淮安留守中学生青春期常见性问题及性行为现状

目的调查留守儿童青春期性问题和性行为现状,为留守儿童青春期相关教育干预策略提供参考。方法随机整群抽取淮安金湖县3所乡镇中学的2 305名留守学生,通过调查问卷了解其常见性问题、性行为、性知识获取途径及性问题求助途径相关情况。结果 30.02%留守中学生有月经/遗精困扰,45.99%有青春痘困扰,20.00%有早恋困惑,10.02%有手淫困惑。有早恋困惑的女生报告率高于男生,高中生高于初中生;男生中有手淫困惑的占比高于女生,高中生高于初中生(P值均<0.05)。11.97%有过被言语挑逗,16.92%有过被要求谈恋爱,10.02%被亲吻过,5.99%被性抚摸过,1.00%被迫性交过,17.01%有过手淫,7.90%有过同性性活动,6.94%有过两性性行为;被言语挑逗、被要求谈恋爱、被亲吻过、被性抚摸过报告率高于男生,男生中有过手淫、有过同性性行为、有过两性性行为报告率高于女生(P值均<0.05);高中生中有过手淫、有过同性性活动、有过两性性行为占比高于初中生(P值均<0.05)。在获取性知识途径方面,43.99%通过学校课堂获取,35.01%通过书籍获取,23.99%通过网络获取,17.01%通过父母长辈获取。相比男生,女生主要从书籍和父母长辈处获取性知识,高中生主要从学校课堂和书籍中获取性,初中生主要从父母长辈处获取(P值均<0.05)。留守中学生遭遇性问题后,主要通过网络/书籍(31.02%)和色情视频/小说寻求帮助(30.02%)。相比男生,女生中寻求父母帮助报告率更高;相比高中生,初中生寻求父母、老师帮助者报告率更高(P值均<0.05)。结论青春期留守儿童对性生理问题普遍较为困惑,性行为相对开放。有必要对留守儿童加强性健康教育,帮助其形成科学健康的性观念与性态度。

Investigation on common sexual problems and sexual behavior of left-behind children during puberty

Objective To investigate the status quo and causes of left behind children’ s sexual problems and behaviors during puberty, and to provide relevant educational intervention strategies. Methods A total of 2 305 left-behind students from 3 township middle schools in Jinhu County, Huai’an were selected to send out questionnaires to understand their common sexual problems, sexual behaviors, assess to sexual knowledge, and help. Results About 30.02% of the respondents had menstruation/spermatorrhea trouble, 45.99% had acne trouble. 20.00% had early love confusion, 10.02% had masturbation confusion. The percentage of girls with early love confusion was higher than that of boys, and that of high school students was higher than that of junior high school students;the percentage of boys with masturbation confusion was higher than that of girls, and that of high school students was higher than that of junior high school students( P<0.05). 11.97% reported verbal harassment, 16.92% had been asked to fall in love, 10.02% had been kissed, 5.99% had been sexually touched, 1.00% had been forced to have sex, 17.01% had masturbation, 7.90% had same-sex sexual activities, 6.94% had sexual behaviors, and the proportion of girls who had been teased by speech, asked to fall in love, kissed and stroked was higher than that of boys, and the proportion of boys who had been stroked was higher than that of boys( P<0.05). The proportion of sexual intercourse, sexual activity and sexual behavior was higher than that of female( P<0.05). The proportion of high school students who had masturbation, homosexual activities and sexual behaviors was higher than that of middle school students( P< 0.05). In terms of access to sexual knowledge, 43.99% through the school classroom, 35.01% through books, 23.99% through the Internet, 17.01% through parents and elders. Compared with boys, girls had higher proportion of acquiring sexual knowledge from books and parents’ elders, high school students have higher proportion of acquiring sexual knowledge from school classroom and books, junior high school students have higher proportion of acquiring sexual knowledge from parents’ elders( P<0.05). After the left behind children encountered sexual problems, 31.02% from the Internet/books, and 30.02% from their yellow videos/novels. Compared with boys, girls had higher proportion of seeking help from parents( P<0.05). Compared with high school students, junior high school students had higher proportion of seeking help from parents and teachers( P<0.05). Conclusion Adolescent left-behind children are generally confused about sexual physiology and their sexual behavior is relatively open. Schools and families need to strengthen sexual health education for left-behind children to help them form scientific and healthy sexual concepts and attitudes and resolve their sexual confusion.