Effects of a randomized health education intervention on aspects of reproductive health knowledge and reported behaviour among adolescents in Zimbabwe
Effects of a randomized health education intervention on aspects of reproductive health knowledge and reported behaviour among adolescents in Zimbabwe
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DOI：
10.1016/s0277-9536(96)00204-3
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发表时间：
1997-03-01
影响因子：
5.4
通讯作者：
Padayachy, J
中科院分区：
文献类型：
--
作者：
Mbizvo, MT;Kasule, J;Padayachy, J
由于少女意外怀孕和随之而来的发病率和死亡率，必须了解影响青少年性行为的因素，并执行旨在提高其知识和生殖行为的方案。采用多阶段随机整群抽样的方法，对青春期小学生生殖健康知识和行为进行了随机对照研究。自填问卷被用来评估方面的生殖健康知识和行为的基线，然后通过健康教育干预，控制学校除外。结果是基于1689个答复组成的1159干预和530控制受访者。与对照学校相比，干预学校对月经方面的正确认识显著增加[cdds比（OR）= 4.5，95%可信区间（CI）= 3.4-6.1]。显著地，（OR = 2.0，95%CI = 1.1-3.9）干预学校的学生比对照学校的学生在与月经有关的实践中得分正确。干预学校的学生更可能（P < 0.001）知道一个男孩经历梦遗会使一个女孩怀孕，一个女孩在第一次性交时会怀孕（OR = 1.4，95%CI = 1.1-1.9）。计划生育知识在基线时两组都很低，但在干预学校的五个月随访中很高。调查结果表明，需要在学校早期开展生殖健康教育方案，纳入关于生殖生物学的正确信息，并随后预防生殖健康不良。版权所有（C）1997 Elsevier Science Ltd
Unwanted teenage pregnancy and the attendant morbidity and mortality necessitate an understanding of the factors influencing adolescent sexuality and the implementation of programmes designed to improve their knowledge and reproductive behaviour. A randomized controlled study on reproductive health knowledge and behaviour was undertaken among adolescent pupils drawn from a multi-stage random cluster sample. A self-administered questionnaire was used to assess aspects of reproductive health knowledge and behaviour at baseline followed by a health education intervention, except for control schools. Results are based on 1689 responses made up of 1159 intervention and 530 control respondents. There was a significant increase in correct knowledge about aspects of menstruation in intervention as compared with control schools [cdds ratio (OR) = 4.5, 95% confidence interval (CI) = 3.4-6.1). Significantly, (OR = 2.0, 95%CI = 1.1-3.9) more pupils from intervention than control schools scored correctly on practice relating to menstruation. Pupils from intervention schools were more likely (P < 0.001) to know that a boy experiencing wet dreams could make a girl pregnant and that a girl could get pregnant at her first sexual intercourse (OR = 1.4, 95%CI = 1.1-1.9). Knowledge of family planning was low in both groups at baseline but was high at five months follow-up in the intervention schools. The findings point to the need for early school-based reproductive health education programmes, incorperating correct information on reproductive biology and the subsequent prevention of reproductive ill health. Copyright (C) 1997 Elsevier Science Ltd