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目的了解广东省在校大中学生性行为情况及相关影响因素,为制定适合在校青少年的艾滋病健康教育和行为干预措施提供依据。方法采取多阶段整群抽样法对广东省21个县区大中学开展健康危险行为调查。结果共调查21个县区的中学生及8个城市县区的大学生共25 275人。男性占47.2%;女性占52.3%,平均年龄(16.7±2.5)岁。艾滋病知识的知晓率为37.3%,5.9%有过性行为,职业高中和大学生、男性、高年龄组、母亲文化程度高、家庭人均收入高、不与父母同住、知晓艾滋病知识、饮酒史及药物滥用史均是性行为发生的危险因素,重点高中及学生自评成绩好是保护性因素。结论应加强职业高中和大学的艾滋病健康教育和行为干预,尤其是高年龄组男生和成绩较差的学生,同时要结合预防饮酒、毒品教育与性教育。
Objective To understand the sexual behaviors of college students in Guangdong Province and the related influencing factors, and to provide the basis for formulating AIDS health education and behavioral interventions for adolescents at school. Methods A multistage cluster sampling method was used to investigate the health risk behaviors among universities and colleges in 21 counties in Guangdong Province. Results A total of 25 275 students from 21 counties and 8 urban counties were investigated. Male 47.2%; Female 52.3%, average age (16.7 ± 2.5) years. Awareness of AIDS knowledge was 37.3%, 5.9% had sex, vocational high school and college students, men, high age groups, mothers with high education, high per capita family income, do not live with their parents, knowledge of AIDS, history of drinking and Drug abuse history are risk factors for sexual behavior, focusing on high school and students self-assessment is good protective factor. Conclusions HIV / AIDS health education and behavioral interventions should be strengthened in vocational high schools and universities, especially for boys of high age group and students of poor grades, combined with prevention of alcoholism, drug education and sex education.