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中国乡村女童性教育在线课程教学效果评价

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目的 探讨性教育在线课程对乡村女童性知识、态度和相关行为的影响,为促进乡村女童性健康和性发展提供实践指导。方法 于2023年2-6月,通过网络发布及其他公益组织网络转发招募信息的方式招募中国12个省份乡村小学,并于2023年10-11月开展性教育在线课程教学。使用自编性教育问卷调查乡村女童在课程干预前后的性知识、性态度和相关行为,前后测时间分别为2023年9和12月,有效样本分别为3 058和2 602名。采用独立样本t检验和文本词频与情感分析对数据进行处理。结果 在性知识上,乡村女童前后测得分分别为(8。49±3。29)和(9。40±3。35)分,后测高于前测(t=-10。20,P<0。01)。在性态度上,乡村女童前后测得分分别为(11。50±4。62)和(10。82±4。80)分,后测对生理发育的污名得分有所降低(t=5。40,P<0。01)。在性相关行为上,乡村女童前后测基于性的欺凌得分分别是(5。12±2。13)和(4。89±2。18)分,差异有统计学意义(t=3。99,P<0。01);乡村女童与重要他人交流性话题的频率和意愿后测较前测得分均提高[前测分别为(8。45±2。62)(8。90±2。46)分,后测分别为(8。73±2。62)(9。16±2。46)分],差异均有统计学意义(t值分别为-3。91,-4。03,P值均<0。01)。文本分析发现,"男生""女生"和"月经"是被试最关注的话题,并且乡村女童负面情绪占比较接受性教育前降低(69。91%,18。59%)。结论 性教育在线课程能提高乡村女童性知识,减少对性的污名和负面情绪,降低基于性的欺凌遭遇以及提高与父母、教师和同伴交流性话题的频率和意愿。
Evaluation of effectiveness of online courses on sexuality education for rural girls in China
Objective To explore the impact of online sexuality education courses on the sexual knowledge,attitudes and relat-ed behaviors of rural girls,so as to provide the practical guidance for promoting sexual health and development.Methods From February to June 2023,by posting information online and through commonweal organization websites,rural primary schools in 12 provinces were recruited for a semester of online sexuality education courses from October to November 2023.A self-compiled sexu-ality education questionnaire was used to survey the knowledge,attitudes,and behaviors of rural girls before and after the course in-tervention,with pre-tests in September 2023 and post-tests in December 2023.The eligible samples were 3 058 and 2 602,respec-tively.Independent sample t-tests and text frequency and sentiment analysis were used to process the data.Results In terms of sexual knowledge,the scores of rural girls before and after the test were(8.49±3.29)and(9.40±3.35),respectively,with the post-test score being higher than the pre-test(t=-10.20,P<0.01).In terms of attitudes,the scores of rural girls before and after the test were(11.50±4.62)and(10.82±4.80),respectively,with a decrease in stigmatization towards physiological development in the post-test(t=5.40,P<0.01).Regarding sexual-related behaviors,the frequency of sexual-based bullying among rural girls was(5.12±2.13)before and(4.89±2.18)after,with a statistically significant difference(t=3.99,P<0.01).The frequency and will-ingness of rural girls to discuss sexual topics with significant others both increased on post-test(pre-test:8.45±2.62;post-test:8.73±2.62)and(pre-test:8.90±2.46,post-test:9.16±2.46),with a statistically significant difference(t=-3.91,-4.03,P<0.01).Text analysis revealed that"boys""girls"and"menstruation"were the most concerned topics among the participants,and compared to before receiving sex education(69.91%),the proportion of negative emotions among rural girls decreased(18.59%).Conclusion Online sexuality education courses can improve the sexual knowledge of rural girls,reduce stigma and negative emo-tions towards sex,decrease the incidence of sexual-based bullying and increase the frequency and willingness to discuss sexual top-ics with parents,teachers,and peers.

Sex educationCurriculumTeachingFemaleChildRural population

郭凌风、刘爽、陈嘉玲、李雪璐

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中国民用航空飞行学院飞行技术学院,四川广汉 618307

国家卫生健康委科学技术研究所

广州市幕天青少年教育发展服务中心

中国民用航空飞行学院空中乘务学院

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性教育 课程 教学 女(雌)性 儿童 农村人口

中央级公益性科研院所基本科研业务专项项目

2023GJM05

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(9)