洛阳市中学生性与生殖健康教育干预研究
Educational intervention about middle and high school students' sexual and reproductive health in Luoyang
王萍 1潘新娟 1吕姝焱 1夏晓燕 1张英剑 2许锦锦 2刘晓敏 2周新 2苏欢欢2
作者信息
- 1. 河南科技大学医学院,洛阳471003
- 2. 河南科技大学第一附属医院
- 折叠
摘要
目的 评价在洛阳市中学生中开展学校和家庭性与生殖健康知识教育的干预效果,为进一步研究和实施提供依据.方法 采用以学校为单位的干预性研究,干预模式采取单纯学校教育与家庭和学校同步教育.干预活动主要由学校教师组织家长、学生以班级为单位进行健康知识教育,每2周1次,每次不少于1h,共不少于20次,干预时间为2 a.通过基线和终末两次问卷调查及学生和家长的小组访谈,比较干预组和对照组干预前后以及2个干预组间学生性与生殖健康知识水平和对性相关问题的态度,评价干预效果并探讨不同干预措施的影响.结果 初中生干预对生殖生理知识的增加差值作用最大(两个干预组分别为22.58±10.21和28.82±13.42);与单纯学校性与生殖健康教育相比,家庭和学校同步教育使高中生对婚前性行为的态度更趋于保守;未发现两种干预方式对初中生的婚前性行为态度产生影响(P值均＞0.05).家庭和学校教育有效提高了父母的生殖健康知识水平,干预后干预组和对照组知识得分增加值均数之差为4.69分.结论 中学生中开展学校和家庭性与生殖健康教育的效果明显,但干预方式有待进一步研究.
Abstract
Objective To evaluate the impact and feasibility of school and family sex and reproductive health education among middle and high school students and their parents,and to offer information for further research.Methods This was a schoolbased intervention study.Two intervention models were adopted in the intervention groups.The intervention group 1 was provided with school sex education alone,while the intervention group 2 was provided with combined sex education in school and family.Intervention was mainly implemented by schools to organize parents and students for health knowledge education.The frequency was once every two weeks,each time no less than 1 hour and in total no less than 20 times.Intervention time was 2 a.Data were collected through questionnaires survey (baseline and end-line) and focus group discussions among the students and their parents.The impact of intervention was evaluated by comparing the respondents' sexual and RH knowledge,attitudes,skills and practice in parent-adolescent communication on sex-related issues between baseline and post-intervention,between the intervention and the control groups,and between two intervention groups.Results Both intervention measures significantly increased students' sexual and RH knowledge.The average increased scores of total and each type of knowledge in both intervention groups were higher than that of the control group.Middle school students from the intervention group 2 had a higher increased score of total RH knowledge when compared with those from the intervention group 1.The results showed that intervention 2 made the high school students' attitudes towards premarital sex more conservative while the interventions had no impact on middle school students' attitudes.The combined sex education in school and family significantly increased parents' sexual and RH knowledge.The average increased knowledge score on sex physiology,AIDS,STDs,contraceptives and the total knowledge in the intervention group was higher than that of the control group.The combined education also enhanced parents' intent on sex education.Conclusion Both intervention increased the sexual and RH knowledge of the middle and high school students,especially the combined education in school and family.School and family education enhanced students' knowledge of sexual and RH behavior.But intervention ways need to improve.
关键词
性/生殖/健康教育/干预性研究/学生Key words
Sex/Reproduction/Health education/Intervention studies/Students引用本文复制引用
基金项目
河南科技大学青年科学基金资助项目(2010QN040)
出版年
2014
NETL
NSTL
维普
万方数据