Guan Ming
International Issues Center, Xuchang University, Road Bayi 88, Xuchang, Henan, China.
Family Issues Center, Xuchang University, Road Bayi 88, Xuchang, Henan, China.
Arch Public Health. 2021 Nov 29;79(1):215. doi: 10.1186/s13690-021-00739-5.
Although several studies have attempted investigating sex-related knowledge, attitudes, and practices among young people in China, deeper insights were still needed to further understand how this population could be supported to make healthy and safe sexual choices. Against this background, this study used a large set of secondary data to examine associations among sexual and reproductive health (SRH) knowledge, sexual attitudes, and sexual behaviour.
A cross-sectional study was employed to explore the associations among SRH knowledge, sexual attitudes, and sexual behaviour with a publicly available survey data among the 1196 university students from freshmen to Ph.D. candidates. Descriptive analysis was used to describe the sociodemographic characteristics of the university students by gender. Associations of sociodemographic factors with sources and categories of SRH knowledge, categories of contraceptive knowledge, sexual attitudes, and sexual behavior were explored with Poisson regressions and logistic regressions, respectively. The mediating effects of sociodemographic factors on the associations between SRH knowledge and sexual behavior, observed sexual attitudes on the associations of SRH knowledge with sexual behavior, and latent sexual attitudes on the relationship between SRH knowledge and sexual behavior were analyzed in order.
Descriptive analysis showed that the sample was dominated by age group (18 to 24 years), undergraduates, females, limited contraceptive knowledge, unfavorable sexual attitudes, and insufficient knowledge sources. Regression analyses showed that sociodemographic factors had significant associations with SRH knowledge, sexual attitudes, and sexual behavior. Subsequently, the mediating effects of sociodemographic factors on the associations of SRH knowledge and sexual attitudes with sexual behavior were confirmed. Controlling for sociodemographic factors, the effects of sexual attitudes on the associations between SRH knowledge and sexual behaviour could be verified. Structural equation modeling indicated that the linear sequence of sources and categories of SRH knowledge → sexual attitudes → sexual behaviour model and the triangle mediating effects of sexual behaviour → sexual attitudes → SRH knowledge model existed.
Sociodemographic factors and observed sexual attitudes mediated the associations between SRH knowledge and sexual behaviour. The sequence relationship: sources and categories of SRH knowledge → sexual attitudes → sexual behavior and the mediating relationship: sexual behavior → sexual attitude → sources and categories of SRH knowledge & sexual behavior → sources and categories of SRH knowledge and sexual behavior → sexual attitude → categories of contraceptive knowledge & sexual behavior → categories of contraceptive knowledge were confirmed in the sample. This study also identified an urgent need for the university students to access to SRH comprehensive knowledge.
尽管已有多项研究试图调查中国年轻人的性相关知识、态度和行为，但仍需要更深入的见解来进一步了解如何支持这一人群做出健康和安全的性选择。在此背景下，本研究使用了大量二手数据来检验性与生殖健康（SRH）知识、性态度和性行为之间的关联。
采用横断面研究，利用公开的调查数据，对1196名从大一新生到博士研究生的大学生进行研究，以探索SRH知识、性态度和性行为之间的关联。描述性分析用于按性别描述大学生的社会人口学特征。分别用泊松回归和逻辑回归探讨社会人口学因素与SRH知识来源和类别、避孕知识类别、性态度和性行为之间的关联。依次分析社会人口学因素对SRH知识与性行为之间关联的中介作用、观察到的性态度对SRH知识与性行为关联的中介作用以及潜在性态度对SRH知识与性行为关系的中介作用。
描述性分析表明，样本以年龄组（18至24岁）、本科生、女性为主，避孕知识有限，性态度不佳，知识来源不足。回归分析表明，社会人口学因素与SRH知识、性态度和性行为存在显著关联。随后，证实了社会人口学因素对SRH知识和性态度与性行为之间关联的中介作用。在控制社会人口学因素后，可验证性态度对SRH知识与性行为之间关联的影响。结构方程模型表明，存在SRH知识来源和类别→性态度→性行为模型的线性序列以及性行为→性态度→SRH知识来源和类别&性行为→SRH知识来源和类别以及性行为→SRH知识来源和类别与性行为→性态度→避孕知识类别&性行为→避孕知识类别的三角中介作用。
社会人口学因素和观察到的性态度介导了SRH知识与性行为之间的关联。样本中证实了SRH知识来源和类别→性态度→性行为的序列关系以及性行为→性态度→SRH知识来源和类别&性行为→SRH知识来源和类别以及性行为→SRH知识来源和类别与性行为→性态度→避孕知识类别&性行为→避孕知识类别的中介关系。本研究还确定大学生迫切需要获得SRH综合知识。
