“互联网+”平台联合青少年保健校园门诊促进校内青少年安全性行为应用研究  

The application of"Internet+"platform combined with adolescent health⁃care campus outpatient service in promoting safe sex among adolescents in school

作　　者：王薇[1] 王鉴 黄金园 张海燕[1] 顾华妍[1] WANG Wei;WANG Jian;HUANG Jin-yuan;ZHANG Hai-yan;GU Hua-yan(Department of Obstetrics and Gynecology,Chongqing Health Center for Maternal and Child(Women and children′s Hospital of Chongqing Medical University),Chongqing 401147,China)

机构地区：[1]重庆市妇幼保健院(重庆医科大学附属妇女儿童医院)妇产科,重庆401147

出　　处：《中国健康教育》2023年第6期528-532,共5页Chinese Journal of Health Education

基　　金：中国性病艾滋病防治协会艾伯维妇幼关爱及预防母婴传播基金项目(2020PMTCT⁃W11);重庆市科卫联合医学科研项目(2021MSXM022);重庆市妇幼保健科研培育专项项目(2022FY202)。

摘　　要：目的探讨“互联网+”平台联合青少年保健校园门诊的干预服务模式对促进校内青少年安全性行为的有效性。方法于2020年11月选取重庆市北碚区、合川区、沙坪坝区、永川区各1所大学及1所职高,将其中发生过性行为的学生作为研究对象,采用抛硬币法随机分为对照组和干预组。对照组进行常规健康宣教服务模式,干预组实施“互联网+”平台联合青少年保健校园门诊的服务模式。干预6个月后,分析干预前后研究对象的性行为、安全性行为相关知识知晓及安全套使用情况。结果与常规的健康宣教服务模式相比,“互联网+”平台联合青少年保健校园门诊的干预服务模式下,青少年6个月内发生性行为经常及每次使用安全套的比例更高(39.25%比36.77%;56.99%比36.32%),从不及偶尔使用安全套的比例更低(0.42%比2.69%;3.34%比24.22%),安全套使用自我效能得分更高[(54.24±10.69)分比(42.76±10.78)分],安全性行为相关知识知晓率也更高(82.88%比59.64%;89.77%比76.68%;92.90%比78.70%;94.57%比90.10%),且差异有统计学意义(P均<0.001)。结论“互联网+”平台联合青少年保健校园门诊的干预服务模式可有效促进校内青少年安全性行为。Objective To explore the effectiveness of the intervention service model of"Internet+"platform com⁃bined with adolescent health⁃care campus outpatient service in promoting safe sex among adolescents in school.Methods In November 2020,one university and one vocational high school in Beibei,Hechuan,Shapingba and Yongchuan districts of Chongqing were selected as the research objects,students who had had sexual behavior in each university and vocational high school were randomly divided into control group and intervention group by coin tossing method.The control group re⁃ceived routine health education service model,and the intervention group received"Internet+"platform combined with ad⁃olescent health⁃care campus outpatient service model.After 6 months of intervention,the sexual behavior,the awareness of safe sex related knowledge and condom use of the subjects before and after the intervention were analyzed.Results Com⁃pared with the conventional health education service model,the intervention service model of"Internet+"platform com⁃bined with adolescent health campus outpatient service had a higher proportion of adolescents having sex frequently and using condoms every time within 6 months(39.25%vs.36.77%;56.99%vs.36.32%),a higher score of condom self⁃efficacy[(54.24±10.69)points vs.(42.76±10.78)points]and a higher awareness rate of safe sex related knowledge(82.88%vs.59.64%;89.77%vs.76.68%;92.90%vs.78.70%;94.57%vs.90.10%),however,a lower propor⁃tion of adolescents who never and occasionally used condoms within 6 months(0.42%vs.2.69%;3.34%vs.24.22%),and the difference was significant(All were P<0.001).Conclusion The intervention service model of"Internet+"plat⁃form combined with adolescent health⁃care campus outpatient servicecan effectively promote safe sex among adolescents on campus.

关 键 词：青少年 校园门诊 安全性行为 

分 类 号：R193[医药卫生—卫生事业管理]