未婚流动人口的性与生殖健康教育和服务研究

目的:探讨向服务行业和企业未婚流动人口提供性与生殖健康教育和服务的适宜模式.方法:以工作场所为基础向不同行业未婚流动青少年提供性与生殖健康教育和服务,教育和服务内容包括开展性与生殖健康生活技能培训、发放性教育宣传材料、提供性与生殖健康咨询以及发放避孕药具等.结果:在服务行业和企业对象中,分别有86％和71％的人参加了性与生殖健康生活技能培训,有98％和80％的人收到性教育宣传折页.不同行业中均有1/4左右的对象从工作场所寻求过性与生殖健康咨询服务,企业对象的咨询频率高于服务行业(P＜0.05),且两者咨询的内容存在差异.在有过性经历的对象中,服务行业和企业中分别有22％和23％的人从工作场所寻求过避孕药具服务.60％以上的服务行业对象以及半数的企业对象认为生活技能培训课程“非常有用”.85％以上的服务行业对象对生殖健康咨询服务以及避孕药具服务感到“非常满意”,企业对象上述比例不到30％.结论:以工作场所为基础向未婚流动人口提供生殖健康教育和服务是可行且必要的,但针对不同行业对象的教育内容以及服务提供方式应有所侧重.

Sexual and Reproductive Health Education and Service for Those Unmarried Migrating People in Different Workplaces

Objective： To explore suitable models of the sexual and reproductive health education and service for those unmarried floating people in service industries and factories. Methods： Based on the work places, sexual and reproductive health education and service, including life skills training, sex education materials, reproductive health counseling, and contraceptives, were provided for those unmarried floating people working in different industries. Results：Among subjects working in service industries and factories, 86% and 71% subjects took part in the training course of reproductive health life skills, and 98% and 80% subjects received the sex education materials, respectively. About a quarter of subjects sought for reproductive health counseling, and this frequency in subjects who worked in factories was higher than that in service industries （P<0.05）. The counseling questions were also different between subjects in service industries and in factories. Among those subjects who had sexual experience in service industries and factories,22% and 23% subjects sought for the contraceptives service from the work places, respectively. More than 60% of subjects in service industries and about half of subjects in factories thought that the life skills' training was very useful. 85% of subjects in service industries were satisfied with the counseling and contraceptives service very much, while less than 30% of subjects in factories felt satisfying. Conclusions： It is necessary and practical to provide the workplace-based provision of reproductive health education and service for those unmarried floating people. However, the emphasis on content and pattern should be different among those unmarried floating people working in different industries.