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目的了解江苏省高中生性行为及艾滋病知识态度的现状,为制定相应的教育策略和预防措施提供科学依据。方法采用多阶段分层整群随机抽样方法,对江苏省南京、苏州、扬州、徐州、盐城5个城市的17 911名高中生,使用“中国青少年健康危险行为调查问卷”进行健康危险行为调查。结果江苏省高中生性行为的报告率为3.8%,男生(6.4%)显著高于女生(1.5%);职业高中学生性行为的报告率(6.2%)高于普通高中学生(2.9%)和重点高中学生(2.2%);重组家庭学生边缘性行为报告率较高(7.1%);女生被迫发生过性行为的报告率(31.4%)高于男生(25.8%),差异有统计学意义(χ2=55.3,P<0.01)。学生对艾滋病病原体的知晓率为66.4%,男生(68.0%)高于女生(64.9%),重点高中学生(84.3%)高于普通高中(74.7%)和职业高中学生(42.3%)。结论对高中生进行科学的、适宜的性行为和艾滋病预防教育非常必要,要针对不同的人群特别是职业高中学生和重组家庭学生,采取相应的干预措施。
Objective To understand the current situation of high school students’ sexual behavior and HIV / AIDS knowledge and attitude in Jiangsu Province and to provide a scientific basis for formulating appropriate educational strategies and preventive measures. Methods A total of 17 911 high school students in 5 cities of Nanjing, Suzhou, Yangzhou, Xuzhou and Yancheng of Jiangsu Province were investigated using the multistage stratified cluster random sampling method, using “Questionnaire on Health Hazard Behaviors of Chinese Adolescents” for health risk behaviors survey. Results The reported rate of high school students in Jiangsu Province was 3.8%, while that of boys (6.4%) was significantly higher than that of girls (1.5%). The reported rate of high school students’ sexual behavior was 6.2% higher than that of ordinary high school students (2.9%) and (2.2%) were high school students (7.1%); the reported rate of forced sexual intercourse among girls was higher (31.4%) than that of male students (25.8%), the difference was statistically significant (χ2 = 55.3, P <0.01). Students were 66.4% aware of AIDS, 68.0% boys (64.9%) boys, 84.3% high school students (74.7%) and 42.3% vocational high school students (84.3%). Conclusions It is necessary to carry out scientific and appropriate sex education and AIDS prevention education for senior high school students. Corresponding intervention measures should be taken for different groups of people, especially vocational high school students and reorganized family students.