四川省某市中学生性侵害现状及相关因素分析

目的 了解中学生性侵害现状及相关因素，为促进中学生的安全及健康成长提供依据。方法 采用多阶段分层整群抽样方法，于2020年4—5月对四川省某市1 471名中学生的性侵害现状进行问卷调查。结果 中学生遭受过强奸、性猥亵、性骚扰的比例分别为1.6%,3.7%,9.4%。23.8%的中学生遭受过2种及以上的性侵害；75.1%～82.1%的性侵害发生于9～15岁；36.3%～62.3%的性侵害主体为同辈熟人。看过色情信息与遭受3类性侵害均呈正相关(强奸：OR=9.93,95%CI=3.09～27.57;性猥亵OR=7.83,95%CI=3.95～15.53;性骚扰OR=5.22,95%CI=3.52～7.73,P值均<0.01);自我性别认同不良与遭受性猥亵和性骚扰均呈正相关(性猥亵：OR=2.37,95%CI=1.31～4.29;性骚扰OR=1.73,95%CI=1.16～2.58,P值均<0.01)。母亲的长时间缺失与中学生遭受强奸呈正相关(OR=3.10,95%CI=1.31～7.30),接受过父亲性教育与遭受性猥亵呈正相关(OR=2.52,95%CI=1.26～5.03)(...

Sexual assault and associated factors among middle school students in one city of Sichuan Province

  Objective  To understand the current situation and influencing factors of sexual assault among middle school students, and to provide a basis for promoting healthy psychosocial environment for children and adolescents.  Methods  A questionnaire survey was conducted among 1 471 middle school students in one city of Sichuan Province from April to May 2020 using multi-stage stratified cluster sampling.  Results  The proportion of middle school students who have been raped, indecent assault and sexual assault was 1.6%, 3.7% and 9.4%, respectively.About 23.8% of them had suffered two or more types of sexual assault; 75.1% to 82.1% of sexual assault occurred between the ages of 9 and 15.Between 36.3% and 62.3% of sexual assault subjects were acquaintances of the same generation.Pornography exposure was the same risk factor for the three types of sexual assault (rape: OR=9.93, 95% CI=3.09-27.57;sexual obscenity: OR=7.83, 95% CI=3.95-15.53;sexual harassment: OR=5.22, 95% CI=3.52-7.73, P < 0.01).Low gender identity was the same risk factor for both suffering sexual obscenity and sexual harassment (sexual obscenity: OR=2.37, 95% CI=1.31-4.29;sexual harassment: OR=1.73, 95% CI=1.16-2.58, P < 0.01).The long-term absence of mothers was a risk factor for suffering sexual rape among middle school students (OR=3.10, 95% CI=1.31-7.30), as well as father's sex education was a risk factor for suffering sexual obscenity among middle school students (OR=2.52, 95% CI=1.26-5.03)(P < 0.01).  Conclusion  Pornography exposure is the same risk factor for all types of sexual assault among middle school students.Low gender identity is the same risk factor for indecent assault and sexual harassment.Sexual education capabilities of families and schools should be improved, and attention should be paid to the gender identity and sexual mental health of middle school students.