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目的了解上海市初中生生殖健康相关知识、态度、行为、需求现况,为青春期生殖健康教育工作提供参考依据。方法采用分层整群随机抽样方法,对上海市4个区8所初中的618名初三学生进行自填式问卷调查。结果初中生所掌握的青春期发育和安全性行为知识及格率分别为55.2%和50.3%,但妊娠/避孕知识的及格率仅为11.7%。初中生对婚前性行为、未婚同居看法较开放。在自报有性行为的6名学生中,4名在最近一次性行为中未采取任何避孕措施。网络(57.3%)是学生最主要的生殖健康知识技能来源,而初中生最希望的生殖健康知识来源途径是学校(55.5%)。结论上海市初中生掌握的生殖健康知识不均衡,对性相关行为的态度较开放。应加强学校的生殖健康教育,增加妊娠/避孕相关主题,并关注重点干预对象。
Objective To understand the relevant knowledge, attitudes, behaviors and needs of junior high school students of reproductive health in Shanghai and provide reference for reproductive health education in adolescence. Methods A stratified cluster random sampling method was used to survey 618 junior students in 8 junior high schools in 4 districts in Shanghai. Results The passing rate of adolescent development and safety behaviors of junior high school students was 55.2% and 50.3% respectively, but the passing rate of pregnancy / contraception knowledge was only 11.7%. Junior high school students are more open to premarital sex and unmarried cohabitation. Of the 6 students who reported having sex, 4 did not take any contraceptives during the most recent sexual act. The network (57.3%) is the most important source of reproductive health knowledge and skills for students, while the most promising source of reproductive health knowledge for junior high school students is school (55.5%). Conclusion Junior high school students in Shanghai have unbalanced knowledge of reproductive health and are more open to sexual related behaviors. Reproductive health education should be strengthened in schools to increase the topics related to pregnancy / contraception and focus on key intervention targets.