上海市大学生生殖健康状况调查

目的:了解上海市大学生生殖健康现状,为大学生生殖健康教育政策与措施出台和实施提供科学依据。方法:2004年7月~2005年3月,问卷调查上海7所大学医学(中、西医)、理工、文科、艺术等专业约1 192名在校学生,实际回收有效问卷1 167份(97.90%)。问卷涉及生殖健康需求、性态度、接触影像资料、性卫生知识和性病知识等4个部分。结果:认为自己接受过正规性知识教育的大学生占39.33%(459/1 167);49.19%(574/1 167)选择系列讲座形式开展生殖健康教育;41.90%(489/1 167)认为开展生殖健康教育并不增加大学生性行为发生率;64.10%(748/1 167)认为在大学开展生殖健康教育十分有必要;表示可以接受婚前性行为的男生占45.05%(250/555),女生27.45%(168/612);未婚先孕问题上,有35.32%(196/555)男生和39.38%(241/612)女生表示可以接受;能准确计算安全期的仅44.39%(518/1 167);知道紧急避孕措施的71.38%(833/1 167);明确避孕套使用时机的57.67%(673/1 167);能准确选出我国重点预防的4个性病名字的非医科学生仅为2.19%(12/549),医科生也仅12.14%(75/618)。结论:本次调查结果建议,应依照总体规划和大学生的实际健康需求,确定有关教育内容及形式,积极、稳妥地在大学有关课程中广泛开展生殖健康教育,促进大学生性健康的需要;开展大学生生殖健康卫生咨询;应及时开展性病、艾滋病防治教育和培养大学生自我保护技能。

Survey on Reproductive Health Status of Shanghai College Students

Objective: To explore reproductive health condition of college students in Shanghai and provide scientific basis for reproductive health education.Methods: From July 2004 to March 2005,(1 192) college students(majors including medicine,science and engineering,arts and culture;618 medical students and 549 non-medical;555 male and 612 femal) from seven time-day colleges in Shanghai were investigated with a reproductive health questionnaire involving sex.The questionnaire was constituted by 72 topics,involving the need of education,sex attitude,sex videos,sex hygiene knowledge and sexually transmitted diseases(STDs),etc.Results: (39.33)%((459/(1 167))) students thought they had accepted formal sex education;(49.19)%(574/(1 167)) students chose lecture as the favorite way;(41.90)%(489/(1 167)) students thought the reproductive health education would not increase the incidence of premarital sexual behavior;(64.10)%(748/(1 167))students thought it was necessary to give college students reproductive health instructions and knowledges.On the other hand,we found(45.05)%(250/555) boys and(27.45)%((168/612)) girls could accept the premarital sexual behaviors;(35.32)%(196/555) boys and(39.38)%(241/612) girls could accept premarital pregnancy;(44.39)%(518/(1 167)) students could calculate the safe period accurately;(71.38)%(833/(1 167)) students knew emergency contraception measures;(57.67)%(673/(1 167)) students knew how to and when to use condoms;To our surprise,only(2.19)%(12/549) non-medical students and(12.14)%(75/618) medical students knew exactly the whole 4 sexually transmitted diseases that needed to be esseutially prevented in China.Conclusion: At present,the reproductive health condition of college students in Shanghai is sophisticated.Much more education on sex safety,self-protection skills and acquired immunodeficiency syndrome(AIDS) knowledge,etc should be reinforced. Natl J Androl,2005,11(10):744-747