拉丁裔青年学校青少年怀孕预防计划的短期影响:一个集群随机试验
Krystle McConnell1,2, Sahra Ibrahimi3,4, Martha Yumiseva4
1Department of Health Sciences, Towson University, 8000 York Road, Towson, MD, 21252, USA. krystlemcconnell@towson.edu.
概括
埃尔卡米诺计划改善了拉丁裔年轻人的性健康知识和信心,尽管它没有显著改变性行为. 这种设定目标的干预措施显示了提高这一人口群体的性健康教育的前景.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 促进性健康促进性健康
背景情况:
- 拉丁裔青年在获得全面的性健康信息和资源方面面临着独特的挑战.
- 现有的性健康计划可能无法充分解决拉丁裔青少年的文化背景和特定需求.
- 设定目标的干预措施提供了一个有希望的框架,使年轻人能够做出明智的性健康决策.
研究的目的:
- 评估El Camino计划的有效性,这是一个针对拉丁裔青年制定目标的性健康促进干预.
- 评估该计划对参与者的性行为,知识,态度和自我效能的影响.
- 根据学生的性别和计划实施因素,检查干预影响的变化.
主要方法:
- 一个集群随机对照试验,涉及马里兰州11所学校的9-12年级的746名学生.
- 参与者被分配到El Camino干预组 (289名学生) 或对照组 (249名学生).
- 对538名学生进行了治疗意向分析,数据是在基线和测试后 (1-2周后完成课程) 收集的.
主要成果:
- 埃尔卡米诺计划没有显著影响性行为结果.
- 在避孕知识,避孕套知识,同意知识,对避孕方法的认识和讨论性行为的信心方面观察到显著的改善.
- 与对照组相比,El Camino参与者对使用避孕套的态度更为积极,使用避孕套的意图更高,更好地了解在哪里获得避孕药,并且对表达和请求同意的信心增加.
结论:
- 埃尔卡米诺计划有效地提高了拉丁裔年轻人的性健康知识,自我效能和意图.
- 虽然没有直接影响性行为,但该干预措施显示了改善近邻性健康结果的潜力.
- 研究结果表明,定制的目标设定计划对青少年的性健康教育有好处,根据性别和实施可能会产生不同的影响.
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