四川省农村地区家长幼儿性相关问题的应对方式及影响因素分析

  目的  了解四川省农村地区幼儿家长对幼儿性相关问题的应对方式及其影响因素，为进一步加强农村幼儿家庭性教育提供依据。  方法  采用多阶段分层整群抽样方法，抽取四川省53所乡镇幼儿园的2 801名幼儿家长作为研究对象，以面对面访问或自填的方式对家长进行幼儿性教育相关问题的问卷调查。  结果  家长中有过幼儿询问性相关问题的占41.63%，家长应对方式正确率为57.46%。二分类非条件Logistic回归分析结果发现，家庭居住地为乡镇(OR=1.46，95%CI=1.12~1.90)、母亲文化程度为高中及以上(OR=1.77，95%CI=1.38~2.28)、幼儿为非留守儿童(OR=1.32，95%CI=1.03~1.69)、认为应由父母负责幼儿性教育(OR=1.66，95%CI=1.05~2.63)和开展过家庭性教育(OR=1.60，95%CI=1.25~2.05)的家长有更高的幼儿性相关问题应对方式正确率(P值均＜0.05)。  结论  四川农村地区家长对幼儿性相关问题应对方式的正确率不高。应提高农村地区家长对幼儿性教育知识及重要性的认识，改善幼儿性相关问题的应对方式，以促进幼儿身心健康地成长。

Parent-child communication about sex-related topics and associated factors in rural area of Sichuan

  Objective  To understand parent-child communication about sex-related topics in rural areas of Sichuan Province, and to provide the basis for family sex education.  Methods  A multi-stage stratified cluster sampling was adopted to select 2 801 parents of children from 53 township kindergartens in Sichuan Province. Questionnaires were conducted to parents about sex education in family by face-to-face interview or self-filling.  Results  About 41.63% of parents reported that children had questions about sex, and the rate of proper parent-child communication was 57.46%. The results of binary unconditional Logistic regression analysis showed that township residence(OR=1.46, 95%CI=1.12-1.90), high school or higher educational background of mothers(OR=1.77, 95%CI=1.38-2.28), non-left-behind children(OR=1.32, 95%CI=1.03-1.69), supportive for parent-child communication about sex-related topics(OR=1.66, 95%CI=1.05-2.63), sex education at home(OR=1.60, 95%CI=1.25-2.05) were associated with a higher rate of proper parent-child communication on sex(P < 0.05).  Conclusion  In rural areas of Sichuan, proper parent-child communication about sex-related topics was not common. It is suggested that in rural areas, parents should enhance their awareness of the knowledge and importance of children's sex education, and improve the coping methods of children's sex-related problems so as to promote the healthy growth of children's body and mind.