非意愿性行为危险因素病例对照研究

目的研究非意愿性行为的危险因素,为制定降低非意愿性行为的规划、改善青少年的生殖健康服务.方法采用病例-对照研究方法.研究对象是从寻求人工流产(人流)服务年轻妇女中选取的,以人流者中,经历过非意愿性行为的512名妇女作为病例组,以同一人群中,从未经历过非意愿性行为的517名妇女作为对照组,来比较两组间各种因素的差异.结果增加非意愿性行为发生的危险因素主要有高中以下文化程度χ2=15.27,P＜0.01,比值比(OR)1.71],没有与父母同住(χ2=10.18,P＜0.01,OR1.50),因醉酒而发生性行为(χ2=34.22,P＜0.01,OR5.04),被男方殴打过(χ2=6.79,P＜0.01,OR2.72),被男友辱骂过(χ2=4.22,P＜0.05,OR1.71),曾经与几个男性发生性关系(χ2=19.08,P＜0.01,OR2.17),流动人口(χ2=20.60,P＜0.01,OR1.78)以及男方与女方年龄之间的差距(χ2=11.04,P＜0.01,OR2.17).结论文化程度较低、单独居住、外来人口、多性伴及男女之间关系的不平等,易增加发生非意愿性行为的风险.

Case- control study on sexual coercion and related risk factors in China

OBJECTIVE: To find out the determinants of sexual coercion among adolescent abortion seekers in China. METHODS: Case-control study was adopted. Women seeking for abortion and ever having experienced sexual coercion were taken as case group and those who had never experienced sexual coercion as control group. Case-control study was carried out in 11 large hospitals in Beijing city from January 2000 to April 2000. RESULTS: The number of subjects in case group was 512, comparing to 517 in the control group. The mean age of subjects was 20.25 years with monthly income 881.2 RMB Yuan. The difference between case group and control group in income, occupation and age showed no statistical significance. The results of the study indicated that the factors which were more likely to be related to sexual coercion include lower educational level (chi(2) = 15.27, P < 0.01, OR: 1.71), not living with parents (chi(2) = 10.18, P < 0.01, OR: 1.50), mobile nature (chi(2) = 20.60, P < 0.01, OR: 1.78), experienced battery by partner (chi(2) = 6.79, P < 0.01, OR: 2.72), abused by her partner (chi(2) = 4.22, P < 0.05, OR: 1.71) multi-partners (chi(2) = 19.08, P < 0.01, OR: 2.17), sex after being drunk (chi(2) = 34.22, P < 0.01, OR: 5.04), and larger gaps of in age between male and female partners (chi(2) = 11.04, P < 0.01, OR: 2.17). CONCLUSION: Factors as, poor-educated, not living with parents, floating population, multi-partners, the inequality between male and female were more likely to increase the risk of sexual coercion.