Zhao Jinhong, Li Yaqi, Wang Xuezhu, Wang Zhaojian, Yu Si, Li Tao
School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
School of Clinical Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
Sex Med. 2023 May 22;11(2):qfad015. doi: 10.1093/sexmed/qfad015. eCollection 2023 Apr.
Sexual health is an essential part of overall well-being, and medical students' sexual education, level of sexual knowledge, and attitudes toward sexual health will affect their sexual behavior.
To explore the correlation among medical decision tendency, sex education level, and sexual health KAP (knowledge, attitudes, and practices).
We conducted a cross-sectional survey in March 2019. Data were collected via online surveys with a self-developed questionnaire covering sexual KAP and sexual education. We used Spearman correlation to assess the effect of sexual education on KAP after scoring the related questions.
Outcomes included descriptive analysis and correlation of medical and nursing students' KAP and education regarding sexual health.
Medical and nursing students hold a high level of sexual knowledge (74.8%) and a positive attitude toward premarital sex (87.5%) and homosexuality (94.5%). By conducting the correlation analysis, we observed that medical and nursing students' tendency to support friends' homosexuality was positively correlated with the view that medical intervention for transgender or gay/lesbian people is unnecessary ( < .01). A positive correlation was also found between medical and nursing students who want more diverse sexual education and who would tend to provide patients with more humanistic care regarding their sexual needs ( < .01).
Medical and nursing students who want more diverse sexual education and who had higher scores in the sexual knowledge test tend to provide their patients with more humanistic care regarding sexual needs.
The research shows the current situation of medical and nursing students' sexual education experience and preference and sexual knowledge, attitudes, and behavior. Heat maps were used to more intuitively describe the correlation between medical students' characteristics and their sexual knowledge, attitudes, and behaviors and sex education. The results may not be generalizable across China, as the participants were from 1 medical school.
It is essential to provide sexual education for medical and nursing students to ensure a more humanistic approach to patient care regarding sexual needs; therefore, we recommend that medical schools invest in sexual education for medical and nursing students throughout their education.
性健康是整体健康的重要组成部分，医学生的性教育、性知识水平以及对性健康的态度会影响他们的性行为。
探讨医学决策倾向、性教育水平与性健康知识、态度和行为（KAP）之间的相关性。
2019年3月我们开展了一项横断面调查。通过在线调查，使用自行编制的涵盖性KAP和性教育的问卷收集数据。对相关问题评分后，我们采用Spearman相关性分析来评估性教育对KAP的影响。
结果包括对医学和护理专业学生性健康KAP及教育情况的描述性分析和相关性分析。
医学和护理专业学生具备较高水平的性知识（74.8%），对婚前性行为（87.5%）和同性恋（94.5%）持积极态度。通过进行相关性分析，我们观察到医学和护理专业学生支持朋友同性恋的倾向与认为对跨性别者或同性恋者进行医学干预不必要的观点呈正相关（<0.01）。希望接受更多样化性教育的医学和护理专业学生与倾向于为患者的性需求提供更多人文关怀的学生之间也存在正相关（<0.01）。
希望接受更多样化性教育且在性知识测试中得分较高的医学和护理专业学生倾向于为患者的性需求提供更多人文关怀。
本研究展示了医学和护理专业学生的性教育经历、偏好以及性知识、态度和行为的现状。使用热图更直观地描述了医学生的特征与其性知识、态度、行为和性教育之间的相关性。由于参与者来自1所医学院校，研究结果可能无法推广至全中国。
有必要为医学和护理专业学生提供性教育，以确保在对待患者性需求方面采取更具人文关怀的方式；因此，我们建议医学院校在医学和护理专业学生的整个教育过程中投入性教育。
