目的:了解宁波市女中学生生殖健康认知及相关卫生服务需求状况。方法:采用分层随机整群抽样法,对宁波市535名中学女生进行青春期生殖健康状况、认知、服务需求问卷调查。结果:54.5%的学生月经周期规律正常,经前期综合征及痛经的发生率分别为63.55%及28.7%,均以轻度为主(分别占50.6%与67.8%),仅16.7%的女生表示月经来临对学习没有影响;对避孕药及安全套正确功能的认知率分别仅为37.3%和35.7%,对最容易怀孕时间的知晓率仅9.7%,对性病/艾滋病知识认知率多在50%以下;主要通过同学(朋友)、学校生理卫生课、家长获取青春期生殖健康知识,所希望的的主要实施者是生理卫生课老师、医护人员。结论:女中学生生殖健康知识较为缺乏,应根据当前中学女生生殖状况特点与需求情况,开展有针对性的适宜的卫生保健服务与健康促进活动。 Objective: To understand the cognition of reproductive health of female secondary school students in Ningbo and related health service needs. Methods: A stratified random cluster sampling method was used to investigate 535 middle school girls in Ningbo from questionnaire about their reproductive health, cognition and service needs. Results: 54.5% students had normal menstrual cycle, 63.55% premenstrual syndrome and 28.7% dysmenorrhea, all of which were mild (50.6% and 67.8% respectively) and only 16.7% girls Menstruation has no effect on learning; awareness of the correct function of contraceptives and condoms were only 37.3% and 35.7%, respectively, the awareness of the most likely time of pregnancy was only 9.7%, awareness of STD / AIDS knowledge in 50 % Or less; Mainly through the classmates (friends), school physical health classes, parents access to adolescent reproductive health knowledge, the main implementer of hope is the physical health teacher, health care workers. Conclusion: There is a lack of reproductive health knowledge among female secondary school students. According to the current reproductive health status and needs of girls in secondary schools, appropriate and appropriate health care services and health promotion activities should be carried out.