女性校外青少年生殖健康现状及影响因素分析

目的 研究昆明、深圳两地女性校外青少年生殖健康现状,探讨影响生殖健康相关问题发生的因素.方法 采用现况研究的方法,于2012年5月至6月对昆明和深圳共计410名15～24岁的女性校外青少年进行问卷调查,采用x2检验和多因素Logistic回归分析探讨女性校外青少年生殖健康相关问题的影响因素.结果 女性校外青少年对于生殖健康知识的掌握程度总体较差；性交行为的发生率为42.9％ （176/410）；在发生性交行为的调查对象中,最近一次性行为未使用安全套的比例为44.9％ （76/176）；有2个及以上性伴的为48.9％ （86/176）；外阴不适的发生率为48.8％（200/410）；性传播疾病的患病率为2.9％（12/410）；单因素分析发现,调查对象的婚姻状况、居住状况和生殖健康行为（包括牵手、拥抱、接吻、抚摸身体、性交行为）以及曾有过多个性伴的发生对于外阴不适症状的出现存在影响（x2=4.667,10.862,10.032,15.619,17.423,28.239,17.817,21.369;P＜0.05）；Logistic回归发现,居住在集体宿舍、与别人合租、抚摸身体、性交行为和曾有多个性伴是出现外阴不适症状的影响因素（P＜0.05）,OR值分别为0.449 （95％ CI：0.216 ～0.933）,0.377 （95％ CI：0.147 ～0.967）,4.364（95％ CI：1.594～11.949）,0.312（95％ CI：0.111 ～0.877）,2.646（95％ CI：1.417 ～4.941）.结论 昆明、深圳两地女性校外青少年生殖健康状况较差,影响因素涉及自身行为和社会因素等各个方面,应采取综合性的措施加强对女性校外青少年的生殖健康管理.

Reproductive health status and its influencing factors among out of campus girls

Objective To study the epidemiological status of reproductive health related behaviors of out of school adolescents in Kunming and Shenzhen City,and to explore the social-psychological influencing factors of the behaviors.Methods A cross-sectional study was conducted in 410 out of school adolescents aged 15-24 years who were recruited with accidental sampling.All the subjects were required to complete a self-administrated questionnaire.Single factor Chi-square analysis and multi-factor Logistic method were used for data analysis.Results The correct respondent rate of the questions on reproductive health knowledge among the adolescents was low.The sexual intercourse rate was 42.9％ （176/410）.Nearly 44.9％ （79/176） of the adolescents who had sexual experience did not use condom in the latest sexual intercourse,and those who had no less than one sexual partner accounted for 48.9％ （86/176）.The prevalence of genital discomfort and sexual transmitted disease was 48.8％ （200/410） and 2.9％ （12/ 410）,respectively.Chi-square test showed that marriage,living statue,behaviors of holding hands,kiss,caress the body,sexual intercourse and having no less than one sexual partner influenced the prevalence of genital discomfort（x2 values were 4.667,10.862,10.032,15.619,17.423,28.239,17.817 and 21.369,respectively ; all P ＜ 0.05）.In binary Logistic analysis,living in a dormitory or with other people,behaviors of caress the body,sexual intercourse and having no less than one sexual partner influenced the prevalence of genital discomfort （odds ratio （OR） was 0.449 （95％ CI：0.216-0.933）,0.377 （95％ CI：0.147-0.967）,4.364 （95％ CI：1.594-11.949）,0.312 （95％ CI：0.111-0.877） and2.646 （95％ CI：1.417-4.941）,respectively ; all P ＜ 0.05）.Conclusions The status of reproductive health was poor among out of school girls in kunming and Shenzhen,and living status,behaviors of caress the body,sexual intercourse and having no less than one sexual partner could influence the prevalence of genital discomfort.Comprehensive measures should be taken to strengthen the reproductive health management in this population.