【摘要】 目的了解北京市大、中学生性行为发生现况及其与物质成瘾行为的关系,为有效开展性健康教育提供参考。方法多阶段分层整群随机抽取北京市高中76所、职业技术学校34所、大学12所的学生共24 520名,使用"中国青少年健康相关行为调查问卷"对学生进行集体自填式匿名问卷调查,了解性行为发生情况及其与物质成瘾行为的相关性。结果高中、大学学生性行为报告率分别为7.31%和12.96%,差异有统计学意义(P<0.01)。在已经发生过性行为的学生中,有20.05%发生过被迫性行为,有32.29%的学生有2个及以上的性伴,安全套的使用率为63.61%,有10.03%的学生曾经发生/造成意外妊娠。多因素非条件Logistic回归分析发现,现在吸烟、现在饮酒、重度饮酒、醉酒、吸毒、擅用镇静催眠类药物等均与性行为的发生存在相关性。结论性行为已经成为北京市大、中学生的重大健康问题。早期、多角度地开展青春期性健康教育,是今后工作的重要方向。更多还原

【Abstract】 Objective To find out the prevalence of sexual behaviors among middle school and college/university students,and to have a research upon the correlation between sexual behaviors and substance-dependent behaviors.Methods By multi-stage stratified cluster randomized sampling,24 520 students from 76 middle schools,34 occupational schools and 12 colleges/universities in Beijing were investigated in the way of anonymous collective self-administered questionnaire survey by the use of "China Youth Health Risk Behaviors Questionnaire"(middle school,college/university volume).Results About 7.31% middle school students and 12.96% college/university students claimed to have ever had sex,20.05% of them were compelled;32.29% have two or more sex-partners;only 63.61% used condom in the latest sex;10.03% had unintentional pregnancy.By single factorial and multi-factorial correlation analysis,factors such as present smoking,present drinking,heavy drinking,drunk,drug abuse,Phenobarbital taking without prescription all have correlation with sexual behaviors.Conclusion The health of middle school and college/university students is considerably affected by their sexual behaviors.Actions taken to intervene the substance-dependent behaviors are essential to prevent youth sexual behaviors.更多还原