Volume 45 Issue 7
Jul.  2024
Turn off MathJax
Article Contents
TANG Zhengyan, ZHANG Yongai, LI Xiaomei. Status and associated factors of the knowledge and health education needs about sexual abuse of middle school students in rural areas[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 969-973. doi: 10.16835/j.cnki.1000-9817.2024214
Citation: TANG Zhengyan, ZHANG Yongai, LI Xiaomei. Status and associated factors of the knowledge and health education needs about sexual abuse of middle school students in rural areas[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 969-973. doi: 10.16835/j.cnki.1000-9817.2024214

Status and associated factors of the knowledge and health education needs about sexual abuse of middle school students in rural areas

doi: 10.16835/j.cnki.1000-9817.2024214
  • Received Date: 2024-04-16
  • Rev Recd Date: 2024-05-13
  • Available Online: 2024-07-27
  • Publish Date: 2024-07-25
  •   Objective  To explore the status and associated factors of the knowledge and health education needs about child sexual abuse of middle school students by sex, so as to provide a basis for targeted safety education of preventing child sexual abuse.  Methods  From June to July 2023, 1 256 junior high school students from 2 middle schools in southern area of Shaanxi Province were selected by a convenience sampling method. A self-designed general information questionnaire, Children's Sexual Assault Cognition Questionnaire, and Health Education Needs Questionnaire were used for questionnaire survey. Group comparisons were conducted using t-tests, analysis of variance, and Chi-square tests. Multiple linear regression analysis was used to explore the factors related to cognitive scores of sexual assault, and binary Logistic regression analysis was used to explore the factors related to the willingness of middle school students to receive sexual assault safety education.  Results  The correct response rate of the participants for knowledge of sexual assault cognition (CSA) was (80.97±12.09)%. For each item, the correct response rate ranged 46.7%-97.2%. The correct rate (78.98±12.23)% of male students' knowledge of CSA was lower than female students (83.17±11.55)% statistically (t=-6.23, P < 0.01). The factors influencing the participants' knowledge of CSA included gender (β=0.16), mother's occupation (β=0.07) and experience of CSA safety education (β=0.10) (P < 0.05). Most students (92.7%) were willing to receive CSA education. Girls (OR=1.72, 95%CI=1.06-2.77) and students who previously received CSA education (OR=6.98, 95%CI=4.44-10.96) had more willingness to receive CSA education (P < 0.05). A total of 71.8% of middle school students preferred their parents as educators, while 43.4% of students chose on-site instruction as the preferred method of CSA education.  Conclusions  Middle school students have a strong willingness to accept CSA safety education. Knowledge of CSA and willingness to receive CSA safety education are related to gender and previous educational experience.
  • loading
  • [1]
    FANG X, FRY D A, JI K, et al. The burden of child maltreatment in China: a systematic review[J]. Bull World Health Organ, 2015, 93(3): 176-185C. doi: 10.2471/BLT.14.140970
    [2]
    MA Y. Prevalence of childhood sexual abuse in China: a Meta-analysis[J]. J Child Sex Abus, 2018, 27(2): 107-121. doi: 10.1080/10538712.2018.1425944
    [3]
    PUTNAM F W. Ten-year research update review: child sexual abuse[J]. J Am Acad Child Adolesc Psychiatry, 2003, 42(3): 269-278. doi: 10.1097/00004583-200303000-00006
    [4]
    邵丽晶. 我国农村留守中学生性侵犯发生现状及影响因素研究[D]. 武汉: 武汉科技大学, 2021.

    SHAO L J. Study on the prevalence and influencing factors of sexual abuse among rural left-behind middle school children in China[D]. Wuhan: Wuhan University of Science and Technology, 2021. (in Chinese)
    [5]
    OCHOA M K, CONSTANTIN K. Impacts of child sexual abuse: the mediating role of future orientation on academic outcomes[J]. Child Abuse Negl, 2023, 145: 106437. doi: 10.1016/j.chiabu.2023.106437
    [6]
    LU M, BARLOW J, MEINCK F, et al. Unpacking school-based child sexual abuse prevention programs: a realist review[J]. Trauma Violence Abuse, 2023, 24(4): 2067-2081. doi: 10.1177/15248380221082153
    [7]
    ZHANG W, CHEN J, FENG Y, et al. Young children's knowledge and skills related to sexual abuse prevention: a pilot study in Beijing, China[J]. Child Abuse Negl, 2013, 37(9): 623-630. doi: 10.1016/j.chiabu.2013.04.018
    [8]
    JIN Y, CHEN J, YU B. Knowledge and skills of sexual abuse prevention: a study on school-aged children in Beijing, China[J]. J Child Sex Abuse, 2016, 25(6): 686-696. doi: 10.1080/10538712.2016.1199079
    [9]
    陈晶琦, 金怡晨, 姜颖颖, 等. 某农村地区小学生预防性侵犯知识和技能调查[J]. 中国性科学, 2017, 26(8): 150-153. doi: 10.3969/j.issn.1672-1993.2017.08.048

    CHEN J Q, JIN Y C, JIANG Y Y, et al. Knowledge and skills of child sexual abuse prevention among school-age children in a rural area[J]. Chin J Hum Sex, 2017, 26(8): 150-153. (in Chinese) doi: 10.3969/j.issn.1672-1993.2017.08.048
    [10]
    向兵, 李妍, 郭清, 等. 农村中小学生有关性侵犯认知情况及其影响因素分析[J]. 中华疾病控制杂志, 2017, 21(4): 391-394. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201704018.htm

    XIANG B, LI Y, GUO Q, et al. Analysis on the knowledge and risk factors for child sexual abuse among school children in rural area[J]. Chin J Dis Control Prev, 2017, 21(4): 391-394. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201704018.htm
    [11]
    TUTTY L M. The revised children's knowledge of abuse questionnaire: development of a measure of children's understanding of sexual abuse prevention concepts[J]. Soc Work Res, 1995, 19(2): 112-120. doi: 10.1093/swr/19.2.112
    [12]
    TUTTY L M. Children's Knowledge of Abuse Questionnaires (CKAQ)-Short: two brief ten-item measures of knowledge about child sexual abuse concepts[J]. J Child Sex Abus, 2020, 29(5): 513-530. doi: 10.1080/10538712.2019.1688443
    [13]
    陈晶琦, 冯亚男, 金怡晨, 等. 某农村地区学校预防性侵犯教育对儿童知识和技能的影响[J]. 中国学校卫生, 2019, 40(1): 39-41. doi: 10.16835/j.cnki.1000-9817.2019.01.010

    CHEN J Q, FENG Y N, JIN Y C, et al. Impact of a school-based sexual abuse prevention education program on knowledge and skills among rural children[J]. Chin J Sch Health, 2019, 40(1): 39-41. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.01.010
    [14]
    SALLOUM A, JOHNCO C, ZEPEDA-BURGOS R M, et al. Parents' knowledge, attitudes, and experiences in child sexual abuse prevention in El Salvador[J]. Child Psychiatry Hum Dev, 2020, 51(3): 343-354. doi: 10.1007/s10578-019-00946-w
    [15]
    HASSAN MA, GARY F, KILLION C, et al. Patterns of sexual abuse among children: victims' and perpetrators' characteristics[J]. J Agress Maltreat Trauma, 2015, 24: 400-418. doi: 10.1080/10926771.2015.1022289
    [16]
    中国少年儿童文化艺术基金会女童保护基金, 北京众一公益基金会. "女童保护" 2021年性侵儿童案例统计及儿童防性侵教育调查报告[EB/OL]. (2022-03-02)[2024-05-13]. https://i.ifeng.com/c/8E3ThpCGrpJ.

    Protection Fund of China Children's Culture and Arts Foundation Girls', Beijing Zhongyi Public Welfare Foundation. Report on the statistics of child sexual assault cases and the investigation of child sexual assault prevention education in 2021 under the "Protection of Girls" program[EB/OL]. (2022-03-02)[2024-05-13]. https://i.ifeng.com/c/8E3ThpCGrpJ. (in Chinese)
    [17]
    FINKELHOR D, TURNER H A, SHATTUCK A, et al. Violence, crime, and abuse exposure in a national sample of children and youth: an update[J]. JAMA Pediatr, 2013, 167(7): 614-621. doi: 10.1001/jamapediatrics.2013.42
    [18]
    CHOI Y H. A study of experience of sex education, awareness of sexual abuse, sex knowledge, and sexual consciousness of children[J]. Korean J Commun Living Sci, 2013, 24: 355-368. doi: 10.7856/kjcls.2013.24.3.355
    [19]
    徐英, 郭艳芳, 李志学, 等. 低龄儿童家长应对儿童性侵犯的行为反应及影响因素[J]. 中国学校卫生, 2021, 42(2): 240-244. doi: 10.16835/j.cnki.1000-9817.2021.02.020

    XU Y, GUO Y F, LI Z X, et al. Responses to child sexual assaults and associated factors among parents of young children[J]. Chin J Sch Health, 2021, 42(2): 240-244. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.02.020
    [20]
    ALZOUBI F A, ALI R A, FLAH I H, et al. Mothers' knowledge & perception about child sexual abuse in Jordan[J]. Child Abuse Negl, 2018, 75: 149-158. doi: 10.1016/j.chiabu.2017.06.006
    [21]
    GUBBELS J, CLAUDIA E V D P, STAMS G J M, et al. Effective components of school-based prevention programs for child abuse: a Meta-analytic review[J]. Clin Child Fam Psychol Rev, 2021, 24(3): 553-578. doi: 10.1007/s10567-021-00353-5
    [22]
    CHEN J, DUNNE M P, HAN P. Prevention of child sexual abuse in China: knowledge, attitudes, and communication practices of parents of elementary school children[J]. Child Abuse Negl, 2007, 31(7): 747-755. doi: 10.1016/j.chiabu.2006.12.013
    [23]
    WALSH K, ZWI K, WOOLFENDEN S, et al. School-based education programmes for the prevention of child sexual abuse[J]. Cochrane Database Systematic Rev, 2015(4): CD004380.
    [24]
    LUAN H, WAN G, SUN X, et al. A scoping review of programs to prevent child sexual abuse in mainland China[J]. Trauma Violence Abuse, 2023, 24(5): 3647-3661. doi: 10.1177/15248380221137043
    [25]
    陈晶琦, 陈铂, 吴玥娇, 等. 126名小学教师预防儿童性侵犯教育培训及开展相关教育情况调查研究[J]. 中国妇幼卫生杂志, 2020, 11(6): 5-8, 20. https://www.cnki.com.cn/Article/CJFDTOTAL-YZWS202006004.htm

    CHEN J Q, CHEN B, WU Y J, et al. Training and education practice about the prevention of child sexual abuse among 126 primary school teachers[J]. Chin J Women Children Health, 2020, 11(6): 5-8, 20. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YZWS202006004.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (204) PDF downloads(35) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return