英国学生主导的性教育 (RIPPLE研究):集群随机干预试验
J M Stephenson1, V Strange, S Forrest
1Centre for Sexual Health & HIVResearch, Department of Primary Care and Population Sciences, Royal Free and University College London, London, UK. Jstephen@gum.ucl.ac.uk
Lancet (London, England)
|July 28, 2004
概括
同龄人主导的性教育减少了女孩的性交,但不是男孩. 虽然它没有显著降低无保护性的性行为,但它显示了改善青少年性健康策略的希望.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 性教育研究性教育研究
背景情况:
- 减少青少年怀孕是英国政府的首要任务.
- 基于学校的性教育是一个关键的战略.
- 以同行为主导的方法的有效性需要评估.
研究的目的:
- 评估同行领导的性教育的有效性.
- 为了比较同行领导的性教育与传统的教师领导的性教育.
- 评估对早期性活动和结果的影响.
主要方法:
- 一个基于学校的随机试验,涉及29所学校的8000多名学生.
- 干预组接受了同行领导的性教育;对照组接受了通常的教师领导的教育.
- 主要结局:在16岁之前进行第一次异性恋性行为;治疗意图分析.
主要成果:
- 在同龄人领导的小组中,报告发生性关系的女孩较少;男孩没有差异.
- 两种性别在没有保护的第一次性行为中没有显著差异.
- 在同龄人领导的小组中,女孩的意外怀孕的极限减少.
- 对同伴领导的教育的更高的满意度,更喜欢单一性别的课程.
结论:
- 同龄人主导的性教育显示了一些好处,但仅仅是改善年轻人的性健康不足.
- 需要更广泛的策略来提高性健康结果.
- 建议进一步研究单性性教育课程的有效性.
相关概念视频
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