CAJ | 학술논문

目的：了解医药高等专科学生的性行为特别是高风险性行为现状，分析其影响因素，为高等专科学校开展性健康教育提供参考依据。方法应用研究者自制的调查问卷，采用整群随机抽样方法抽取某医药高等专科学校在校学生517人进行无记名调查，收回有效问卷468份，问卷有效率为90.52%。利用EPIINFO软件录入数据并建立数据库，应用SPSS19.0统计软件进行logistic回归模型逐步回归分析筛选危险因素。结果重庆市某医药高等专科学校学生性交行为发生率为11.54％（54/468），主要与缺乏性心理知识、生育知识，认为未婚先孕不影响前途等12项因素密切相关；16岁以下（含16岁）学生性行为发生率为4.06％（19/468），主要与经常手淫、对性知识不了解、性冲动自责等11项因素密切相关；关于避孕方法，只有24.07%（13/54）学生能够每次性交都选择有效的避孕方法，即避孕套和（或）避孕药，有16.67％（9/54）学生只采用风险很高的避孕方法，即安全期和（或）体外射精，还有7.41％学生（4/54）从未采取避孕措施，未避孕或方法不当主要与性知识不了解、认为未婚先孕不影响前途、经常做性梦等14项因素密切相关；有过性行为的学生中发生过一夜情者占22.22%（12/54），主要与认为爱与性是分离的、认同一夜情、愿与非恋爱异性发生性交等16项因素密切相关。结论医学教育不能代替性与生殖健康教育，医药类高等专科学生仍存在一定的性与生殖健康知识缺乏，导致其存在性安全风险。学校应根据学生性与生殖健康知识的掌握情况开展健康教育与指导，指导其自觉规范性行为、约束性行为，以增加其性安全性。
목적：료해의약고등전과학생적성행위특별시고풍험성행위현상，분석기영향인소，위고등전과학교개전성건강교육제공삼고의거。방법응용연구자자제적조사문권，채용정군수궤추양방법추취모의약고등전과학교재교학생517인진행무기명조사，수회유효문권468빈，문권유효솔위90.52%。이용EPIINFO연건록입수거병건립수거고，응용SPSS19.0통계연건진행logistic회귀모형축보회귀분석사선위험인소。결과중경시모의약고등전과학교학생성교행위발생솔위11.54％（54/468），주요여결핍성심리지식、생육지식，인위미혼선잉불영향전도등12항인소밀절상관；16세이하（함16세）학생성행위발생솔위4.06％（19/468），주요여경상수음、대성지식불료해、성충동자책등11항인소밀절상관；관우피잉방법，지유24.07%（13/54）학생능구매차성교도선택유효적피잉방법，즉피잉투화（혹）피잉약，유16.67％（9/54）학생지채용풍험흔고적피잉방법，즉안전기화（혹）체외사정，환유7.41％학생（4/54）종미채취피잉조시，미피잉혹방법불당주요여성지식불료해、인위미혼선잉불영향전도、경상주성몽등14항인소밀절상관；유과성행위적학생중발생과일야정자점22.22%（12/54），주요여인위애여성시분리적、인동일야정、원여비연애이성발생성교등16항인소밀절상관。결론의학교육불능대체성여생식건강교육，의약류고등전과학생잉존재일정적성여생식건강지식결핍，도치기존재성안전풍험。학교응근거학생성여생식건강지식적장악정황개전건강교육여지도，지도기자각규범성행위、약속성행위，이증가기성안전성。
Objective To understand the current situation of sexual behavior among students from a medical college ,es-pecially the high-risk sexual behavior and analyzed the influencing factors ,in order to provide reference for carrying on sexual health education in the medical colleges. Methods The self-made questionnaires and cluster random sampling were adopted for anonymous investigation among 517 students in a medical college ,468 valid questionnaires were collected with the valid rate of 90.52%. Software EPIINFO was used to enter data and establish database. The statistical software SPSS19.0 was adopted to con-duct Logistic stepwise regression analysis to screen high-risk factors. Results The incidence rate of sexual intercourse was 11.54%(54/468),which were closely related with 12 factors including lacking of psychological knowledge and birth knowledge , mistaken thought of premarital pregnancy without influencing on future and so on. The incidence of sexual behaviors of the stu-dents below the age of 16(including 16) was 4.06%(19/468),which was mainly related to 11 factors including frequent masturbating, incomprehension of sexual knowledge and remorse for sexual drive. As for contraceptive methods ,only 24 students accounting for 24.07%could choose effective contraceptive methods every time(including using condoms or taking contraceptives orally),16.67%of the students adopted high-risk contraceptive methods(including withdrawal and/or secured period),and 7.41% of students had never taken contraceptive measures. Without contraceptive or using improper contraceptive methods was mainly related to 14 factors,including incomprehension of sexual knowledge and the mistaken thought that premarital pregnancy without influencing on the future,sexual dreams and so on. 22.22%(12/54) of students with sexual behavior had ever had one-night stand,which was mainly related to 15 factors,including the thought that love and sex was separated,approving one-night sex,and willing to have sexual intercourse with opposite sex. Conclusion Medical education cannot be completely replaced by sexual and reproductive health education. Students in medical colleges are still lack of sexual and reproductive health education ,which will bring high risk of sexual behavior. Colleges should develop sexual and reproductive health education according to specific circumstances in order to guide students to correctly understand sexual behavior ,consciously standardize and restrain sexual behavior and promote their safety of sexual behavior.