生殖健康教育对大学新生安全套使用自我效能及意向的影响

  目的  分析中学生殖健康教育对大学新生安全套使用自我效能及意向的影响，为生育力保护相关干预活动和政策制定提供证据。  方法  采用分层随机整群抽样方法，对北京市3 001名大学新生进行安全套使用自我效能及意向问卷调查。使用χ2检验、t检验和方差分析进行差异比较，采用多元线性和Logistic回归模型分析安全套使用自我效能和使用意向的影响因素。  结果  北京市大学新生在中学接受生殖健康教育报告率为65.11%(1 954名)；生源地为城市的大学新生在中学接受生殖健康教育报告率为71.11%(1 216名)，高于生源地为非城市的新生(59.36%)(P < 0.05)。中学接受生殖健康教育的大学新生，联合国大会艾滋病特别会议指标总分[(4.22±0.90，4.05±0.98)分]、安全套使用自我效能总分[(24.64±5.34，23.09±4.93)分]和安全套使用意向(82.44%，70.88%)均高于中学未接受生殖健康教育的新生(P值均 < 0.01)。多元线性回归分析发现，中学接受生殖健康教育的大学新生安全套使用自我效能总分比未接受过生殖健康教育新生高(β=1.21，95%CI=0.79~1.63，P < 0.01)。多因素Logistic回归结果显示，中学接受生殖健康教育的大学新生安全套使用意向高于未接受过生殖健康教育新生(OR=1.63，95%CI=1.33~2.01，P < 0.01)。  结论  在中学接受生殖健康教育可以提高大学新生安全套使用自我效能和意向，有助于大学生安全性行为的实施，对生育力保护具有重要意义。

Effect of reproductive health education on self-efficacy and intention of condom use among college freshmen

  Objective  To analyze the influence of reproductive health education in middle school on self-efficacy and intention of condom use among college freshmen, so as to provide evidence for fertility protection-related intervention and policy-making.  Methods  A questionnaire survey was conducted among college freshmen in Beijing by hierarchical cluster sampling method. A total of 3 001 students were surveyed. The difference was compared by using χ2 test and ANOVA. Multivariate linear and Logistic regression model was used to analyze the influencing factors associated with condom-use self-efficacy and condom-use intention.  Results  The overall rate that reproductive health education received before college among freshmen in Beijing was 65.11%. The college freshmen from urban areas reported more adequate reproductive health education (71.11%) than those from non-urban areas before college (59.36%)(P < 0.05). The total scores of UNGASS (4.22±0.90 vs 4.05±0.98), condom use self-efficacy (24.64±5.34 vs 23.09±4.93) and the intention of condom-use (82.44% vs 70.88%) of college freshmen received reproductive health education in middle school were higher than those of college students without pre-college reproductive health education(P < 0.01). Multiple linear regression analysis showed that the score of condom-use self-efficacy of college students received pre-college reproductive health education was higher than those without pre-college reproductive health education(β=1.21, 95%CI=0.79-1.63, P < 0.01). Multivariate Logistic regression analysis showed that reproductive health, the intention of condom-use of college freshmen who received pre-college reproductive health education was higher than that of college freshmen without reproductive health education(OR=1.63, 95%CI=1.33-2.01, P < 0.01).  Conclusion  Reproductive health education in middle school can improve college freshmen's self-efficacy and intention of condom use, contribute to the implementation of safe sex, and is of great significance to the protection of college students' fertility.