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目的了解贵州省兴义市农村在校儿童性与生殖健康知识知晓情况、发生性行为及其影响因素,为改善农村在校儿童性与生殖健康状况提供依据。方法 2015年3—4月采用整群抽样方法对兴义市小学五、六年级和初中一、二年级548名农村在校儿童进行调查,采用单因素及多因素logistic回归分析知识知晓及发生性行为的影响因素。结果调查的548名儿童中,有297人(54.2%)知晓性与生殖健康知识;多因素logistic回归分析显示,男生(OR_(调整)=1.454,95%CI=1.027~2.058)、经常与父母交流沟通(OR_(调整)=1.460,95%CI=1.003~2.125)、经常与老师交流沟通(OR_(调整)=1.608,95%CI=1.129~2.289)、在校学习过性教育课程(OR_(调整)=2.035,95%CI=1.418~2.919)是知晓性与生殖健康知识的影响因素。5.8%(32/548)的农村在校儿童发生过性行为,多因素分析显示,经常与父母交流沟通(OR_(调整)=0.267,95%CI=0.128~0.558)和在校学习过性教育课程(OR_(调整)=0.447,95%CI=0.216~0.925)是减少儿童过早性行为的保护因素。结论农村在校儿童性与生殖健康知识待完善,应注意加强学校及家庭教育,营造良好网络环境,促进农村儿童健康成长。
Objective To understand the knowledge of sexual and reproductive health of children in rural Xingyi, Guizhou Province, and to find out the reasons for the occurrence of sexual behavior and their influencing factors, so as to provide evidences for improving the sexual and reproductive health of children in school in rural areas of Xingyi City, Guizhou Province. Methods From March to April 2015, 548 rural school-aged children in grades 5 and 6 and primary and secondary schools of Xingyi were investigated by cluster sampling method. Univariate and multivariate logistic regression analysis was used to analyze the knowledge and occurrence Factors influencing behavior. Results Among the 548 children surveyed, 297 (54.2%) had knowledge of sexual and reproductive health. Multivariate logistic regression analysis showed that boys (OR_ (adjusted) = 1.454, 95% CI = 1.027 ~ 2.058) (OR_ (adjusted) = 1.460, 95% CI = 1.003 ~ 2.125), regular communication with the teacher (OR_ (adjusted) = 1.608, 95% CI = 1.129 ~ 2.289) (Adjusted) = 2.035, 95% CI = 1.418-2.919) were the influencing factors of knowledgeable and reproductive health knowledge. 5.8% (32/548) of rural school children had sexual intercourse. Multivariate analysis showed that they often communicated with their parents (OR_ (adjusted) = 0.267, 95% CI = 0.128 ~ 0.558) and had sex education in school Courses (OR_ (adjusted) = 0.447, 95% CI = 0.216 to 0.925) were protective factors in reducing premature sexual behavior in children. Conclusion The knowledge of sexual and reproductive health of children in school in rural areas should be improved. We should pay attention to strengthening education in schools and families, create a good network environment and promote the healthy growth of rural children.