海南省农村妇女性观念及性行为问卷调查

目的 了解农村妇女性观念和性行为现状及其影响因素。方法 采用分层整群抽样横断面调查设计。用听录音回答和调查员询问填写问卷两种不同的资料收集方法对海南省某县606名农村妇女进行问卷调查。结果 25％的妇女认可一般的婚前性行为,认可结婚对象婚前发生性行为的妇女占34％。自报发生过婚前性行为的妇女占15％,4％报告发生过婚前人工流产。5％的妇女报告曾在月经期发生过性行为。认可婚外性行为的妇女占4％,3％的妇女认可卖淫,对需要钱的妇女卖淫表示认可的妇女占3％。没有妇女报告发生过婚外性行为或卖淫行为。两种资料收集方法结果差异无统计学显著性意义。logistic回归分析显示低年龄、低文化程度、汉族与对婚前性行为的态度有正关联,低年龄与发生婚前性行为有正关联。结论 在农村人群中应更早地开展性健康教育,并应具有针对性。在研究中,听录音回答的调查方法并未增加敏感问题调查结果的真实性。

A questionnaire-based survey on attitude and behavior of sex among rural women in Hainan province

Objective To define the profile and risk factors of sexual attitude and behavior of ruralwomen. Methods Using stratified cluster sampling, tape-recorded interviews and face to face interviewswere carried out among 606 rural women. Results 24. 6 % of the women being studied accepted the idea of"premarital sexual intercourse" and thought "premarital sexual intercourse between a couple" acceptableaccounted for 34. 2 %, 14. 7% and 4% of the women reported having had premarital sexual intercourse andpremarital induced abortion respectively. 5 .0% of the women admitted having had sexual intercourseduring menstruation. 4% and 3% of the women under study accepted "extramarital sexual intercourse" and"paid sexual intercourse" if they were in need of money. None of the women reported ever having hadextramarital sex or paid sex. The results derived from two different methods did not differ significantly.Logistic regression suggested that age, education and ethnicity were associated with attitude towardspremarital sex. and age was associated with premarital sexual behavior. Conclusion Sex education need tobe promoted and targeted among rural population at early age. "Tape-recorded interview" method did notshow a better validity in this study.