Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
Front Public Health. 2022 Nov 2;10:947932. doi: 10.3389/fpubh.2022.947932. eCollection 2022.
Since the delivery of sex education is not standardized across local and international secondary schools in Hong Kong, this study aims to assess and compare the knowledge level of sexually transmitted infections (STIs) between university students who attended local and international secondary schools in Hong Kong.
From January to March 2019, we conducted a cross-sectional survey among undergraduates at the University of Hong Kong. The primary outcome was STI knowledge as measured by a 29-item quiz. A higher quiz score meant a better STI knowledge level. Students' attitude toward sexual health and their sex education history was collected. Bivariate and multivariate analyses were conducted to evaluate the association factor with a better STI knowledge level.
Three hundred and ninety six students were included in the analysis. Three hundred thirty three (85.35%) students attended local secondary schools and 58 (14.65%) students attended international secondary schools in Hong Kong; 200 (50.51%) students were male and 196 (49.49%) students were female. Compared with students from local secondary school, those from international secondary schools had a significantly higher STI quiz score (18.19 vs. 15.4, = 0.003). The results of multiple linear regression revealed that students in a higher year of study (β = 1.07, < 0.001), from medical faculties (β = 6.96, < 0.001), and from international secondary schools (β = 2.27, = 0.003) achieved a higher STI quiz score.
University students who attended international secondary schools in Hong Kong possess a significantly higher knowledge level of STIs compared with those who attended local secondary schools. Nonetheless, the overall STI awareness among university students is inadequate. The inadequacy of STI awareness calls for the need to plan and implement satisfactory, comprehensive, and standardized sex education across the overall education system in Hong Kong.
由于香港本地和国际中学的性教育交付方式并不标准化，因此本研究旨在评估和比较在港本地和国际中学就读的大学生对性传播感染（STI）的知识水平。
2019 年 1 月至 3 月，我们对香港大学的本科生进行了一项横断面调查。主要结局指标是通过 29 项测验评估的 STI 知识。测验得分越高表示 STI 知识水平越高。收集了学生对性健康的态度和他们的性教育历史。进行了单变量和多变量分析，以评估与更好的 STI 知识水平相关的因素。
共纳入 396 名学生进行分析。333 名（85.35%）学生就读于本地中学，58 名（14.65%）学生就读于香港国际中学；200 名（50.51%）学生为男性，196 名（49.49%）学生为女性。与来自本地中学的学生相比，来自国际中学的学生 STI 测验得分明显更高（18.19 分比 15.4 分， = 0.003）。多元线性回归的结果显示，学习年限较高（β=1.07， < 0.001）、医学专业（β=6.96， < 0.001）和国际中学（β=2.27， = 0.003）的学生 STI 测验得分更高。
与来自本地中学的学生相比，在港就读国际中学的大学生对 STI 的知识水平明显更高。然而，大学生整体的 STI 意识不足。STI 意识不足需要在香港整个教育系统中规划和实施令人满意、全面和标准化的性教育。
