我国43 251名青年学生避孕节育及生殖健康服务需求分析

目的 了解与分析我国青年学生对避孕节育及生殖健康服务的相关需求，为提高青年学生的避孕节育意识和生殖健康教育知识水平提供科学的理论依据。方法 采用方便抽样的方法，在2018年对全国222所高等院校的43 251名在校青年学生进行匿名自填问卷调查，使用χ2检验对避孕节育及生殖健康服务需求的影响因素进行单因素分析。结果 43 251名青年学生中，男女性别比为（28.77% vs 71.17%），平均年龄（20.00±1.00）岁。青年学生中，仅有23.66%（10 225/43 216）了解避孕节育知识，获得避孕节育知识的最主要途径是网络65.11%（28 075/43 120），最普遍及最希望获得避孕药具的方式均为药店，分别占比53.57%（3 350/6 253）和60.92%（26 269/43 120），52.90%（12 089/22 853）表示发生意外妊娠的同学最需要的服务是生殖健康咨询。结论 我国青年学生对避孕节育知识掌握程度低且不全面，对开展避孕节育与生殖健康知识教育的需求强烈，今后应在高校内广覆盖安全套自动售卖机，对不同年级、专业及性别特征的学生开展有针对性的健康教育。

Analysis of contraceptive status and reproductive health service demand of 43 251 young students in China

Abstract: Objective The study aimed to assess and analyze the related needs of young students in China for contraception and reproductive health services, and to provide a scientific and theoretical basis for improving the contraceptive awareness and reproductive health education knowledge of young students. Methods A self-administered questionnaire survey was conducted on 43 251 young students from 222 colleges and universities across the country in 2018 using convenient sampling method. Theχ2 test was used to conduct a univariate analysis of the influencing factors of contraceptive and reproductive health service demand. Results Among 43 251 young students, the sex ratio was (28.77% vs 71.17%) and the average age was 20.00 ± 1.00. Among young students, only 23.66% (10 225/43 216) knew contraceptive knowledge. The main way to acquire contraceptive knowledge was through Internet, accounting for 65.11% (28 075/43 120). The most common and most desirable way to acquire contraceptives was pharmacies, accounting for 53.57% (3 350/6 253) and 60.92% (26 269/43 120), respectively. 52.90% (12 089/22 853) of the total questioned students said that reproductive health counseling was the most needed service for students who had an unexpected pregnancy. Conclusion Young students in China have a low and incomplete knowledge of contraception and birth control and have a strong demand for knowledge education on contraception and reproductive health. In the future, condom vending machines should be widely covered in colleges and universities, and targeted health education should be carried out for students of different grades, specialties and gender characteristics.