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目的 了解农村妇女性观念和性行为现状及其影响因素。方法 采用分层整群抽样横断面调查设计。用听录音回答和调查员询问填写问卷两种不同的资料收集方法对海南省某县606名农村妇女进行问卷调查。结果 25％的妇女认可一般的婚前性行为,认可结婚对象婚前发生性行为的妇女占34％。自报发生过婚前性行为的妇女占15％,4％报告发生过婚前人工流产。5％的妇女报告曾在月经期发生过性行为。认可婚外性行为的妇女占4％,3％的妇女认可卖淫,对需要钱的妇女卖淫表示认可的妇女占3％。没有妇女报告发生过婚外性行为或卖淫行为。两种资料收集方法结果差异无统计学显著性意义。logistic回归分析显示低年龄、低文化程度、汉族与对婚前性行为的态度有正关联,低年龄与发生婚前性行为有正关联。结论 在农村人群中应更早地开展性健康教育,并应具有针对性。在研究中,听录音回答的调查方法并未增加敏感问题调查结果的真实性。
Objective To understand the current situation and influencing factors of rural women’s sexual attitudes and behavior. Methods The stratified cluster sampling cross-sectional survey design was used. A questionnaire survey was conducted on 606 rural women in a county in Hainan Province by listening to the recording answering and investigators asking for completing the questionnaire two different data collection methods. As a result, 25% of women recognized general premarital sex and 34% of women who married before receiving premarital sex. 15% reported having reported premarital sex, and 4% reported having had a pre-marital abortion. Five percent of women reported having had a menstrual period. 4% recognize women who practice extramarital sex, 3% recognize prostitution, and 3% recognize women who need money for prostitution. No women reported having had extramarital sex or prostitution. There was no statistically significant difference between the two data collection methods. Logistic regression analysis showed that there was a positive correlation between Han nationality and attitudes toward premarital sex, while lower age was positively associated with premarital sex. Conclusion Sexual health education should be carried out earlier in the rural population and should be targeted. In the study, the survey method of answering recordings did not increase the authenticity of the survey results of sensitive issues.