目的:了解我国男性青少年目前过度自慰行为的基本情况及对其生理和心理影响的认识,为学校和家庭有方向性的开展青少年性教育提供数据支持和理论依据.方法:鉴于涉及生殖私密,本次研究采用网络问卷,调查年龄小于20岁的青少年,问卷内容包括自慰一般情况、自慰诱因、身体健康损害等,根据临床医师的意见制定标准将调查对象分为过度自慰组和非过度自慰组.结果:1098个有自慰经历的男性青少年参与问卷填写,其中769人(70.0％)属于过度自慰.(1)在一般情况中,过度自慰组与非过度自慰组在文化水平、人口类型、有无女友和异性性行为、对自慰行为的态度的分布差异均有统计学意义(P＜0.05).(2)自慰诱因主要来自浏览黄色网页和录像、个人独处时、性幻想.(3)在自慰对身体的影响中,过度自慰组与非过度自慰组在晨勃功能障碍、自慰导致阴茎痛、记忆力下降、生殖器歪曲、身体素质下降、视力减退的分布差异有统计学意义(P＜0.05).结论:性教育缺失和误导导致了许多青少年走入性的误区,过度自慰行为干扰了大多数青少年正常的学习生活和生长发育,以致生理疾患和心理问题,目前对青少年的过度自慰行为和性健康教育缺失应给予重视和解决,特别是加大对青少年青春期的生殖健康教育和心理教育.%Objectives:To learn the basic situation of excessive masturbation behavior of male adolescents in our country at present and its influence on their physiological and psychological health,in order to provide supporting data and theoretical basis for the adolescent sex education in schools and home.Methods:Given the reason of privacy,this questionnaire was conducted online among adolescents less than 20 years old.The content of questionnaire included the general condition of masturbation,masturbation inducement and masturbation-caused health damage,etc.According to the criteria formulated by the clinicians,the subjects were divided into excessive masturbation group and the non-excessive masturbation group.Results:1098 male adolescents with masturbation's experience participated in the survey,and 769 of them (70.0％) belonged to the excessive masturbation group.1.In general,excessive masturbation group and non-excessive masturbation group had statistical significance in types of population,whether to have girlfriend and heterosexual sex,and attitude toward masturbation behavior(P ＜ 0.05).2.Adolescent masturbation was mainly caused by browsing the pornographic information,privacy and sexual fantasies.3.In terms of the physical influence of masturbation,differences between excessive masturbation group and no -excessive masturbation group in erection obstacle of the penis in the morning,genital pain,memory declining distort,physical quality decline and vision loss were statistically significant (P ＜ 0.05).Conclusion:Lacking and misdirection of sex education can lead to adolescents' physiological disorders and psychological problems and at the same time,the excessive masturbation interferes with their normal life of learning and growth.Nowadays excessive masturbation behavior of teenagers and the lack of sex education should be given more attention to,and especial measures should be taken to strengthen adolescent health education and psychological health education.
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