我国城、乡高中生性行为发生的比较研究

Objective: To analyze the situation of sexual behavior among urban and rural Chinese high school students, and make suggestion for providing appropriate sexual education in the future. Methods: An anonymous questionnaire survey was conducted among 224 770 high school students selected by using multi-stage stratified cluster sampling method in 28 provincial units of China. Results: Overall, 5.9% high school students reported that they had had sexual intercourse, the prevalence of having had sexual intercourse was higher among urban students (6.2%) than rural (5.2%) students (χ2=83.290, P<0.01), and higher among boys (8.8%) than girls (3.3%, χ2=2944.456, P<0.01). Of these, 44.6% reported had forced sex; the prevalence was 43.5% and 47.5% in urban and rural students (χ2=16.237, P<0.01), respectively, and lower among boys (39.7%) than girls (55.8%, χ2=285.089, P<0.01). Boy, higher grade, vocational school, living without parents and western area were found to be the risk factors to sexual intercourse among urban and rural students. The pattern of forced sexual intercourse was slightly different between urban and rural students, however, girls, ordinary school, living without parents and western area were the risk factors. Conclusion: Sexual education should be taken as soon as possible by using scientific as well as systematic methods in the occupational school students, students living without their parents and western region.