| Objective:With the opening of the sexual concept and the advancing of adolescents sexual maturity age, teenagers’ unsafe sexual behavior, induced abortion and STDs is increased, it is very harmful to their health of body and mind. This study is to learn KAP about sexual and reproductive health among undergraduates and community youth, and analyzing,comparing associated factors of sexual and reproductive health, which will provide scientific evidences for adopting and planning of education policy about sexual and reproductive health on adolescents.Methods:263 cases of Shan Xi X University undergraduates aged 15-24 years and 207 cases of community youth aged 15-24 years, whom come from X City were surveyed from November 2012 to January 2013 through E-questionnaires, collected the demography and the knowledge, attitude, practice of sexual and reproductive health information, SPSS17.0was used for analysis of data, Spearman’s rank correlation analysis was used to discuss the correlation of sexual and reproductive health knowledge, attitude and practice, and multi-factor logistic regression model and decision tree model were used to explore the factors about knowledge, attitude, practice of reproductive health among them.Results:(1)Comparation of general conditions: Majority of undergraduates and community youthwere unmarried(98.1% of undergraduates and 69.1% of community youth) and none one-child(74.9% of undergraduates and 94.7% of community youth), feeling well for their family(80.2% of undergraduates and 67.6% of community youth), and their parents’ education was elementary school(48.7% of father and 60.1% of mother among undergraduates and 67.6% of father and 77.8% of mother among community youth). The remaining number of differences between undergraduates and community youth at birthplace, marital status, inhabitancy configuration, whether for one-child, parents’ education and feeling of family were statistically significant(P<0.05).(2)Comparation of reproductive health knowledge: There was a significant difference in the scores of all kinds of sexual and reproductive health knowledge among undergraduates and community youth(P<0.05). The highest scores of undergraduates and community youth were AIDS knowledge(83.3±33.3 scores of undergraduates and 50.0±33.3 scores of community youth), the lowest of undergraduates was contraceptive knowledge(25.0±50.0scores), and community youth was STDs knowledge(25.0±75.0 scores). The remaining number of differences between undergraduates and community youth at the correct rate of all kinds of sexual and reproductive health knowledge were statistically significant(P<0.05), the knowledge scores of undergraduates was higher than community youth.(3)Comparation of reproductive health attitude: The effectiveness of self-constraint of undergraduates was better than community youth. More than half of undergraduates and community youth approved of premarital sexual behavior. There was a significant difference in attitude of undergraduates toward sexual behavior of unmarried males and unmarried females with occasional acquaintances( c 2=3.88, P=0.049), and greater permissiveness for males(23.2% of undergraduates and 26.6% of community youth) than for females(16.3% of undergraduates and 23.7% of community youth). The remaining number of differences between undergraduates and community youth at the attitudes about sexual behaviors of unmarried females with occasional acquaintances were statistically significant( c 2=3.94, P<0.05), community youth(23.7%) were more permissive than undergraduates(16.3%), and at the attitude about sexual behavior of unmarried males and unmarried females with lover were statistically significant(unmarried males: c 2=6.12,P=0.013; unmarried females: c 2=12.03, P=0.001), undergraduates(63.5% of unmarried males and 66.5% of unmarried females) were more permissive than community youth(52.2% of unmarried males and 50.7% of unmarried females), and at the attitude about contraceptive were statistically significant( c 2=15.03, P<0.05), the proportion of view about common responsibility of males and females of contraceptive in undergraduates(79.5%) were more than community youth(66.7%).(4)Comparation of reproductive health practice: The proportion of premarital sexual behavior in community youth(79.5%) was higher than undergraduates(25.1%), the youngest premarital sexual behavior age of undergraduates and community youth was 9years and 10 years, respectively, the oldest was both of 23 years. The remaining number of differences between them at the reasons of first premarital sexual behavior were statistically significant( c 2=5.37, P<0.05), the proportion of being tempted to have premarital sexual behavior in undergraduates(20.0%) was higher.(5)Correlation of reproductive health knowledge and attitude: In undergraduates, there was a positive correlation between reproductive health knowledge, AIDS knowledge and reproductive health attitude(P<0.05), a negative correlation between physiological hygiene knowledge and premarital sexual attitude(rs=-0.175, P<0.05), a positive correlation between all kinds of reproductive health knowledge and contraceptive attitude(P<0.05), and a positive correlation between other kinds of reproductive health knowledge and attitude about unmarried induced abortion, except contraceptive knowledge(P<0.05).In community youth, there was a positive correlation between all kinds of reproductive health knowledge and reproductive health attitude, contraceptive attitude(P<0.05), a positive correlation between other kinds of reproductive health knowledge and effectiveness of self-constraint, except contraceptive knowledge(P<0.05), a positive correlation between AIDS knowledge and premarital sexual attitude(rs=0.183, P<0.05),and a positive correlation between other kinds of reproductive health knowledge and attitude about unmarried induced abortion, except STDs knowledge(P<0.05).(6)Correlation of reproductive health knowledge and practice: In undergraduates, there was a negative correlation between reproductive health knowledge and bilateralrelationship, reason, contraception of first premarital sexual behavior(P<0.05), a negative correlation between physiological hygiene knowledge, contraceptive knowledge and all kinds of reproductive health practice(P<0.05), and a positive correlation between AIDS knowledge and time of parties acquaintance of first premarital sexual behavior(rs=0.152,P<0.05). In community youth, there was a negative correlation between all kinds of reproductive health knowledge and all kinds of reproductive health practice(P<0.05).(7)Correlation of reproductive health attitude and practice: In undergraduates, there was a positive correlation between reproductive health attitude and reproductive health practice,bilateral relationship, reason, contraception of first premarital sexual behavior, and a positive correlation between premarital sexual behavior attitude and all kinds of reproductive health practice(P<0.05). In community youth, there was a positive correlation between premarital sexual attitude and all kinds of reproductive health practice,a negative correlation between contraceptive attitude and all kinds of reproductive health practice, and a negative correlation between attitude about unmarried induced abortion and the bilateral relationship, reason, contraception of first premarital sexual behavior(P<0.05).(8)Factors of reproductive health knowledge, attitude and practice: After comprehensive analysis of Logistic regression and decision tree model, results showed that age and whether for one-child were factors for knowledge of undergraduates; age, sex, whether communicate sexual topics with mothers and reproductive health practice were factors for attitude of undergraduates; age, sex, whether communicate sexual topics with fathers, and reproductive health attitude were factors for practice of undergraduates. Age, education,whether received sexual education from school, whether communicate sexual topics with mothers, reproductive health attitude and practice were factors for knowledge of community youth; sex, inhabitancy configuration, whether communicate sexual topics with mothers, and reproductive health knowledge were factors for attitude of community youth;sex, marital status, and reproductive health knowledge were factors for practice of community youth. Common risk factors of them on knowledge was age, on attitude was men and didn’t communicate sexual topics with mother, on practice was men.Conclusions:(1)The reproductive health knowledge scores of undergraduates and community youth were comparatively low, undergraduates were higher than community youth, which reminded us should reinforce the eduction of youth, especially for community youth.(2)The effectiveness of self-constraint and contraceptive attitude of undergraduates was better than community youth. Reproductive health attitude of undergraduates and community youth were more open than before. These results reminded us should reinforce better attitude of youth established.(3)Younger of sexual behavior age and high rates of unsafe sexual behavior amoung undergraduates and community youth, which reminded us should improve poor reproductive health behavior of adolescents.(4)Adverse reproductive health attitude of undergraduates and community youth by raising the level of knowledge to be correct, and adverse reproductive health behavior, we can establish a good attitude correction. But it should be targeted at the high level of physical health knowledge undergraduates to establish a correct attitude; adverse reproductive health behavior modification through better contraception attitude of community youth.(5)For undergraduates, the younger or none one-child, whom’s reproductive health knowledge scores was lower; the younger, male, didn’t communicated sexual topics with mothers, have had premarital sexual behavior, whom’s attitude was more open; the older,male, have communicated sexual topics with fathers, had open reproductive health attitude,whom was more likely to have premarital sexual behavior. For community youth, the younger, had lower level of education, didn’t received sexual education from school, have communicated sexual topics with mothers, had open reproductive health attitude and didn’t have premarital sexual behavior, whom’s reproductive health knowledge scores was lower;the male, living with relatives and friends, didn’t communicated sexual topics with mothers,lacked of reproductive health knowledge, whom’s attitude was more open; the male,married, status of reproductive health knowledge was well, whom was more likely to havepremarital sexual behavior. |
PDF Full Text Request