基于理性行为理论的中职医学生婚前性行为意愿的研究
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摘要
目的了解四川省中职医学生婚前性行为意愿,并根据理性行为理论,从中职医学生自身与他们周围重要人群对婚前性行为的态度出发,去探索影响中职医学生婚前性行为意愿的主要因素,为进一步制定切实有效的家庭和学校的性健康教育策略和干预措施提供实证依据。方法采用分层整群抽样方法对四川中医药高等专科学校和南充卫校两所学校中专部的在校学生进行问卷调查。结构式问卷主要根据理性行为理论进行设计。用χ2检验比较中职医学生婚前性行为意愿在不同社会人口学特征下的差异和他们对周围重要人群依从性的差异; Logistic回归分析影响中职医学生婚前性行为意愿的主要因素。结果本次调查收回有效问卷524分,有效率为95. 33%。Logistic回归模型显示:男生比女生更容易发生婚前性行为,差异具有统计学意义(OR=0. 403,P <0. 001),高年级同学(OR=1. 596,P <0. 01)和月消费水平高的同学(OR=1. 511,P <0. 01)更容易发生婚前性行为,差异具有统计学意义。学生对父母(χ~2=167. 46,P <0. 001)、同伴(χ~2=137. 60,P <0. 001)、教师(χ~2=223. 17,P <0. 001)的依从性较强,依从性差异具有统计学意义。结论本次调查对象中,有1/3的中职医学生表示愿意发生婚前性行为。其中,男生、高年级、月消费水平高的中职医学生更愿意发生婚前性行为。中职医学生自身的态度及父母、同伴、教师对待婚前性行为的态度均直接影响着学生婚前性行为意愿。
Objective To understand the willingness of students in secondary vocational medical schools towards premarital sexual behavior in Sichuan province based on the theory of rational behavior,and to explore the main factors affecting the willingness of the students and to provide empirical evidence for the further development of effective sexual health education and intervention in family and school. Methods In this study,stratified cluster random sampling method was applied to analyze questionnaires of 524 college students from Sichuan College of Traditional Chinese Medicine and Nanchong Medical School. The structured questionnaire was designed based on the theory of rational behavior. Data analysis was carried on mainly using the statistics analysis of SPSS18. 0 software,and using χ2test to compare the difference in the rate of premarital sexual behavior among students under the social and demographic characteristics; and also using binary logistic regression analysis,validity and reliability analysis,to explore the main factors that affect the willingness towards premarital sexual behavior of the students. Results There were 550 questionnaires distributed in this survey,and 524 valid questionnaires were recovered,with an effective rate of 95. 3%. Binary logistic regression analysis showed gender,grade,and monthly consumption level had a direct influence on premarital sexual behavior of students in secondary vocational medical school. Male students were more likely to have premarital sex( OR = 0. 403,P < 0. 001). Students in higher grade( OR = 1. 596,P <0. 01),and having higher monthly consumption( OR = 1. 511,P < 0. 01) were more likely to have premarital sexual behavior. Students had strong compliance with their parents( χ~2= 167. 46,P < 0. 001),friends( χ~2=137. 60,P < 0. 001),and teachers( χ~2= 223. 17, P < 0. 001), with statistically significant differences.Conclusions In this survey,1/3 of respondents are willing to have premarital sex. Among them,male students,high grade students,and students with high level of consumption are more willing to have premarital sex. The attitude of students and their parents,friends and teachers directly influences their willingness of premarital sexual behavior.
Objective To understand the willingness of students in secondary vocational medical schools towards premarital sexual behavior in Sichuan province based on the theory of rational behavior,and to explore the main factors affecting the willingness of the students and to provide empirical evidence for the further development of effective sexual health education and intervention in family and school. Methods In this study,stratified cluster random sampling method was applied to analyze questionnaires of 524 college students from Sichuan College of Traditional Chinese Medicine and Nanchong Medical School. The structured questionnaire was designed based on the theory of rational behavior. Data analysis was carried on mainly using the statistics analysis of SPSS18. 0 software,and using χ2test to compare the difference in the rate of premarital sexual behavior among students under the social and demographic characteristics; and also using binary logistic regression analysis,validity and reliability analysis,to explore the main factors that affect the willingness towards premarital sexual behavior of the students. Results There were 550 questionnaires distributed in this survey,and 524 valid questionnaires were recovered,with an effective rate of 95. 3%. Binary logistic regression analysis showed gender,grade,and monthly consumption level had a direct influence on premarital sexual behavior of students in secondary vocational medical school. Male students were more likely to have premarital sex( OR = 0. 403,P < 0. 001). Students in higher grade( OR = 1. 596,P <0. 01),and having higher monthly consumption( OR = 1. 511,P < 0. 01) were more likely to have premarital sexual behavior. Students had strong compliance with their parents( χ~2= 167. 46,P < 0. 001),friends( χ~2=137. 60,P < 0. 001),and teachers( χ~2= 223. 17, P < 0. 001), with statistically significant differences.Conclusions In this survey,1/3 of respondents are willing to have premarital sex. Among them,male students,high grade students,and students with high level of consumption are more willing to have premarital sex. The attitude of students and their parents,friends and teachers directly influences their willingness of premarital sexual behavior.
引文
[1]陈丽明,王凤英.中职生性教育现状的矛盾分析及对策思考[J].中国性科学,2012,21(2):39-42.
[2]孙振球.医学统计学[M].北京:人民卫生出版社,2005:579-580.
[3]周清,邱鹏芳,张俊,等.龙岩市中等职业学校学生性知识态度行为现状[J].中国学校卫生,2014,35(1):37-39.
[4]马骁.健康教育学[M]. 2版.北京:人民卫生出版社,2012:8.
[5]齐丹,刘瑞斌,迟新丽.中职生性知识与性态度状况的调查研究[J].中国性科学,2013,22(8):76-80.
[6] Rhodes RE,Courneya KS,Jones LW. Theory of planned behavior and lowerOrderpersonality traits:Interaction effects inthe exercise domain[J]. Personality and Individual Differences,2005,38(4):251-265.
[7] Ajzen I. Perceivedbehavioral control,Self-efficacy,Locus of control,andthetheory of planned behavior[J]. Journal of Applied Social Psychology,2006,32(4):665-683.
[8] Myeshia NP,Janet SH. HydeWhentwoisn'tbeaerthanone:predictorsofearlysexualactivityinadolescenceusingacumulativeriskmodel[J].Journal of Youth and Adolescence,2009,38(8):1059-1071.
[9]谢华.大学生性健康教育:内涵、现状、问题及其教育体系[J].中华文化论坛,2010(1):160-165.
[10] Gonzalez AE,Molina GT,Montero VA,et al. Factors associated with early sexual activity among Chilean adolescents[J]. Revista Medica Dechile. 2013,141(3):313-319.
[11]张鹏,高尔生,楼超华,等.同伴因素对青少年婚前行为的影响[J].中国健康教育,2015,31(3):273-275.
[12] Blum R,Mmari K. Risk and protective factors affecting adolescent reproductive factors health in developing countries[R]. Geneva:World Health Organization,2004.
[13]周建芳,宋冰.日本青少年性与生殖健康服务经验与启示[J].中国学校卫生. 2013(3):382-384.
[2]孙振球.医学统计学[M].北京:人民卫生出版社,2005:579-580.
[3]周清,邱鹏芳,张俊,等.龙岩市中等职业学校学生性知识态度行为现状[J].中国学校卫生,2014,35(1):37-39.
[4]马骁.健康教育学[M]. 2版.北京:人民卫生出版社,2012:8.
[5]齐丹,刘瑞斌,迟新丽.中职生性知识与性态度状况的调查研究[J].中国性科学,2013,22(8):76-80.
[6] Rhodes RE,Courneya KS,Jones LW. Theory of planned behavior and lowerOrderpersonality traits:Interaction effects inthe exercise domain[J]. Personality and Individual Differences,2005,38(4):251-265.
[7] Ajzen I. Perceivedbehavioral control,Self-efficacy,Locus of control,andthetheory of planned behavior[J]. Journal of Applied Social Psychology,2006,32(4):665-683.
[8] Myeshia NP,Janet SH. HydeWhentwoisn'tbeaerthanone:predictorsofearlysexualactivityinadolescenceusingacumulativeriskmodel[J].Journal of Youth and Adolescence,2009,38(8):1059-1071.
[9]谢华.大学生性健康教育:内涵、现状、问题及其教育体系[J].中华文化论坛,2010(1):160-165.
[10] Gonzalez AE,Molina GT,Montero VA,et al. Factors associated with early sexual activity among Chilean adolescents[J]. Revista Medica Dechile. 2013,141(3):313-319.
[11]张鹏,高尔生,楼超华,等.同伴因素对青少年婚前行为的影响[J].中国健康教育,2015,31(3):273-275.
[12] Blum R,Mmari K. Risk and protective factors affecting adolescent reproductive factors health in developing countries[R]. Geneva:World Health Organization,2004.
[13]周建芳,宋冰.日本青少年性与生殖健康服务经验与启示[J].中国学校卫生. 2013(3):382-384.