摘要
目的:了解未婚人流女青年生殖道感染/性传播疾病(RTIs/STIs)的患病率、性暴力的发生率及其相关的影响因素;了解未婚人流女青年性和生殖健康知识、态度、行为和生殖健康保健需求。方法:2002.10-2003.02期间,广东省深圳市、广西省南宁市、北京市、河南省郑州市的市级医院妇产科对2002名年龄<24岁来院要求人工流产的未婚女青年进行妇科检查和实验室检查及自填式问卷调查。结果:调查对象平均年龄为22.0±1.7岁,流动人口占61.0%。在调查中生殖道感染的患病率为57.1%,性传播疾病的患病率是9.8%。与生殖道感染有关的影响因素包括非流动人口、首次性行为年龄≤19岁、未使用避孕方法、既往有患RTIs病史、清洁外阴间隔时间≥2d。调查对象性暴力的发生率是11.7%。首次性行为的平均年龄为20.3±1.9岁。平均拥有性伴侣数为1.2±0.9个。生殖健康知识总分平均为4.2±2.3分(总分9分)。调查对象对生殖健康保健知识的需求依次为避孕知识、人工流产危害、性生理知识、性传播疾病的危害与预防等。结论:未婚人流女青年有关性和生殖健康知识贫乏;首次性行为平均年龄提前;RTIs/STIs是未婚人流女青年生殖健康的主要问题;未婚人流女青年中的性暴力现状不容忽视。
Objective: To understand the prevalence of RTIs/STIs and the incidence of coercion among unmarried young women and their influencing factors; to know the KAP and the service needs of the sex and reproductive health of unmarried young women. Methods: From Oct.2002 to Feb.2003, 2 002 unmarried young women ( ≤ 24 yr old) from MCH institutes of Beijing, Shenzhen, Nanning and Zhengzhou who wanted to be aborted received gynecological and laboratory examination. At the same time, they also filled in the questionnaire. Results: The mean age of all respondents was 22 ± 1.7, 61% was migratory population. The prevalence of RTIs was 57.1% and the prevalence of STIs was 9.8%. The influencing factors on RTIs prevalence were local population, not using contraceptive method, the debut of sex behavior was ≤19 yr old, history of suffering from RTIs and the interval of cleaning vulvae ≥ 2 d. The incidence of sex violence was 11.7%。The averaged respondents' ages of having first sexual activity was 20.3 ± 1.9 yr old. The average number of sexual partners was 1.2 ± 0.9. The average score of knowledge about reproductive health was 4.2±2.3. The order of unmarried adolescent's service needs for reproductive health knowledge was related knowledge, contraceptive methods, and harmful effect of induced abortion, sexual physiology, and prevention of RTIs/STIs. Conclusion: Unmarried women had little knowl- edge about sex and reproductive health; the debut of sexual activity was getting earlier and earlier gradually; RTIs/ STIs was one of the main reproductive health problems among unmarried young women who saught abortion; coercion among unmarried young women should not be neglected.
出处
《生殖与避孕》
CAS
CSCD
北大核心
2005年第3期163-168,共6页
Reproduction and Contraception
基金
世界卫生组织及卫生部合作项目
项目号HIS/001/01.01.01
关键词
生殖健康
生殖道感染
性暴力
未婚人流女青年
reproductive health
reproductive tract infections (RTIs)
coercion
unmarried young women
