The acceptability, feasibility, and effectiveness of a population-based intervention to promote youth health: an exploratory study in Goa, India.
The acceptability, feasibility, and effectiveness of a population-based intervention to promote youth health: an exploratory study in Goa, India.
复制标题
DOI：
10.1016/j.jadohealth.2010.07.029
复制
发表时间：
2011-05
期刊：
影响因子：
--
通讯作者：
Patel V
中科院分区：
文献类型：
--
作者：
Balaji M;Andrews T;Andrew G;Patel V
评价在果阿实施以人群为基础的干预措施以促进青少年（年龄：16-24岁）健康的可接受性、可行性和有效性。选择了两对城市和农村社区;其中一个被随机分配接受多成分干预，另一个被列入等待名单。干预措施包括教育机构为基础的同伴教育和教师培训（在城市社区），社区同伴教育，和健康信息材料。通过基线和18个月时的前后人群调查评估有效性。结果进行了测量，使用结构化的采访时间表与所有符合条件的青年。Logistic回归比较了每一对，调整基线差异，在生殖和性健康（RSH），暴力，心理健康，物质使用和寻求健康问题的帮助领域的结果的患病率。在两个干预社区中，暴力行为和可能的抑郁症的患病率显著降低，对RSH的知识和态度显著提高（p <0.05）。农村样本还报告了较少的月经投诉和较高水平的寻求帮助的RSH投诉的妇女，知识和态度的情绪健康和物质使用;和，城市样本的物质使用，自杀行为，性虐待，和RSH投诉的水平显着降低。虽然宣传材料在两个社区都是可以接受和可行的，但社区同伴教育只在农村社区可行。基于机构的干预措施一般是可以接受和可行的。包括信息材料、教育机构干预措施以及在农村地区的社区同伴干预措施在内的多组成部分干预措施是可以接受的，是可行的，可能对促进青年健康是有效的。
To evaluate the acceptability, feasibility, and effectiveness of a population-based intervention to promote health of youth (age: 16–24 years) in Goa. Two pairs of urban and rural communities were selected; one of each was randomly assigned to receive a multi-component intervention and the other wait-listed. The intervention comprised educational institution-based peer education and teacher training (in the urban community), community peer education, and health information materials. Effectiveness was assessed through before–after population surveys at baseline and at 18 months. Outcomes were measured using a structured interview schedule with all eligible youth. Logistic regression compared each pair, adjusted for baseline differences, on prevalence of outcomes in the domains of reproductive and sexual health (RSH), violence, mental health, substance use, and help seeking for health concerns. In both intervention communities, prevalence of violence perpetrated and probable depression was significantly lower and knowledge and attitudes about RSH significantly higher (p < .05). The rural sample also reported fewer menstrual complaints and higher levels of help-seeking for RSH complaints by women, and knowledge and attitudes about emotional health and substance use; and, the urban sample reported significantly lower levels of substance use, suicidal behavior, sexual abuse, and RSH complaints. Although information materials were acceptable and feasible in both communities, community peer education was feasible only in the rural community. The institution-based interventions were generally acceptable and feasible. Multicomponent interventions comprising information materials, educational-institution interventions and, in rural contexts, community peer interventions are acceptable and feasible and likely to be effective for youth health promotion.