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目的了解我国中西部农村地区青少年生殖健康相关观念和行为,为有针对性的进行生殖健康干预提供依据。方法在山西、甘肃、青海和广西各选择1个县,每县选择2个乡的13～19岁在校生约200名,16～19岁校外青少年约100名,男、女各半,共1 230名接受自填式问卷调查。结果中西部农村约半数青少年明确反对婚前性行为,表示同意的比例低于25%。女青少年在观念上对婚前性行为的开放程度低于男青少年,差异有统计学意义(P<0.05)。中西部农村校内青少年“经常”有不利于自我保护行为的比例低于15%,校外青少年为0.7%～30.4%,男性高于女性,部分指标的差异有统计学意义(P值均<0.05)。校外男青少年“经常”及“偶尔”去青少年保健门诊咨询的比例最高(31.4%),校内低年龄组女青少年最低(8.5%)。结论中西部农村青少年能认识到生殖健康问题的重要性。在进行生殖健康教育时,不仅要注重观念上的引导,还应针对不利的生殖健康行为给予指导。
Objective To understand the concepts and behaviors of reproductive health of adolescents in the rural areas of central and western China and provide the basis for targeted interventions in reproductive health. Methods A total of 200 students aged from 13 to 19 were selected in each of the two counties in Shanxi, Gansu, Qinghai and Guangxi, and about 100 out-of-school youth aged 16-19 were enrolled in this study. 230 accept self-contained questionnaires. As a result, about half of adolescents in rural areas in the central and western parts of China explicitly opposed premarital sexual behavior and expressed their agreement with less than 25%. Female adolescents were less open to premarital sexual behavior than male adolescents, with a statistically significant difference (P <0.05). Mid-west rural teenagers “often ” have not conducive to self-protection behavior is less than 15%, extra-curricular adolescents 0.7% to 30.4%, men than women, some of the indicators were statistically significant (P < 0.05). The highest proportion of out-of-school adolescents “regular ” and “occasional ” went to consult with adolescent health clinics (31.4%), and the lowest rate of female adolescents (8.5%) was in school. Conclusion Middle and west rural adolescents can recognize the importance of reproductive health issues. In carrying out reproductive health education, we should not only pay attention to conceptual guidance, but also give guidance on adverse reproductive health behaviors.