青少年的危险性行为和做法:对赞比亚的性教育实施的影响
Bright Mukanga1, Siyabonga B Dlamini, Ngoy Mwanabute
1Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa; and Department of Public Health, School of Medicine, Copperbelt University, Ndola. kunda265@gmail.com.
African journal of primary health care & family medicine
|August 5, 2024
概括
近一半的青少年从事危险性行为 (RSB),突出了公共卫生问题. 综合性教育 (CSE) 需要与解决RSB社会驱动因素的计划进行整合.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 性和生殖健康 性和生殖健康
背景情况:
- 青少年的危险性行为 (RSB) 对性和生殖健康 (SRH) 的福祉构成重大威胁,特别是在低收入和中等收入国家 (LMICs).
- 了解RSB的患病率和相关因素对于开发有效干预措施至关重要.
研究的目的:
- 评估12年级上学青少年中风险性行为 (RSB) 的流行情况.
- 评估综合性教育 (CSE) 在赞比亚基特威区对RSB的影响.
主要方法:
- 一项涉及赞比亚基特威13所中学807名12年级学生的横截面研究.
- 通过结构化问卷收集的数据,RSB被定义为交易性行为,醉酒性行为,多个伴侣,年龄不相同的关系和没有避孕套的性行为.
- 用单变量,双变量和多变量逻辑回归分析来确定相关因素.
主要成果:
- 风险性行为 (RSB) 的流行率为40.4%.
- 与RSB显著相关的因素包括酒精消费,以前的性经验,男性性别和仅与母亲生活.
- 显著比例的性活跃学生 (67.7%) 被归类为低风险组,而12.5%属于高风险组.
结论:
- 很大一部分青少年有风险性行为 (RSB),需要有针对性的干预措施.
- 综合性教育 (CSE) 计划应该与更广泛的结构性干预措施相结合,以解决RSB的社会决定因素.
- 这些发现为评估LMICs中现有的CSE战略提供了基础.
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