Needs and preferences regarding sex education among Chinese college students: a preliminary study.

CONTEXT College students are more likely than other student populations to be sexually active. To improve sex education in China among this group, educators must know college students' needs and their preferences for receiving information on sexuality. METHODS In 2002, students at a large Chinese university completed surveys about their history of school-based sex education and their other sources of information on sexuality. The survey also explored students' preferences for topics to be included in a college-level sex education course, comfort level with receiving information on these topics and views of effective teaching strategies. RESULTS Before college, 47% of respondents had received no school-based education on sexual behavior; however, all respondents had taken a class covering reproduction, typically beginning in middle school (78%). Reading material, radio, classroom lecture and parents were more popular sources of information among females than among males; friends, the Internet and personal sexual experience were more frequent sources for males than for females. Higher proportions of males than females favored including sex therapy and masturbation in a hypothetical course. In addition, males felt more comfortable than females discussing 11 of 20 subjects; the two genders indicated similar levels of comfort in talking about the other topics. Males and females differed on how best to convey information on sexuality, with females generally favoring private methods, such as reading. CONCLUSIONS More comprehensive school-based sex education is needed for Chinese youth. When developing and implementing such programs, health educators should consider differences between males' and females' preferred ways for receiving information on sexuality.