Behavior change evaluation of a culturally consistent reproductive health program for young Kenyans
Behavior change evaluation of a culturally consistent reproductive health program for young Kenyans
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DOI：
10.1363/3005804
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发表时间：
2004-06-01
期刊：
影响因子：
--
通讯作者：
Muyonga, A
中科院分区：
文献类型：
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作者：
Erulkar, AS;Ettyang, LIA;Muyonga, A
上下文很少有严格的评价进行了当地设计的，文化上一致的青少年生殖健康方案。方法：一个准实验性的研究设计被用来衡量与肯尼亚年轻人的文化一致的生殖健康计划相关的行为变化。1997年和2001年分别在项目区和对照区进行了基线和底线调查。多变量分析被用来评估该项目是否与年轻人的性启动，安全性行为和生殖健康问题与adult.RESULTS讨论的变化：36个月的项目与相当大的变化，年轻人的性和生殖健康相关的行为，但行为变化不同的性别。在项目现场的女性显着更有可能比那些在控制网站采取二次禁欲（比值比，3.3），不太可能有三个或更多的性伴侣（0.1）。项目现场的男性比对照现场的男性更有可能使用避孕套（3.7）。鼹鼠和女性在项目现场更有可能讨论性和生殖健康问题与一个nonparent成年人比年轻人在控制site.CONCLUSIONS：干预措施，采用土著传统CON都可以接受的社区和相关的显着变化，年轻人的行为。
CONTEXT. Few rigorous evaluations have been conducted of locally designed, culturally consistent adolescent reproductive health programs. \METHODS: A quasi-experimental research design was used to measure behavioral changes associated with a culturally consistent reproductive health program for young people in Kenya. Baseline and endline surveys were conducted in 1997 and 2001,respectively in the project and control areas. Multivariate analysis was used to assess whether the project was associated with changes in young people's sexual initiation, safer-sex behavior and discussion of reproductive health issues with adults.RESULTS: The 36-month project was associated with considerable changes in young people's sexual and reproductive health-related behavior, but behavior change differed by gender. Females in the project site were significantly more likely than those in the control site to adopt secondary abstinence (odds ratio, 3.3) and less likely to have had three or more sex partners (0.1). Males in the project site were more likely to use condoms than those in the control site (3.7). Both moles and females in the project site were more likely to discuss sexual and reproductive health issues with a nonparent adult than were young people in the control site (1.9 and 5.5, respectively).CONCLUSIONS: Interventions that adopt to indigenous traditions con be both acceptable to communities and associated with significant changes in young people's behavior.