Increasing adolescent girls' ability to identify STI-risk characteristics of sexual partners: a pilot study within an alternative disciplinary school.
Increasing adolescent girls' ability to identify STI-risk characteristics of sexual partners: a pilot study within an alternative disciplinary school.
复制标题
提高青春期女孩识别性伴侣性传播感染风险特征的能力：替代学科学校内的一项试点研究。
DOI：
10.1136/sextrans-2018-053674
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发表时间：
2019
影响因子：
3.6
通讯作者：
Staras,StephanieAS
中科院分区：
文献类型：
--
作者：
Richardson,Eric;Komro,KelliA;Samarah,Esaa;Staras,StephanieAS
目的我们评估了在一所针对青春期女孩的替代学科学校内开展为期9周的性传播感染预防干预的可行性。方法所有16-18岁的 在校且没有计划从学校转学的女孩都有资格参加。我们通过招聘、留住员工和参与者的快乐程度来衡量流程的可行性。采用双后测的前测-后测设计，通过干预前、干预后即刻和干预后3个月3个行为调查，采用χ？检验评价干预后60d内被试的性伴风险知识、降低伴侣风险意向和性行为的干预效果。结果在符合条件的20名女孩中，95%(19/20)的父母同意参与，所有女孩(19/19)同意参与。干预前调查参与率为100%(19/19)，干预后立即调查参与率为76%(13/17)，干预后3个月 调查参与率为53%(9/17)。干预进行了两次，共有17名女孩参加。参加会议的人数很高(89%)，大多数参与者(80%)报告说喜欢干预。干预增加了能够识别与性传播感染风险增加相关的伴侣特征的女孩的百分比：干预前为38%，干预后立即为92%， 后3个月为100%(P=0.0 1)。女孩也更倾向于找出与伴侣年龄、最近的性行为和性传播感染或入狱史关联最高的4个特征：干预前为32%，干预后即刻为75%(p=0.02)，干预后3个月为67%(p=0.09)。结论这项初步研究表明，另类学科学校的女孩参与并享受了为期9周的性传播感染预防干预。在其他学科学校内，增加女孩对伴侣风险特征的考虑，作为提高其性传播感染预防技能的一种手段，可能是可行的。
ObjectivesWe evaluated the feasibility of conducting a 9-week long sexually transmitted infection (STI) prevention intervention,Angels in Action,within an alternative disciplinary school for adolescent girls.MethodsAll girls who were 16–18 years old, enrolled in the school and did not have plans to transfer from the school were eligible to participate. We measured process feasibility with recruitment, retention and participant enjoyment. Using a pretest-post-test design with a double post-test, we used χ² tests to estimate the intervention effect on participants’ sexual partner risk knowledge, intentions to reduce partner risk and sexual activities in the past 60 days with three behavioural surveys: prior to, immediately following and 3 months after the intervention.ResultsAmong the 20 girls who were eligible, 95% (19/20) of parents consented and all girls (19/19) agreed to participate. Survey participation was 100% (19/19) prior to, 76% (13/17) immediately following and 53% (9/17) 3 months after the intervention. The intervention was administered twice and a total 17 girls participated. Session attendance was high (89%) and most participants (80%) reported enjoying the intervention. The intervention increased the percentage of girls who could identify partner characteristics associated with increased STI risk: 38% before, 92% immediately following and 100% 3 months after the intervention (p=0.01). Girls also increased their intentions to find out four of the most highly associated partner characteristics (partner’s age, recent sexual activity and STI or jail history): 32% before to 75% immediately following (p=0.02) and 67% 3 months after the intervention (p=0.09).ConclusionsThis pilot study suggests girls at alternative disciplinary schools participated in and enjoyed a 9-week STI preventive intervention. Within alternative disciplinary schools, it is potentially feasible to increase girls’ consideration of partner risk characteristics as a means to enhance their STI prevention skills.