非意愿性行为危险因素病例对照研究

程怡民; 康宝华; 王铁燕; 韩学军; 沈焕; 吕玉人; 韩丽辉; 崔影; 刘华; 虞文焕; 武美; 王金英; 张咏梅; 余秋声

Abstract

程怡民,康宝华,王铁燕,韩学军,沈焕,吕玉人,韩丽辉,崔影,刘华,虞文焕,武美,王金英,张咏梅,余秋声.非意愿性行为危险因素病例对照研究[J].Chinese journal of Epidemiology,2001,22(3):179-181

非意愿性行为危险因素病例对照研究

Case- control study on sexual coercion and related risk factors in China

Received:October 23, 2000

DOI：

KeyWord: 生殖健康性行为青少年

English Key Word: Reproductive health Sexual coercion Adolescents

FundProject:国际临床流行病学网( INCLEN) 资助项目( 05082)

Author Name	Affiliation
CHENG Yimin	Department of Epidemiology, National Research Institute for Family Planning, Beijing 100081, China
KANG Baohua	北京市宣武医院
WANG Tieyan	北京市海淀妇产医院
韩学军	北京市朝阳医院
沈焕	北京市人民医院
吕玉人	北京市民航医院
韩丽辉	北京妇产医院
崔影	北京市东四妇产医院
刘华	北京市酒仙桥医院
虞文焕	北京市天坛医院
武美	北京市和平里医院
王金英	北京市丰台医院
张咏梅	武警北京总队医院
余秋声	首都钢铁集团公司总医院

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Abstract:

目的　研究非意愿性行为的危险因素,为制定降低非意愿性行为的规划、改善青少年的生殖健康服务。方法　采用病例对照研究方法。研究对象是从寻求人工流产 (人流 )服务年轻妇女中选取的,以人流者中,经历过非意愿性行为的 5 12名妇女作为病例组,以同一人群中,从未经历过非意愿性行为的 5 17名妇女作为对照组,来比较两组间各种因素的差异。结果　增加非意愿性行为发生的危险因素主要有 :高中以下文化程度〔χ² =15.2 7,P <,0.0 1,比值比 (OR) :1.71〕,没有与父母同住 (χ² =10.18,P <,0.0 1,OR :1.5 0 ),因醉酒而发生性行为 (χ² =34.2 2,P <,0.0 1,OR :5.0 4),被男方殴打过 (χ² =6.79,P <,0.0 1,OR :2.72 ),被男友辱骂过 (χ² =4.2 2,P <,0.0 5,OR :1.71),曾经与几个男性发生性关系 (χ² =19.0 8,P <,0.0 1,OR :2.17),流动人口 (χ² =2 0.6 0,P <,0.0 1,OR :1.78)以及男方与女方年龄之间的差距 (χ² =11.0 4,P <,0.0 1,OR :2.17)。结论　文化程度较低、单独居住、外来人口、多性伴及男女之间关系的不平等,易增加发生非意愿性行为的风险

English Abstract:

ObjectiveTo find out the determinants of sexual coercion among adolescent abortion seekers in China.Methods Case-control study was adopted.Women seeking for abortion and ever having experienced sexual coercion were taken as case group and those who had never experienced sexual coercion as control group.Case-control study was carried out in 11 large hospitals in Beijing city from January 2000 to April 2000.Results The number of subjects in case group was 512, comparing to 517 in the control group.The mean age of subjects was 20.25 years with monthly income 881.2 RMB Yuan.The difference between case group and control group in income, occupation and age showed no statistical significance.The results of the study indicated that the factors which were more likely to be related to sexual coercion include lower educational level(χ²=15.27, P<0.01, OR :1.71), not living with parents(χ²=10.18, P<0.01,OR :1.50), mobile nature (χ²=20.60, P <0.01, OR :1.78), experienced battery by partner (χ²=6.79, P <0.01, OR :2.72), abused by her partner(χ²=4.22, P<0.05, OR :1.71)multi-partners(χ²=19.08, P<0.01, OR :2.17), sex after being drunk(χ²=34.22, P<0.01, OR :5.04), and larger gaps of in age between male and female partners(χ²=11.04, P <0.01, OR :2.17).Conclusion Factors as, poor-educated, not living with parents, floating population, multi-partners, the inequality between male and female were more likely to increase the risk of sexual coercion.

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