Effects of a school-based sexuality education program on peer educators: the Teen PEP model

Effects of a school-based sexuality education program on peer educators: the Teen PEP model
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DOI:
10.1093/her/cyt153
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发表时间:
2014-04-01
影响因子:
2.4
通讯作者:
Perotte, C. L.
Perotte, C. L.
中科院分区:
医学4区
文献类型:
--
作者:
Jennings, J. M.;Howard, S.;Perotte, C. L.

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这项研究评估了青少年预防教育计划(青少年PEP)的影响,这是一项同伴主导的性教育计划,旨在预防高中生的意外怀孕和性传播感染(STI),包括艾滋病毒。研究设计为准实验性、非随机设计,于2007年5月至2008年5月进行。样本包括96个干预(即青少年PEP同伴教育者)和61名比较学生从五所高中在新泽西。进行基线和12个月随访调查。生成汇总统计量并进行多元回归分析。在主要的意向治疗分析和次要的非意向治疗分析中,青少年PEP同伴教育者(与对照学生相比)报告说,他们有更大的机会练习降低性风险的技能,更愿意与朋友,父母和性伴侣谈论性和节育,与性伴侣设定界限,并要求伴侣接受包括艾滋病毒在内的性传播感染检测。此外,在二次分析中,青少年PEP同伴教育者(与对照学生相比)的性健康问题的知识和拒绝危险的性行为的能力显着较高的分数。以学校为基础的性教育计划,提供全面的培训,同伴教育者可以提高高中生的性危险行为的知识,态度和行为。
This study evaluated the impact of the Teen Prevention Education Program (Teen PEP), a peer-led sexuality education program designed to prevent unintended pregnancy and sexually transmitted infections (STIs) including HIV among high school students. The study design was a quasi-experimental, nonrandomized design conducted from May 2007 to May 2008. The sample consisted of 96 intervention (i.e. Teen PEP peer educators) and 61 comparison students from five high schools in New Jersey. Baseline and 12-month follow-up surveys were conducted. Summary statistics were generated and multiple regression analyses were conducted. In the primary intent-to-treat analyses, and secondary non-intent-to-treat analyses, Teen PEP peer educators (versus comparison students) reported significantly greater opportunities to practice sexual risk reduction skills and higher intentions to talk with friends, parents, and sex partners about sex and birth control, set boundaries with sex partners, and ask a partner to be tested for STIs including HIV. In addition in the secondary analysis, Teen PEP peer educators (as compared with the comparison students) had significantly higher scores on knowledge of sexual health issues and ability to refuse risky sexual situations. School-based sexuality education programs offering comprehensive training to peer educators may improve sexual risk behavior knowledge, attitudes and behaviors among high school students.