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目的了解深圳市城区中学生生殖健康知识来源及对保健服务的需求,为开展青春期生殖健康服务提供依据。方法采用分层整群抽样方法,在深圳市城区随机抽取3所高中、3所初中,采用自行设计的调查问卷对6所中学的13～18岁在校学生进行调查,调查内容包括:(1)一般情况;(2)现有知识的来源、接触色情品情况;(3)生殖健康服务需求等。结果共调查918名中学生,其生殖健康知识来源依次为学校教育31.3%(287/918)、媒体网络27.5%(252/918)、同学16.0%(147/918)、父母教育9.4%(86/918)、社区健康服务中心3.3%(30/918)、妇幼保健机构2.0%(18/918)、青少年咨询机构1.9%(17/918)。65.9%(605/918)的学生希望了解性与生殖健康方面的知识;54.8%(503/918)的学生希望得到生殖健康方面的服务,其中83.7%(421/503)的学生希望得到性与生殖健康心理咨询服务,79.3%(399/503)的学生希望得到青春期疾病的检查和治疗,38.8%(195/503)的学生希望得到避孕指导和避孕药具。结论中学生已具有主动获取生殖健康知识的愿望,学校及媒体网络作为青少年广泛接受的教育途径应发挥优势,加强教育宣传力度。
Objective To understand the sources of reproductive health knowledge and the demand for health services for secondary school students in urban areas in Shenzhen and provide the basis for adolescent reproductive health services. Methods A stratified cluster sampling method was used to randomly select 3 high schools and 3 junior high schools in Shenzhen City. The questionnaires were designed to investigate the students aged 13-18 in 6 middle schools. The investigation contents include: (1) ) General conditions; (2) Sources of available knowledge, access to pornography; (3) Reproductive health service needs, etc. Results A total of 918 middle school students were investigated. The sources of their reproductive health knowledge were school education 31.3% (287/918), media network 27.5% (252/918), students 16.0% (147/918), parent education 9.4% (86 / 918), 3.3% (30/918) for community health service centers, 2.0% (18/918) for maternal and child health institutions, and 1.9% (17/918) for youth counseling agencies. Students of 65.9% (605/918) wished to know about sexual and reproductive health; 54.8% (503/918) of students wanted reproductive health services and 83.7% (421/503) of them wanted sex and Reproductive health counseling services, 79.3% (399/503) of students wished to be examined and treated for adolescent diseases, and 38.8% (195/503) of students wished for contraceptive guidance and contraceptives. Conclusions Secondary school students have the desire to take the initiative to acquire reproductive health knowledge. Schools and the media network should play their advantages as educational channels widely accepted by young people and strengthen education and publicity efforts.