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目的了解云南、深圳两地校外青少年生殖健康相关行为的发生状况,探讨影响生殖健康高危行为发生的社会心理学因素。方法采用非概率抽样中的偶遇抽样方法,于2012年5—6月对云南和深圳两地862名15~24岁的校外青少年进行生殖健康、社会支持、总体幸福感、自尊相关情况的问卷调查。结果校外青少年中与异性有过牵手、拥抱、接吻、抚摸身体、性交行为的比例分别为92.5%、85.7%、75.9%、60.2%和54.5%;在发生性行为的校外青少年中,最近一次性行为未使用安全套和有≥2个性伴的比例分别为45.7%和62.6%;女性为最近一次性行为是否使用安全套行为的高危人群(OR=2.318,95%CI=1.601~3.356),未婚(OR=0.367,95%CI=0.190~0.709)和总体幸福感高(OR=0.971,95%CI=0.955~0.987)为校外青少年该行为的保护性因素;居住地为昆明(OR=2.690,95%CI=1.511~4.790)、深圳(OR=,4.644,95%CI=1.007~2.729)、女性(OR=4.464,95%CI=3.180~6.783)、年龄越大(OR=1.225,95%CI=1.113~1.349)、务工时间越长(OR=1.102,95%CI=1.003~1.022)为校外青少年是否有≥2个性伴的危险因素,总体幸福感高(OR=0.969,95%CI=0.953~0.986)为其保护因素。结论云南和深圳两地校外青少年生殖健康高危行为的发生率较高,总体幸福感是生殖健康高危行为的保护因素,应注重对校外青少年的心理干预。
Objective To understand the incidence of reproductive health-related behaviors among out-of-school adolescents in Yunnan and Shenzhen and to explore the socio-psychological factors that affect the high-risk behavior of reproductive health. Methods By means of occasional sampling in non-probability sampling, from May to June 2012, questionnaires of reproductive health, social support, overall well-being and self-esteem were collected from 862 adolescents aged 15 to 24 in Yunnan and Shenzhen . Results The proportions of out-of-school adolescents who had had hands, hugs, kisses, body strokes and sexual intercourse with heterosexuals were 92.5%, 85.7%, 75.9%, 60.2% and 54.5% respectively. Of the off-campus adolescents who had sex with one sex The proportion of unused condom and ≥2 partners was 45.7% and 62.6% respectively. The risk of condom use was the highest among women who had the most recent sexual activity (OR = 2.318, 95% CI = 1.601-3.356) = 0.367, 95% CI = 0.190-0.709) and overall happiness (OR = 0.971, 95% CI = 0.955-0.987) were protective factors for off-campus adolescents. Kunming was the place of residence (OR = 2.690, 95% CI = 1.511 ~ 4.790), Shenzhen (OR = 4.644,95% CI = 1.007-2.729), female (OR = 4.464,95% CI 3.180-6.783) (OR = 1.102, 95% CI = 1.003 ~ 1.022) were the risk factors for extra-school adolescents with ≥2 sexual partners, the overall happiness was high (OR = 0.969,95% CI = 0.953 ~ 0.986) as its protective factor. Conclusions The incidence of high risk behaviors of reproductive health among off-school adolescents in Yunnan and Shenzhen is high. Overall happiness is the protective factor of high-risk reproductive health. Psychological intervention should be emphasized on adolescents outside of school.