Sex-related knowledge and behavior among children in senior grade of kindergarten in rural areas fo Sichuan Province

Objective To analyze the level of sex-related knowledge and behavior and related factors among children in senior grade of kindergarten in rural areas, and to provide the evidence for early childhood sexuality education. Methods Multi-state stratified sampling method was adopted. From March to May 2019, a total of 324 students and their parents from 16 kindergartens of rural areas in Sichuan Province were enrolled, self-developed questionnaire was used to collect the basic demographic characteristics, information of sexuality education knowledge and sex-related behavior. Results The average score of sexuality education knowledge was 5(4, 6) point, and the awareness rate was 33.6% (109). The qualified sex-related behavior was observed in 75.0% (243 of all the children), while 25.0% (81) needed to be improved. Multivariate analysis showed that, compared with children were aware of the sexuality education knowledge, children who were unaware of the sexuality education knowledge were more likely to have good sex-related behavior, with the OR (95%CI) value was 2.06 (1.14–3.72). The possibility of having good sex-related behavior among those children with more than 2 members in the family parents carring out sexuality education was higher than children without sexuality education in the family, with the OR (95%CI) value being 2.40 (1.17–4.89). Conclusion The level of sexuality education knowledge among children in senior grade of kindergarten of rural areas in Sichuan is low, and most children’s behavior needs to be improved. Children’s awareness of sexuality education knowledge and the number of family members who have carried out sexuality education are related to the occurrence of children’s sex-related behavior. 【摘要】 目的 分析农村大班儿童性教育知识知晓水平、性相关行为发生情况及相关因素，为开展幼儿性教育活动提供 参考。 方法 采用多阶段分层抽样的方法，在2019年3—5月，对四川省农村16所幼儿园的324名大班儿童及其家长，采 用自编问卷对基本人口学特征、幼儿性教育相关知识和行为等进行调査。 结果 研究对象知识得分为5(4,6)分，知晓率 为33.6% (109名 ) 。性相关行为习惯良好的占75.0%(243名 ) ，尚需改进的占25.0%(81名）。多因素Logistic回归分析结 果显示，与不知晓幼儿性教育相关知识的孩子相比，知晓者有良好的性相关行为可能性更髙（ OR = 2.06,95%CI =1.14~ 3.72);开展性教育的家长人数多2位的孩子有良好的性相关行为的可能性较家长人数为0位的髙（ OR = 2.40,95%CI =1.17 ~4.89)。 结论 四川农村地区大班儿童性教育知识知晓情况较差，多数孩子的行为习惯尚需改进。孩子的性教育知识知 晓情况和开展幼儿性教育的家长人数与孩子性相关行为有关。