高雄市青少年保健門診個案性知識與醫療需求之調查研究

A Survey on Sex Knowledge and Medical Demands of the Cases in Kaohsiung City Adolescent Health Clinic

鍾蝶起(Tieh-Chi Chung) ； 嚴建藏(Chein-Tsarng Yen) ； 吳慧美(Hwei-Mei Wu) ； 王月珠(Yueh-Ju Wang)

《The Kaohsiung Journal of Medical Sciences》 12卷3期 (1996/03) Pp. 174-182

https://doi.org/10.6452/KJMS.199603.0174

摘要

本研究的目的在瞭解高雄市青少年保健門診個案（25歲以下未婚男女）之性知識，並分析其性問題諮商及醫療之需求，藉以提供正確的性知識及醫療服務，以維護青少年的健康。研究對象為八十年五月至八十三年五月，至高雄市青少年保健門診第一次求診的個案，共1,000人。採問卷填寫方法收集研究對象的基本資料，以及摘錄其醫療內容加以分析，研究結果如下：1研究對象中，男女比為1：2，其中以學生居多（50.1％），44.1％有性經驗，其初次性經驗之年齡為19.1±2.8歲。性知識的平均答對率為67.7％，顯示青少年性知識普遍不足。答對率女性高於男性，高中（職）以上之教育程度者亦高於國中以下者。但與職業無關。3.有12.5％的研究對象認為『自慰』會產生精神衰弱、腎虧、記憶力減退等現象;同時有11.9％認為『夢遺』為一種夜間不正常之排精，或者捐思亂想才會夢遺；甚至有3.8％認為接吻、擁抱或睡覺會懷孕。4.求診問題，以『性知識的指導』最多，其次為『婦產科醫療問題』。5.有性經驗的比率，男女相近，但有50.6％未曾使用任何避孕方法。若將使用保險套、體外射精、計算安全期等方法併入，則高達88.9％的青少年在性行為過程中，曝露於高度未婚懷孕危險中。6.有性經驗之男性，其不固定異性伴侶之比率高於有性經驗之女性，且在有性經驗之男性未使用避孕方法的比率亦較高；而在有性經驗者中教育程度愈高者，其固定異性伴侶的比率也愈高。

並列摘要

The purpose of this survey is to study the sex knowledge of adolescent, and to analyze their need in sex consultation and related health problem in Kaohsiung city. A total of 1,000 study subjects were recruited from May 1991 to May 1994. A self-administered questionnaire and medical records were used to obtain related information. The results were as follows: 1.The male to female ratio of study subjects was 1:2 half of then were students, 44.1% had sexual experience, and the mean±standard deviation of age at first set experience was 19.1±2.8 years. 2.The average percentage of correct knowledge was as low as 67.6%. It indicated an inadequacy of sex knowledge in adolescents. Females had better knowledge than males. Subjects who hav graduated from senior high schools had better knowledge than those graduated from middle schools. No association was found between the score of sex knowledge and occupation. 3.12.5% of study subjects believed that ”masturbation”might cause neurasthenia, kidney malfunction and loss of memory, while 11.9% recognized that ”nocturnal emission” might result in abnormal ejaculation, mental aberration and quilty feelings. Furthermore, 3.8% considered that kissing, hugging or sleeping together might cause pregnancy. 4.Most adolescents felt that ”guidance on sex knowledge” was the major reason for them to visit the adolescent clinic and ”obstetric and gynecological problems” was the second most important. 5Males and females have the same prevalence of sex experience, and 50.6% of them did not practice contraception. 88.9% subjects had a high risk of getting pregnancy. Males had a higher percentage of more than one heterosexual partner than females did. There was a higher percentage of people with a high education level having a fixed heterosexual partner than that of those with a low education level.

並列關鍵字

adolescent ； health clinic ； sex knowledge