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