Improving the Implementation of a Condom Availability Program in Urban High Schools
Improving the Implementation of a Condom Availability Program in Urban High Schools
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DOI：
10.1016/j.jadohealth.2012.03.010
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发表时间：
2012-12-01
影响因子：
7.6
通讯作者：
Dittus, Patricia J.
中科院分区：
文献类型：
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作者：
De Rosa, Christine J.;Jeffries, Robin A.;Dittus, Patricia J.
目的：我们进行了干预，以改善高中安全套供应计划的实施，并评估其对学生的认识的程序和获取的避孕套的效果。方法：12所公立高中在洛杉矶，CA地区参加了一半，每个在干预和控制条件。项目工作人员协助干预学校对遵守学区安全套供应政策的情况进行自我评估，通过确定缺乏哪些强制性方案要素并确定改善遵守情况的步骤来制定行动计划。工作人员提供技术援助和后续行动，以协助学校改善方案的执行情况。从2005年到2009年（T1-T5），按班级随机选择了29，823名学生，他们完成了调查。我们使用混合模型logistic回归分析测试了学生对避孕套的认识和获得随时间的变化。结果：从T1到T3，干预组与对照组相比，安全套意识显著提高（校正比值比[AOR]：1.28; 95%置信区间[CI]：1.01，1.62），T4（AOR：2.17; 95% CI：1.70，2.76）和T5（AOR：2.78; 95% CI：2.18，3.56）。从T1到T4（AOR：1.69; 95%CI：1.23，2.32）和T5（AOR：1.81; 95%CI：1.32，2.49），干预组与对照组相比，避孕套的获得显著增加。结果在不同性别和不同性经历水平之间是相似的。干预学校的避孕套订单在T5时显著增加。结论：可行的轻微改进避孕套供应计划的实施改善了计划的交付，从而提高了学生对计划的认识和避孕套的购买。(C)2012年青少年健康和医学协会。All rights reserved.
Purpose: We conducted an intervention to improve the implementation of a high school condom availability program, and evaluated its effect on students' awareness of the program and acquisition of condoms.Methods: Twelve public high schools in the Los Angeles, CA area participated, half each in the intervention and control conditions. Project staff facilitated intervention schools' self-assessment of compliance with the school district's condom availability policy, creating an action plan by determining which mandatory program elements were lacking and identifying steps to improve compliance. Staff provided technical assistance and follow-up to assist schools in improving program implementation. From 2005 to 2009 (T1-T5), 29,823 students were randomly selected by classroom and they completed surveys. We tested for changes in students' awareness and acquisition of condoms over time between conditions using mixed model logistic regression analyses. Records of condom orders by schools also were reviewed.Results: Awareness increased significantly among intervention versus control participants from T1 to T3 (adjusted odds ratio [AOR]: 1.28; 95% confidence interval [CI]: 1.01, 1.62), T4 (AOR: 2.17; 95% CI: 1.70, 2.76), and T5 (AOR: 2.78; 95% CI: 2.18, 3.56). Acquisition of condoms increased significantly among intervention versus control participants from T1 to T4 (AOR: 1.69; 95% CI: 1.23, 2.32) and T5 (AOR: 1.81; 95% CI: 1.32, 2.49). Results were similar across gender and different levels of sexual experience. Orders of condoms increased markedly in intervention schools by T5.Conclusions: Feasible minor enhancements to condom availability program implementation improved program delivery, resulting in increased student awareness of the program and acquisition of condoms. (C) 2012 Society for Adolescent Health and Medicine. All rights reserved.