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目的了解15~24岁不同性别进城务工青少年的性与生殖健康知信行状况及影响因素。方法采用自编结构式匿名问卷对山东省济南市1075名15~24岁进城务工青少年进行自填式问卷调查。结果男性与女性进城务工青少年的性与生殖健康知识水平均较低,尤其流产相关知识,男性得分中位数仅25.0分;35.0%的男性认为只要双方愿意就可以发生婚前性行为,高于女性的16.1%;面对恋人性要求,男性坚持不发生性行为的比例(18.1%)远低于女性(53.1%),差异有统计学意义(χ2=141.704,P<0.001);30.7%的调查对象自我报告发生过性行为,其中男性为40.1%,女性为23.7%,差异有统计学意义(χ2=29.385,P<0.001);不同性别进城务工青少年发生婚前性行为的共同影响因素为年龄、文化程度、对避孕的态度;女性还与对婚前性行为的看法、对恋人性要求的处理方式有关。结论为进城务工青少年提供性与生殖健康教育及服务时应考虑性别差异。
Objective To understand the status and influential factors of sexual and reproductive health status of adolescents from 15 to 24 in different age groups. Methods A self-made structured anonymous questionnaire was used to conduct a self-administered questionnaire survey of 1075 urban migrant workers aged 15-24 in Ji’nan City, Shandong Province. Results Both male and female urban migrant workers had lower knowledge of sexual and reproductive health, especially the miscarriage-related knowledge, with a median score of only 25.0 for males; 35.0% of males thought premarital sex could occur as long as both parties were willing 16.1% of women; the proportion of men insisting on non-sexual behavior was far lower than that of women (53.1%) (χ2 = 141.704, P <0.001); 30.7% There were 40.1% of males and 23.7% of females, the difference was statistically significant (χ2 = 29.385, P <0.001). The common influencing factors of premarital sexual behavior among adolescents with migrant workers in urban areas were Age, education level and attitude toward contraception. Women also relate to the view of premarital sexual behavior and the treatment of lovers’ sexuality. Conclusions Gender differences should be considered in providing sexual and reproductive health education and services to adolescent migrant workers.