Vanke School of Public Health, Tsinghua University, Beijing, China.
School of Public Health, Peking University Health Science Centre, Beijing, China.
BMJ Sex Reprod Health. 2022 Jan;48(e1):e13-e21. doi: 10.1136/bmjsrh-2020-200766. Epub 2021 Jan 27.
The study aimed to discuss the importance of socioeconomic status (SES) and family sexual attitudes and investigate their association with sexual and reproductive health in a large sample of Chinese young adults.
We analysed a large sample of 53 508 youth aged 15-24 years from an internet-based survey from November 2019 to February 2020. Multivariable logistic regression analyses were employed to examine the association between SES, family sexual attitudes, and sexual and reproductive health (SRH), stratified by sex and adjusting for potential confounders.
Individuals with the highest expenditure were more likely to engage in early sexual intercourse (female: OR 4.19, 95% CI 3.00 to 5.87; male: OR 3.82, 95% CI 2.84 to 5.12). For both sexes, the likelihood of young adult sexual risk-taking such as first intercourse without using a condom, acquiring sexually transmitted infections, and pregnancy was lower in those with higher maternal educational attainment, whereas it was higher in those with open family sexual attitudes.
Lower SES and open family attitudes toward sex had a significant association with a range of adverse young adulthood SRH outcomes. Public health policies should focus on more deprived populations and advocate suitable parental participation to reduce risky sexual behaviours in youth.
本研究旨在探讨社会经济地位（SES）和家庭性态度的重要性，并调查其与中国年轻成年人的性与生殖健康之间的关联。
我们分析了 2019 年 11 月至 2020 年 2 月期间一项基于互联网的调查中 53508 名 15-24 岁青年的大量样本。采用多变量逻辑回归分析，按性别分层，并调整潜在混杂因素，探讨 SES、家庭性态度与性与生殖健康（SRH）之间的关联。
支出最高的个体更有可能较早发生性行为（女性：OR 4.19，95%CI 3.00 至 5.87；男性：OR 3.82，95%CI 2.84 至 5.12）。对于两性而言，具有较高母亲教育程度的个体发生首次无保护性行为、性传播感染和怀孕等年轻成年人性冒险行为的可能性较低，而具有开放家庭性态度的个体发生这些行为的可能性较高。
较低的 SES 和开放的家庭性态度与一系列不良的年轻成年人 SRH 结局显著相关。公共卫生政策应关注贫困人群，并倡导适当的父母参与，以减少年轻人的危险性行为。
