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海南省乡镇地区校外青年婚前性行为及其与流动经历关系的研究

Relationship between gender, experience of migration and premarital sex among out-of-school youths in rural Hainan, China

摘要:

目的 比较海南省乡镇16 ~ 24岁男女校外青年婚前性行为,并探讨其与流动经历的关系.方法 在海南省A、B县的8个乡镇,按照年龄、性别、是否有流动经历进行等比例配额方便抽样.在A、B县每个镇分别招募160和80名符合条件的研究对象,做面对面问卷调查.结果 获取有效问卷760份(A县322份,B县438份,男女各380份).女性已婚者比例(39.2%)明显高于男性(11.3%,P<0.01).男女被调查者报告有性行为的比例(56.8%和57.9%)以及有婚前性行为的比例(54.5%和50.0%)相近.在有性行为的调查对象中,男、女初次性行为的平均年龄(18.2岁±1.9岁和19.2岁±1.8岁,P<0.01)、初次性行为≤18岁者比例(59.3%和35.5%,P<0.01)和初次外出打工平均年龄(18.0岁±2.3岁和16.5岁±1.9岁,P<0.01)均有差别;31.2%的男性报告初次性行为在第一次外出打工前,45.9%报告在第一次外出打工后1年内;而女性,78.5%的人报告初次性行为在初次打工一年以后.分析男女被调查者婚前性行为的影响因素,无论男性还是女性,扣除人口学特征因素的影响后,有“3个月以上跨市县/省”流动经历以及报告自己朋友中有很多人有婚前性行为,与有婚前性行为有关;男性有婚前性行为者年龄偏大;女性已婚也是有婚前性行为的独立相关因素.对男性未婚者的多因素分析显示,有流动经历以及年龄偏大与发生婚前性行为独立相关.结论 海南省乡镇地区男、女青年在性行为及流动特征方面存在差异,在开展相关危险性行为研究和干预中应考虑性别差异的影响.

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abstracts:

Objective To assess pre-marital sex behavior and its relationship with gender and experience of migration among 16-24 years-old out-of-school youths in rural Hainan province,China.Methods 160 eligible youths from each of the 2 townships in County A and 80 from each of the 6 townships in County B were recruited,under equal proportion on gender,age distribution and experience of migration.An interviewer-administered,standardized questionnaire was used.Results 760 eligible participants (with each gender of 380) were interviewed.There were no significant differences in the proportions of reporting as sexually active (56.8% and 57.9% ) or having premarital sex (54.5% and 50.0% ) between male and female youths.However,among those sexually active participants,the average age at first sexual intercourse was (18.2± 1.9 years or 19.2 ± 1.8 years,P<0.01 ),the average age of first-time leaving hometown for work (18.0 ± 2.3 years or 16.5 ± 1.9 years P<0.01 ) and the percentage of having first sexual intercourse before 1 8 years old (59.3% vs.35.5%,P<0.01) were different between males and females.31.2% of the male youths reported that their sexual debut happened before they left their hometown for work and 45.9% of the sex debut appeared within 1 year after they left hometown.However,78.5% of the sexually active female youths reported their sexual debut happened 1 year after leaving their hometown.Data from the multivariate analysis showed that being away from hometown for more than 3 months and having more friends who presumably had presumably pre-marital sex experiences were more likely to report pre-marital sex behavior.Older men were more likely to report pre-marital sex behavior than the younger ones.Married women were more likely to report pre-marital sex behavior than the unmarried ones.Through multivariate analysis on unmarried men,data showed that those having had experience on migration and at older age were associated with experiencing premarital sex.Conclusion Gender difference was identified on the pattern of migration and its relationship with premarital sex among out-of-school rural youths in Hainan province.When prevention program is developed for rural youth,these differences should be taken into account.

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作者: 曹远 [1] 王瑜 [2] 何启亚 [3] 王召乾 [4] 冯维平 [5] 吉金花 [6] 廖苏苏 [1]
作者单位: 100005,中国医学科学院基础医学研究所北京协和医学院基础学院流行病学教研室 [1] 北京市疾病预防控制中心健康教育所 [2] 中国人民大学统计学院;海南省疾病预防控制中心 [3] 海南省疾病预防控制中心 [4] 澄迈县疾病预防控制中心 [5] 昌江县=疾病预防控制中心 [6]
期刊: 《中华流行病学杂志》2011年32卷11期 1095-1100页 MEDLINEISTICPKUCSCD
分类号: R18
栏目名称: 现场调查
DOI: 10.3760/cma.j.issn.0254-6450.2011.11.009
发布时间: 2012-01-18
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