Current status and association analysis of sexual attitudes， sexual safety awareness and refusal skills among junior high school students in the suburbs of Shanghai
10.19428/j.cnki.sjpm.2024.23294
- VernacularTitle:上海市郊区初中生性态度、性安全意识、拒绝技能的现状及关联分析
- Author:
Dongmei ZHAO
1
;
Yuyang CHEN
2
;
Hong JIANG
2
;
Haiqi WANG
1
;
Lifeng ZHANG
1
Author Information
1. Shanghai Jiading District Maternal and Child Health Hospital， Shanghai 201821， China
2. School of Public Health， Fudan University， Key Laboratory of Health Technology Evaluation， National Health Commission （Fudan University）， Shanghai 200032， China
- Publication Type:Journal Article
- Keywords:
adolescent;
sexual and reproductive health knowledge;
acceptance;
sexual safety awareness;
refusal skills for sex-related temptation
- From:
Shanghai Journal of Preventive Medicine
2024;36(4):375-381
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo understand the acceptance of sex-related behaviors， sexual safety awareness， and refusal skills among junior high school students and conduct association analysis， and to provide a reference for the implementation of sex and reproductive health education for adolescents. MethodsA questionnaire survey related to knowledge of sexual and reproductive health was conducted among 478 students from two junior high schools in Jiading District， Shanghai. ResultsThe pass rate for sex and reproductive health knowledge among junior high school students was only 36.6%， with acceptance rates for dating， watching pornography， engaging in sexual behavior， pregnancy， and artificial abortion at 24.5%， 11.1%， 5.6%， 4.8%， and 5.9%， respectively. Binary logistic regression analysis showed that students who passed the sexual and reproductive health assessment had a significantly lower acceptance rate of sex-related behaviors than those who did not （aOR=1.666， 95%CI： 1.124‒2.470， P=0.011）. Adolescents with a passing knowledge of sexual and reproductive health （aOR=1.607， 95%CI： 1.060‒2.438， P=0.026） or a lower acceptance of sex-related behaviors （aOR=4.199， 95%CI： 2.804‒6.289， P<0.001） had higher awareness of sexual safety. Adolescents with a passing knowledge of sexual and reproductive health （aOR=1.691， 95%CI： 1.066‒2.684， P=0.026）， a lower acceptance of sex-related behaviors （aOR=1.756， 95%CI： 1.130‒2.729， P=0.012）， or higher awareness of sexual safety （aOR=2.872， 95%CI： 1.826‒4.516， P<0.001） had stronger skills to refuse sex-related behaviors. ConclusionSexual and reproductive attitudes， sexual safety awareness， and refusal skills for sex-related behaviors among junior high school students in Jiading District need to be improved. Schools should focus on cultivating adolescents’ sexual and reproductive knowledge and related skills， and advocate for relevant institutions to provide appropriate sexual healthcare services to meet their needs for reproductive healthcare.
