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目的了解北京市西城区中学男生对男性生殖健康知识认知程度及需求,为进行针对性健康教育提供依据。方法对北京市西城区所属中学在校初一和高一年级男生6037人的生殖健康知识相关内容进行问卷调查。结果19.1%的男生经常清洗外生殖器,59.1%的男生清洗外生殖器时把包皮上翻;高中男生的情况明显好于初中男生(χ2=116.286,P<0.01)。学生对包皮过长、包皮炎、包茎的认知率较高,对隐睾、睾丸鞘膜积液、精索静脉曲张认知率较低。男生生殖健康知识来源主要为学校(41.9%)、父母(32.6%)、同伴(23.9%)、广播电视(22.7%)、网络(21.2%)、书刊杂志(20.4%)。初中男生与高中男生对“卫生保健知识”的需求差异无统计学意义;而高中男生对获取“生长发育知识”及“常见男性生殖系统疾病知识”的需求明显高于初中男生(P值均<0.01)。希望获得生殖健康知识指导和服务的途径初中男生排在前3位的是医生、家长和教师,而高中男生更愿意求助医生、同学和朋友或网络。结论中学男生对男性生殖健康知识掌握不足,对生殖健康知识的需求较强。在加强学校教育的同时,不能忽视家长、同伴、网络等途径的作用。
Objective To understand the cognition and demand of boys’ male reproductive health knowledge in Xicheng District, Beijing, and to provide the basis for targeted health education. Methods A questionnaire survey was conducted on the reproductive health knowledge of 6,037 boys at the first grade and the first year of high school in Xicheng District, Beijing. Results 19.1% of boys regularly cleaned the genitalia and 59.1% of boys turned over the foreskin while washing the external genitalia. The situation of high school boys was significantly better than that of junior middle school boys (χ2 = 116.286, P <0.01). Students on the prepuce, bleb, phimosis higher cognitive rate, cryptorchidism, testicular hydrocele, varicocele cognitive rate is low. The main sources of reproductive health knowledge for boys are school (41.9%), parents (32.6%), companions (23.9%), radio and television (22.7%), internet (21.2%) and books and magazines (20.4%). There was no significant difference in the demand of “health care knowledge” between boys and girls at middle school and boys at middle school, while the demand of boys and girls in middle school was significantly higher than that of junior middle school Boys (P <0.01). Ways to Get Reproductive Health Knowledge Guidance and Services Junior high school boys are doctors, parents and teachers in the top three, while high school boys are more likely to seek help from doctors, classmates and friends or the internet. Conclusions Male middle school boys have insufficient mastery of male reproductive health knowledge and strong demand for reproductive health knowledge. While strengthening school education, we can not ignore the role of parents, peers, the Internet and other channels.