我国青少年生殖健康政策回顾和发展趋势分析

目的：回顾我国青少年生殖健康政策，分析其发展趋势，为完善相关政策体系提供依据。方法：采用社会学内容分析法，对政策内容进行比较分析。对决策者进行定性访谈，采用主体框架方法对资料进行分析。结果：解放后，我国共颁布了青少年生殖健康相关政策140条，其中包括相关权利政策9条、教育政策116条、服务政策8条和未婚青年流动人口政策7条。1996年之前性与生殖健康教育相关政策的发文数量波动在1-3条／年，其他3类政策的发文数量为0。此后青少年生殖健康相关政策的发文数量呈平稳上升趋势。国际环境、决策层的主流观念及社会变迁等因素都影响了政策的内容和数量。结论：我国青少年生殖健康政策体系建设需要出台专项政策，完善现有的相关教育政策体系，通过政策和财政支持促进青少年对性与生殖健康服务的可及性，关注未婚青年流动人口的权益保障，倡导长效的多部门合作机制。

Review and trend analysis of adolescent reproductive health policy in China

Objective： To review and analyze trend of current adolescent reproductive health policy in China in order to provide evidence for improvement of the policy system. Methods ： Content analysis was used to review the issued policy. In addition, national policy makers were interviewed using a semi-structured questionnaire. Data was analyzed using a framework approach. Results： 140 policies had been issued since liberation, including 9 policies on sexual and reproductive health rights, 116 on sexual and reproductive health education, 8 on sexual and reproductive health services and 7 on the unmarried migrant youth population. Before 1996, about 1 - 3 policies on sexual and reproductive health education were issued every year, while the number of other policies was 0. After 1996, the number of policies on sexual and reproductive health education maintains rising trend. The international circumstances, main social thoughts of policy makers and social changes all affect the content and quantity of relevant policy. Conclusion：In order to ensure adolescent sexual and reproductive health rights, It is necessary to issue the specific policy, improve their accessibility of sexual and reproductive health services, pay attention to unmarried migrant youth and better collaboration mechanisms among government departments.