四川农村留守中学生性健康同伴教育干预效果评价  

Evaluation of intervention effect of peer-led education on sexual health of rural left-behind middle school students in Sichuan

作　　者：王洋[1] 徐晓阳[1] 曹红梅[2] 张雪蕊[3] 王建灵[4] 苏立[4] 

机构地区：[1]重庆医科大学公共卫生与管理学院,重庆400016 [2]四川文理学院教务处,达州635000 [3]重庆医科大学附属第二医院妇产科,重庆400016 [4]重庆医科大学附属第二医院心内科,重庆400016

出　　处：《上海交通大学学报（医学版）》2014年第5期719-724,730,共7页Journal of Shanghai Jiao tong University:Medical Science

基　　金：教育部人文社会科学研究青年项目(09YJC840057);重庆市沙坪坝区科普项目(201203)~~

摘　　要：目的评价同伴教育对农村留守中学生性健康的干预效果，探索适合西部农村留守中学生的健康教育模式。方法多阶段整群随机抽取四川达州3个农村中学，每个中学抽取6个初二班级，再随机分为同伴教育组、传统教育组和对照组。分析干预前后的问卷调查数据以检验短期效果（知识），对同伴教育组和传统教育组干预后6个月再进行随访调查以检验中长期效果（态度和行为）。结果干预后，同伴教育组的性健康知识总知晓率从49．4％提高到75．3％，知识平均分从（6．77±3．14）分提高到（8．61±2．88）分，差异有统计学意义（P=0．001）。传统教育组的总知晓率从51．0％提高到67．5％，平均分从（6．89±2．91）分提高到（7．41±3．11）分，差异也有统计学意义（P=0．024）。对照组干预前后平均分差异无统计学意义（P〉0．05）。同伴教育组干预后即时调查的知识平均分为（8．61±2．88）分，显著高于传统教育组的（7．41±3．11）分（P=0．000），平均分差异为1．19分（95％CI为0．58-1．81）。6个月后随访调查显示，与干预前比较，同伴教育组和传统教育组均正性态度率提高、负面行为率降低（P〈0．05）；且同伴教育组效果优于传统教育组（P〈0．05）。结论针对农村留守中学生开展性健康干预取得了明显效果，同伴教育方法更适合留守农村中学生的性健康教育，健康态度和行为的长期变化需要进一步研究。Objective To evaluate the intervention effect of peer-led education on the sexual health of rural left- behind middle school students and explore the health education mode suitable for rural left-behind students in West China. Methods Three rural schools in Dazhou, Sichuan province were sampled by the multi-stage cluster random sampling method. Six second grade classes of each school were selected and randomly divided into the peer-led education group, traditional education group, and control group. Data of questionnaire surveys before and after the intervention were analyzed to evaluate the short term effect （knowledge）. Follow-up surveys of the peer-led education group and traditional education group were conducted after being intervened for six months to evaluate the medium and long-term effect （attitude and behavior）. Results The awareness rate of sexual health knowledge of the peer-led education group increased from 49.4% to 75.3% and the average sore increased from 6.77 ±3.14 to 8.61 ±2.88 after being intervened. The differences were statistically significant（P=0. 001）. The awareness rate of sexual health knowledge of the traditional education group increased from 51.0% to 67.5% and the average sore increased from 6.89 ±2.91 to 7.41 ±3.11 after being intervened. The differences were statistically significant （P = 0. 024）. The difference of the average sores of the control group before and after intervention was not statistically significant （P 〉0.05）. The average sore of the peer-led education group immediately after intervention was 8.61 ±2.88, which was significantly higher than 7.41 ±3.11 of the traditional education group （P=0. 000）. The difference of the average sore was 1.19 （95% CI was 0.58 - 1.81）. Follow-up surveys after six months showed that rates of positive attitude of the peer-led education group and traditional education group increased and rates of negative behavior decreased compared to those before intervention （P 〈0.05）. The results of the peer-le

关 键 词：留守中学生 性健康 知信行 同伴教育 

分 类 号：R193[医药卫生—卫生事业管理]