22)

[1]	国务院新闻办公室. 第七次全国人口普查主要数据结果新闻发布会答记者问[EB/OL]. (2021-05-11)[2021-05-26]. http://www.stats.gov.cn/ztjc/zdtjgz/zgrkpc/dqcrkpc/ggl/202105/t20210519_1817702.html. State Council Information Office of the PRC. Answer questions at the press conference on the main data of the seventh national census[EB/OL]. (2021-05-11)[2021-05-26]. http://www.stats.gov.cn/ztjc/zdtjgz/zgrkpc/dqcrkpc/ggl/202105/t20210519_1817702.html.
[2]	QIAO J, WANG Y Y, LI X H, et al. A lancet commission on 70 years of women's reproductive, maternal, newborn, child, and adolescent health in China[J]. Lancet, 2021, 397(10293): 2497-2536. doi: 10.1016/S0140-6736(20)32708-2
[3]	马军. 儿童青少年主要健康问题和研究热点[J]. 中国学校卫生, 2020, 41(9): 1281-1284. doi: 10.16835/j.cnki.1000-9817.2020.09.001 MA J. Major health issues and research hotspots in child and adolescent health[J]. Chin J Sch Health, 2020, 41(9): 1281-1284. doi: 10.16835/j.cnki.1000-9817.2020.09.001
[4]	DONG Y, WANG L, BURGNER D P, et al. Infectious diseases in children and adolescents in China: analysis of national surveillance data from 2008 to 2017[J]. BMJ, 2020, 369: 1043.
[5]	吴尚纯, 邱红燕. 中国人工流产的现状与对策建议[J]. 中国医学科学院学报, 2010, 32(5): 479-482. doi: 10.3881/j.issn.1000-503X.2010.05.001 WU S C, QIU H Y. Induced abortion in China: problems and intervention[J]. Acta Acad Med Sinicase, 2010, 32(5): 479-482. doi: 10.3881/j.issn.1000-503X.2010.05.001
[6]	RENNER R M, GUZMAN A D, BRAHMI D. Abortion care for adolescent and young women[J]. Int J Gynaecol Obstet, 2014, 12(1): 1-7.
[7]	冯经喜, 孙淑湘, 梁宝珠. 青少年重复人工流产对生殖健康影响的探讨[J]. 中国优生与遗传杂志, 2015, 23(8): 81-82. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYA201508036.htm FENG J X, SUN S X, LIANG B Z. Study on the effect of repeated induced abortion on reproductive health in adolescents[J]. Chin J Rugen Genet, 2015, 23(8): 81-82. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYA201508036.htm
[8]	张鹏, 林涛, 赵希畅, 等. MSM性行为特征及安全套使用影响因素分析[J]. 中国艾滋病性病, 2015, 21(6): 534-535. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201506028.htm ZHANG P, LIN T, ZHAO X C, et al. Analysis of sexual behavior characteristics of MSM and influencing factors of condom use[J]. Chin J AIDS STD, 2015, 21(6): 534-535. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201506028.htm
[9]	朱广荣, 孙江平, 彭钊, 等. 云南某县暗娼安全套使用相关行为的自我效能的调查分析[J]. 中国健康教育, 2003, 19(2): 105-107. doi: 10.3969/j.issn.1002-9982.2003.02.011 ZHU G R, SUN J P, PENG Z, et al. Investigation and analysis of self-efficacy of condom use-related behaviors among female sex workers in a county of Yunnan[J]. Chin J Health Educ, 2003, 19(2): 105-107. doi: 10.3969/j.issn.1002-9982.2003.02.011
[10]	孙昕霙, 史宇晖, 王培玉, 等. 我国大学生艾滋病相关知识态度行为及其影响因素分析[J]. 中国学校卫生, 2010, 31(3): 270-273. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201003005.htm SUN X Y, SHI Y H, WANG P Y, et al. AIDS related knowledge, attitudes and behaviors and influencing factors among college students in China[J]. Chin J Sch Health, 2010, 31(3): 270-273. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201003005.htm
[11]	余小鸣, 郭帅军, 徐震雷, 等. 中国青少年性与生殖健康教育现况及效果的系统评价[J]. 中国性科学, 2012, 21(4): 41-44. doi: 10.3969/j.issn.1672-1993.2012.04.015 YU X M, GUO S J, XU Z L, et al. A Meta-analysis on the status and effects of sex and reproductive health education for adolescents in China[J]. Chin J Human Sex, 2012, 21(4): 41-44. doi: 10.3969/j.issn.1672-1993.2012.04.015
[12]	KIRBY D B, LARIS B A, ROLLERI L A. Sex and HIV education programs: their impact on sexual behaviors of young people throughout the world[J]. J Adolesc Health, 2007, 40(3): 206-217. doi: 10.1016/j.jadohealth.2006.11.143
[13]	赵芮, 张磊, 富晓星, 等. 中国11省市青少年性与生殖健康知识、态度及行为调查[J]. 中国公共卫生, 2019, 35(10): 1330-1338. doi: 10.11847/zgggws1124531 ZHAO R, ZHANG L, FU X X, et al. Sexual and reproductive health related knowledge, attitude and behavior among senior high school and college students in 11 provinces and municipalities of China[J]. Chin J Public Health, 2019, 35(10): 1330-1338. doi: 10.11847/zgggws1124531
[14]	郭凌风, 肖瑶, 芦鸣祺, 等. 基于全面性教育的初中生性知识态度和行为调查[J]. 中国学校卫生, 2020, 41(10): 1455-1458. doi: 10.16835/j.cnki.1000-9817.2020.10.004 GUO L F, XIAO Y, LU M Q, et al. Survey of sexual knowledge, attitudes and behaviors of junior high school students: based on comprehensive sexuality education[J]. Chin J Sch Health, 2020, 41(10): 1455-1458. doi: 10.16835/j.cnki.1000-9817.2020.10.004
[15]	杜国平, 李海宁, 吕玉梅, 等. 江苏籍大学生新生性教育性态度及性行为现况调查[J]. 中国艾滋病性病, 2020, 26(11): 1197-1201. DU G P, LI H N, LYU Y M, et al. Sexual education, attitude and behavior among college freshmen from Jiangsu province[J]. Chin J AIDS STD, 2020, 26(11): 1197-1201.
[16]	ALETHEA D, THERESA B, YASMINE K, et al. A systematic review of sexual and reproductive health interventions for young people in humanitarian and lower-and-middle-income country settings[J]. BMC Public Health, 2020, 20: 666. doi: 10.1186/s12889-020-08818-y
[17]	LAUREN T, RACHEL C, SUMMER R, et al. The impact of a sexual and reproductive health intervention for American Indian adolescents on predictors of condom use intention[J]. J Adolesc Health, 2017, 60(3): 284-291. doi: 10.1016/j.jadohealth.2016.08.025
[18]	MENGJIA L, SANDILE S, GUILLEN F F, et al. The state of adolescent sexual and reproductive health[J]. J Adolesc Health, 2019, 65(6): S3-S15. doi: 10.1016/j.jadohealth.2019.09.015
[19]	联合国教科文组织. 国际性教育技术指导纲要[R]. 法国: 联合国教科文组织出版社, 2018. United Nations Educational, Scientific and Cultceral Organization. International technical guidance on sexuality education: an evidence-informed approach[R]. France: UNESCO, 2018.
[20]	张震, 陈新, 叶小红, 等. 娱乐场所女性性工作者安全套使用自我效能调查及影响因素[J]. 中国艾滋病性病, 2018, 24(4): 403-409. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201804025.htm ZHANG Z, CHEN X, YE X H, et al. Analysis on self-efficacy of condom use among female sex workers[J]. Chin J AIDS STD, 2018, 24(4): 403-409. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201804025.htm
[21]	唐蓉, 卫平民, 刘洋阳. 高等职业院校新生2590例艾滋病知识知晓及安全套使用态度影响因素分析[J]. 中国皮肤性病学杂志, 2022, 36(2): 193-198, 215. https://www.cnki.com.cn/Article/CJFDTOTAL-ZBFX202202013.htm TANG R, WEI P M, LIU Y Y. Investigation of knowledge (AIDS) and attitude (condom use) of 2 590 freshmen in higher vocational colleges and analysis of factors on the attitude[J]. Chin J Dermatovenereol, 2022, 36(2): 193-198, 215. https://www.cnki.com.cn/Article/CJFDTOTAL-ZBFX202202013.htm
[22]	杜国平, 郁轻舟, 王亚青, 等. 江苏大一新生艾滋病认知情况及其对性态度性行为的影响[J]. 中国学校卫生, 2020, 41(11): 1661-1667. doi: 10.16835/j.cnki.1000-9817.2020.11.017 DU G P, YU Q Z, WANG Y Q, et al. AIDS-related knowledge among college freshmen and its influence on sexual attitudes and behaviors in Jiangsu Province[J]. Chin J Sch Health, 2020, 41(11): 1661-1667. doi: 10.16835/j.cnki.1000-9817.2020.11.017