Department of Histology and Embryology, School of Basic Medical Sciences, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
Department of Neurology, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
Adv Physiol Educ. 2023 Sep 1;47(3):530-537. doi: 10.1152/advan.00165.2022. Epub 2023 Jun 8.
Chinese universities have been conducting a variety of sexuality education programs, including a sexuality curriculum (SC) to increase sexual and reproductive health (SRH) knowledge and improve sexual attitudes and practices among college students. However, little is known regarding the effect of SC on students' sexual attitudes and behaviors. The purpose of this study was to evaluate the effect of SC on SRH knowledge, sexual attitudes, and practices among college students of Shandong University. To assess these issues, an online cross-sectional survey was conducted via a WeChat applet. Four hundred and forty-nine freshmen were recruited from Shandong University, including 209 students with SC and 240 students without SC. We assessed their SRH knowledge, sexual attitude, and practice. We found that 15.8% engaged in sexual activities, while 59.2% had viewed nonscientific books or videos describing sexual behavior within the past 2 weeks. Regarding the initial source of their SRH information, 65.9% taught themselves through reading or viewing SRH content in the media, and 46.8% participated in school lectures on SRH, while only 31.2% of the participants discussed SRH matters with their parents. As compared with students without SC, students with SC had significantly greater total scores with regard to reproductive health knowledge ( < 0.001) and sexual health knowledge ( < 0.001). Students without SC showed a significant degree of prejudice against sexually transmitted disease patients and were more resistant to interact with acquaintances infected with human immunodeficiency virus ( < 0.001). Exposure to a school-based SC had a beneficial effect on increasing the SRH knowledge of these students as well as mitigating risky sexual attitudes and behaviors. To assess the SRH knowledge, sexual attitudes, and practices in freshmen of Shandong University and assess the effect of SC, an online cross-sectional survey was conducted via a WeChat applet. Our findings indicate that these freshmen demonstrate a high prevalence of being sexually active and exposure to a school-based SC had a beneficial effect on increasing the SRH knowledge of these students as well as mitigating risky sexual attitudes and behaviors.
中国的大学一直在开展各种性教育项目，包括性教育课程（SC），以增加大学生的性与生殖健康（SRH）知识，并改善他们的性态度和行为。然而，对于 SC 对学生性态度和行为的影响知之甚少。本研究的目的是评估 SC 对山东大学大学生 SRH 知识、性态度和行为的影响。为了评估这些问题，我们通过微信小程序进行了在线横断面调查。从山东大学招募了 449 名新生，其中 209 名学生接受过 SC，240 名学生未接受过 SC。我们评估了他们的 SRH 知识、性态度和行为。我们发现，15.8%的学生有过性行为，而 59.2%的学生在过去 2 周内看过非科学的书籍或视频描述性行为。关于他们 SRH 信息的初始来源，65.9%的人通过阅读或观看媒体上的 SRH 内容自学，46.8%的人参加过学校的 SRH 讲座，而只有 31.2%的参与者与父母讨论过 SRH 问题。与未接受 SC 的学生相比，接受 SC 的学生在生殖健康知识（<0.001）和性健康知识（<0.001）方面的总分显著更高。未接受 SC 的学生对性病患者表现出明显的偏见，并且更不愿意与感染人类免疫缺陷病毒的熟人互动（<0.001）。暴露于基于学校的 SC 对增加这些学生的 SRH 知识以及减轻危险的性态度和行为有有益的影响。为了评估山东大学新生的 SRH 知识、性态度和行为，并评估 SC 的效果，我们通过微信小程序进行了在线横断面调查。我们的研究结果表明，这些新生表现出很高的性行为发生率，并且暴露于基于学校的 SC 对增加这些学生的 SRH 知识以及减轻危险的性态度和行为有有益的影响。
