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目的了解某医学院校本科生对意外妊娠认识的程度、及生殖健康态度、行为现状,为在校大学生中开展生殖健康服务提供依据。方法 2014年3~5月在某医学院校的在校学生中采用整群随机抽样法抽取2011级、2013级2个本科年级的学生,采用匿名问卷方式进行调查。结果共发放问卷420份,收回有效问卷406份,男生142人,女生264人。学生对意外妊娠知识的认知度较低,高年级组强于低年级组(P<0.05)。学生对婚前性行为的态度比较宽容,20.94%的学生认为男女认识就可以,男生高于女生(P<0.01);41.38%认为确立男女朋友后可以,男女生的态度差异无统计学意义(P>0.05)。37.93%的学生不愿意接受婚前性行为,女生强于男生(P<0.05)。对发生意外妊娠处理能力还不成熟,主要以求助父母家人、寻求他人帮助为主,分别占28.04%和37.68%。大学生希望获取计划生育及生殖健康教育途径的顺序生理课讲解(46.30%)、医院设立专科门诊(39.40%)、学校设立咨询室(32.51%)、广告传单杂志小册子(13.79%)。结论医学院校学生经过临床知识学习后对意外妊娠相关知识有一定认识,但对婚前性行为态度宽容、发生意外妊娠处理能力有限、计划生育及生殖健康知识了解的渠道不足。
Objective To understand the degree of understanding of unwanted pregnancies among undergraduates in a medical school, and the attitude and behavior of reproductive health, so as to provide the basis for carrying out reproductive health services among college students. Methods From March to May 2014, students from two medical schools in 2011 were enrolled in this study. The students of two undergraduate level in 2011 and 2013 were enrolled in the study. Anonymous questionnaires were used to investigate. Results A total of 420 questionnaires were sent out, 406 valid questionnaires were returned, 142 boys and 264 girls. Students’ knowledge of unwanted pregnancies was lower, while those in lower grades were higher in upper grades (P <0.05). Students were more tolerant of premarital sexual behavior, 20.94% of students think male or female can know, male is higher than female (P <0.01), 41.38% think that the establishment of boyfriend and girlfriend can, male and female students have no significant difference in attitude P> 0.05). 37.93% of students are unwilling to accept premarital sex, and girls are stronger than boys (P <0.05). Unprecedented ability to deal with unexpected pregnancy, mainly to help parents and family, seeking help from others, accounting for 28.04% and 37.68% respectively. Physiological courses for college students wanting access to family planning and reproductive health education courses (46.30%), specialist clinics (39.40%) for hospitals, consulting rooms for schools (32.51%) and brochures for advertising leaflets (13.79%). Conclusions After learning about clinical knowledge, medical students have some knowledge of unplanned pregnancy, but their tolerance towards premarital sexual behavior, limited ability to deal with unwanted pregnancies, and inadequate understanding of family planning and reproductive health knowledge.