CAJ | 학술논문

目的：了解15～24岁校外未婚青年与异性/同性发生性行为的状况及其影响因素，为向该人群提供性与生殖健康教育和服务提供依据。方法：在中国6个省的城市和农村地区，对1113人校外未婚青年进行计算机辅助的自填匿名问卷调查。结果：15～18岁组和19～24岁组男性异/同性间性行为发生率均高于女性（P＜0.05）。异性间性行为时，15～18岁组7.14%的女性报告首次性行为属被迫发生；15～18岁组和19～24岁组男、女性首次性行为安全措施的使用率为66.67%和40.00%及58.82%和49.11%，男性报告使性伴怀孕和女性报告怀孕的比例接近（30.00%）；19～24岁组性伴个数2名及以上男性报告率高于女性（P＜0.01）。同性间性行为时，15～18岁组男、女性报告平均年龄仅14岁；19～24岁组15.79%的男性报告首次性行为属被迫发生，46.15%的男性和33.33%的女性报告有2名以上性伴。多因素分析显示，男、女性与异性发生性行为共同的危险因素为看黄色制品和年龄较大（OR男分别为3.51和3.81，OR女分别为6.41和3.58）；与赞成婚前性行为相比，本人不能接受婚前性行为（OR=0.18）、父母不能接受婚前性行为（OR=0.37）和朋友持无所谓态度（OR=0.47）是男性的保护因素；与赞成婚前性行为相比，自己认为婚前性行为不好（OR=0.14）和不能接受（OR=0.06）、朋友不能接受婚前性行为（OR=0.16）和不清楚朋友态度（OR=0.21）是女性的保护因素，父母持无所谓态度是女性的危险因素（OR=12.56）。结论：校外未婚青年与异性/同性的性行为及危险性行为发生率较高，并与接触过黄色制品、个人及父母/同伴的开放态度呈正相关。
목적：료해15～24세교외미혼청년여이성/동성발생성행위적상황급기영향인소，위향해인군제공성여생식건강교육화복무제공의거。방법：재중국6개성적성시화농촌지구，대1113인교외미혼청년진행계산궤보조적자전닉명문권조사。결과：15～18세조화19～24세조남성이/동성간성행위발생솔균고우녀성（P＜0.05）。이성간성행위시，15～18세조7.14%적녀성보고수차성행위속피박발생；15～18세조화19～24세조남、녀성수차성행위안전조시적사용솔위66.67%화40.00%급58.82%화49.11%，남성보고사성반부잉화녀성보고부잉적비례접근（30.00%）；19～24세조성반개수2명급이상남성보고솔고우녀성（P＜0.01）。동성간성행위시，15～18세조남、녀성보고평균년령부14세；19～24세조15.79%적남성보고수차성행위속피박발생，46.15%적남성화33.33%적녀성보고유2명이상성반。다인소분석현시，남、녀성여이성발생성행위공동적위험인소위간황색제품화년령교대（OR남분별위3.51화3.81，OR녀분별위6.41화3.58）；여찬성혼전성행위상비，본인불능접수혼전성행위（OR=0.18）、부모불능접수혼전성행위（OR=0.37）화붕우지무소위태도（OR=0.47）시남성적보호인소；여찬성혼전성행위상비，자기인위혼전성행위불호（OR=0.14）화불능접수（OR=0.06）、붕우불능접수혼전성행위（OR=0.16）화불청초붕우태도（OR=0.21）시녀성적보호인소，부모지무소위태도시녀성적위험인소（OR=12.56）。결론：교외미혼청년여이성/동성적성행위급위험성행위발생솔교고，병여접촉과황색제품、개인급부모/동반적개방태도정정상관。
Objective:To explore heterosexual and homosexual behaviors, and influencing factors, in those unmarried out-of-school young people aged 15 to 24 years, so as to provide the basis on the education and service of sexual and reproductive health for those young people. Methods:The questionnaire survey form was anonymously filled out by 1 113 unmarried out-of-school young people on six target spots in urban and rural areas of six provinces by the computer assisted self-interview(CASI) system. Results:The incidences of hetero-or homo-sexual behaviors in the 15 to 18 years male group and the 19 to 24 years male group were significantly higher than those in female groups (P<0.05). 7.14% of the first heterosexual behaviors in the 15 to 18 years female group were forced. Sexual safety precautions were used in 66.67%of males and 40.00%of females in the 15 to 18 years group, and in 58.82% of males and 49.11% of females in the 19 to 24 years group. About 30.00% of males reported that they had partners′ pregnancies, and 30% of females reported that they had pregnancies. The incidence of multiple sexual partners in the 19 to 24 years male group was significantly higher than that in the age-matched female group (P<0.01). On homosexual behaviors, the average age of the first homosexual behaviors in the 15 to 18 years group was about 14 years, 15.79% of males in the 19 to 24 years group were forced to have, and 46.15% of males and 33.33% females reported that they had more than two sexual partners. Multivariate analyses showed that watching pornographic materials and being older were common risk factors of heterosexual behaviors for males (OR,3.51 and 3.81 respectively) and females(OR,6.41 and 3.85 respectively). Compared with those factors approving premarital sexual behaviors, the attitudes rejecting premarital sexual behaviors from respondents themselves (OR=0.18) and their parents (OR=0.37), and the neutral attitude from friends (OR=0.47), were protective factors in males, while the options that the female respondents thought it being not good but acceptable(OR=0.14) or opposed(OR=0.06), and that friends thought it being unacceptable (OR=0.16) or unknown (OR=0.21), were protective factors and the neutral attitude from parents was risk factor (OR=12.56) in females. Conclusions:The incidences of heterosexual and homosexual behaviors, and unsafe sexual behaviors, in those unmarried out-of-school young people were high, which were positively related to the pornographic material and the open attitudes from respondents themselves, parents and friends.