Fang Xiuqing, Zhang Mengfan, Yang Mengjie, Liu Wenjing, Dong Linpei, Ren Yawen, Wang Wenguang, Liu Ting, Yang Li
School of Nursing, Qingdao University, Qingdao 266071, Shandong Province, China.
School of Nursing, Qingdao University, Qingdao 266071, Shandong Province, China; and Qingdao Municipal Key Laboratory for Smart Healthcare and Chronic Disease Management, Qingdao, China.
Sex Health. 2025 Jun;22. doi: 10.1071/SH25001.
Background Psychosexual health refers to an individual's capacity to acquire sexual knowledge through appropriate means, develop healthy values, accept bodily changes, align with socio-cultural norms and regulate sexual behaviors. The study aimed to explore the relative importance of general self-efficacy, sexual refusal self-efficacy, peer relationship, parental monitoring and parent-teen communication about sex in influencing psychosexual health among secondary vocational school students. Methods A total of 2895 secondary vocational school students from of Shandong province in China were selected to complete the General Self-Efficacy Scale, Sexual Refusal Self-Efficacy Questionnaire, Peer Relationship Scale, Parental Monitoring Questionnaire, Parent-Teen Communication about Sex Questionnaire, School Connectedness Scale, School Sex Education Questionnaire and High School Student Psychosexual Health Scale. Dominance analysis was used for statistical analysis. Results Dominance analysis revealed that importance rankings of the socio-ecological factors on psychosexual health in descending order were: peer relationship (the degree of contribution was 36.1%), parent-adolescent communication about sex (the degree of contribution was 34.2%), general self-efficacy (the degree of contribution was 14.5%), sexual refusal self-efficacy (the degree of contribution was 9.6%) and parental monitoring (the degree of contribution was 5.9%). Conclusions Peer relationship, parent-adolescent communication about sex, general self-efficacy, sexual refusal self-efficacy and parental monitoring are the main socio-ecological factors on psychosexual health among secondary vocational school students. Accordingly, helping students build good peer relationships, facilitating appropriate parent-adolescent communication about sex and proper parental monitoring, and increasing students' general self-efficacy and sexual refusal self-efficacy are crucial measures to improve psychosexual health for secondary vocational school students.
背景 性心理健康是指个体通过适当方式获取性知识、形成健康价值观、接受身体变化、符合社会文化规范以及规范性行为的能力。本研究旨在探讨一般自我效能感、性拒绝自我效能感、同伴关系、父母监督以及父母与青少年关于性的沟通在影响中等职业学校学生性心理健康方面的相对重要性。方法 选取中国山东省的2895名中等职业学校学生，完成一般自我效能量表、性拒绝自我效能感问卷、同伴关系量表、父母监督问卷、父母与青少年关于性的沟通问卷、学校联结感量表、学校性教育问卷以及高中生性心理健康量表。采用优势分析进行统计分析。结果 优势分析显示，社会生态因素对性心理健康的重要性排序由高到低依次为：同伴关系（贡献率为36.1%）、父母与青少年关于性的沟通（贡献率为34.2%）、一般自我效能感（贡献率为14.5%）、性拒绝自我效能感（贡献率为9.6%）以及父母监督（贡献率为5.9%）。结论 同伴关系、父母与青少年关于性的沟通、一般自我效能感、性拒绝自我效能感以及父母监督是影响中等职业学校学生性心理健康的主要社会生态因素。因此，帮助学生建立良好的同伴关系、促进适当的父母与青少年关于性的沟通以及适当的父母监督，提高学生的一般自我效能感和性拒绝自我效能感，是改善中等职业学校学生性心理健康的关键措施。
