Ab Rahman Azriani, Ab Rahman Razlina, Ibrahim Mohd Ismail, Salleh Halim, Ismail Shaiful Bahri, Ali Siti Hawa, Muda Wan Manan Wan, Ishak Maizun, Ahmad Amaluddin
Department of Family Medicine, School of Health Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Southeast Asian J Trop Med Public Health. 2011 May;42(3):717-25.
The objectives of this study were to describe the knowledge of sexual and reproductive health among adolescents attending school and to compare the levels of knowledge between males and females and between older and younger groups of adolescents. Across-sectional study was conducted among 1,034 secondary school students using a self administered validated questionnaire. The items with the fewest correct responses included: whether one can get pregnant after a single act of sexual intercourse (30.4%), whether sexual intercourse causes sexually transmitted diseases (STDs) (12.4%) and whether washing the vagina after sexual intercourse prevents pregnancy (17.0%). Their main source of sexual information was friends (64.4%). An independent t-test revealed the mean knowledge score was significantly higher among females than males on items assessing whether the genitalia may be touched freely by family members, females having attained menarche may become pregnant if having sex, whether pregnancy will occur if there is penetration of the penis into the vagina, whether premarital sexual intercourse causes pregnancy and if there is a relationship between abandoned babies and premarital pregnancies. The mean knowledge score assessing whether pregnancy can be prevented using condoms was higher among males than females. The mean knowledge scores were significantly higher among form four and form five students than forms one, two and three students. Lack of knowledge regarding important aspects of sexual and reproductive health warrant the need to strengthen sexual and reproductive health education.
本研究的目的是描述在校青少年的性与生殖健康知识，并比较男性与女性以及年龄较大和较小青少年群体之间的知识水平。采用自行设计的有效问卷，对1034名中学生进行了横断面研究。正确回答最少的问题包括：单次性行为后是否会怀孕（30.4%）、性行为是否会导致性传播疾病（12.4%）以及性交后清洗阴道是否能预防怀孕（17.0%）。他们性信息的主要来源是朋友（64.4%）。独立t检验显示，在评估以下内容的项目上，女性的平均知识得分显著高于男性：家庭成员是否可以随意触摸生殖器、初潮后的女性发生性行为是否可能怀孕、阴茎插入阴道是否会导致怀孕、婚前性行为是否会导致怀孕以及弃婴与婚前怀孕之间是否存在关联。在评估使用避孕套是否可以预防怀孕方面，男性的平均知识得分高于女性。四年级和五年级学生的平均知识得分显著高于一、二、三年级学生。对性与生殖健康重要方面的知识缺乏表明有必要加强性与生殖健康教育。
