Investigation on demand for sexual health education among middle school students in Shanghai and Zhejiang

CAO Li; WANG Yanhuan; WANG Yingying; ZHAO Qi; XU Biao; FU Chaowei

doi:10.11852/zgetbjzz2023-0164

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Chinese Journal of Child Health Care ›› 2023, Vol. 31 ›› Issue (9) : 1038-1044. DOI: 10.11852/zgetbjzz2023-0164

Health Education

Investigation on demand for sexual health education among middle school students in Shanghai and Zhejiang

CAO Li, WANG Yanhuan, WANG Yingying, ZHAO Qi, XU Biao, FU Chaowei

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Abstract

Objective To investiagte the demand and influencing factors of sexual health education, and to explore appropriate education strategies among middle school students in Shanghai and Zhejiang. Methods A self-designed questionnaire was used to conduct a self-administered anonymous survey in selected six middle schools of Shanghai and Zhejiang Province, China in October 2021. Totally 2 042 students were cluster-sampled. Univariate analysis was performed using t test, χ² test and Wilcoxon test, and multivariate analysis was performed using Logistic regression analysis. Results Among 1 733 valid subjects, 69.4% had received sexual health education before, and it was significantly lower among boys (χ² =24.897) and students in Taizhou (χ² =7.949) compared with girls and students in Shanghai (P<0.05). More than half (51.7%) were very satisfied with their received education, and it was significantly lower among girls (χ²＝7.910) and senior high school students (χ²＝13.615) compared with boys and junior high school students (P<0.05). Near 67.8% of the students believed that they had easy access to sexual health knowledge, and the proportion was significantly higher among students in Shanghai(Z=2.700,P=0.007).Nearly 63.9% were willing to learn more about sexual health, and Taizhou students had a larger demand than Shanghai students (χ²=36.044, P<0.001). Sexual psychology (52.8%), sexual health care (48.1%) and sexual moral law (46.7%) ranked top 3 in what students wanted. Schools (60.2%) and teachers (51.0%) were the most welcome facility and provider of sexual health, respectively. Multiple Logistic regression analysis showed that students who were boys (OR=0.54, 95%CI: 0.39 - 0.75), studied in Taizhou (OR=0.64, 95%CI: 0.46 - 0.87), had good relationship with only mother/father (OR=0.64, 95%CI: 0.45 - 0.92), and students with below-average household finances (OR=0.42, 95%CI:0.25 - 0.69) were less likely to have received sexual health education before. Demands of sexual health education were statistically higher among those studied in Taizhou (OR=1.64, 95%CI: 1.10 - 2.48) and already had spermatogenesis or menstruation (OR=2.03, 95%CI:1.24 - 3.33), while it was statistically lower among those whose parents were in poor relationship (OR=0.49, 95%CI:0.26 - 0.96). Conclusions There are great demands for sexual health education among middle school students, and it is significantly related to gender, region of schooling, spermatogenesis/menstruation status, family relationships and economic level. The role of schools and teachers should be enhanced to promote their sexual health in China.

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middle school students / sexual health education / demand / health promotion

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CAO Li, WANG Yanhuan, WANG Yingying, ZHAO Qi, XU Biao, FU Chaowei. Investigation on demand for sexual health education among middle school students in Shanghai and Zhejiang[J]. Chinese Journal of Child Health Care. 2023, 31(9): 1038-1044 https://doi.org/10.11852/zgetbjzz2023-0164

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