CAJ | 학술논문

目的：在上海市初中学生中开展由校外医学专业人员进行的性生殖健康教育综合性干预模式，探讨该干预模式对青少年相关知识和态度的影响。方法本研究以上海市2个区的4所初级中学作为研究现场，选择其中2所为干预组，另2所为对照组，以初一学生作为研究对象进行为期1年的干预研究。在考虑基线水平的情况下，分析干预组和对照组生殖健康相关知识和态度的差异。结果基线调查结果显示干预组和对照组一般情况的分布较为均衡。干预组和对照组在基线调查时的生殖健康知识、态度上大部分无明显差别（P＞0．05），但在终末调查时干预组较对照组在艾滋病传播途径、有效避孕方法等方面的知识水平明显为高（χ2值分别为4．557、3．947、4．195、4．478、5．830，均P＜0．05）。在对待生殖健康相关态度方面，干预组和对照组也存在明显差异（χ2值分别为12．445、7．326、9．303、5．971，均P＜0．05）。结论由校外医学专业人员开展的性与生殖健康教育综合干预模式可有效提高初中生的性生殖健康的知识和态度，在当前性教育师资缺乏、家长性教育能力有限的情况下，是提高青少年生殖健康水平的有效途径。
목적：재상해시초중학생중개전유교외의학전업인원진행적성생식건강교육종합성간예모식，탐토해간예모식대청소년상관지식화태도적영향。방법본연구이상해시2개구적4소초급중학작위연구현장，선택기중2소위간예조，령2소위대조조，이초일학생작위연구대상진행위기1년적간예연구。재고필기선수평적정황하，분석간예조화대조조생식건강상관지식화태도적차이。결과기선조사결과현시간예조화대조조일반정황적분포교위균형。간예조화대조조재기선조사시적생식건강지식、태도상대부분무명현차별（P＞0．05），단재종말조사시간예조교대조조재애자병전파도경、유효피잉방법등방면적지식수평명현위고（χ2치분별위4．557、3．947、4．195、4．478、5．830，균P＜0．05）。재대대생식건강상관태도방면，간예조화대조조야존재명현차이（χ2치분별위12．445、7．326、9．303、5．971，균P＜0．05）。결론유교외의학전업인원개전적성여생식건강교육종합간예모식가유효제고초중생적성생식건강적지식화태도，재당전성교육사자결핍、가장성교육능력유한적정황하，시제고청소년생식건강수평적유효도경。
Objective To conduct the sexual and reproductive health education intervention by medical professionals in junior schools of Shanghai so as to explore the impact on related knowledge and attitude of young adolescents .Methods Four junior schools in 2 districts of Shanghai were included in the study , among which two were selected as intervention group and the other two as control group .The students in first grade were recruited in the intervention study for one year .The effectiveness of the intervention was evaluated by comparing subjects’ sex and reproductive health knowledge , sexual attitudes between the intervention group and control group when the baseline data were considered .Results There were no significant differences in reproductive health knowledge and attitude between intervention group and control group according to the baseline investigation (P>0.05).However, in the final investigation, the knowledge of intervention group about transmission routes of AIDS and effective contraceptive methods was more than that of control group (χ2 value was 4.557, 3. 947, 4.195, 4.478 and 5.830, respectively, all P<0.05).There was also significant difference between two groups in attitudes towards reproductive health(χ2 value was 12.445, 7.326, 9.303 and 5.971, respectively, all P <0.05).Conclusion The sexual and reproductive health education intervention mode conducted by medical professionals is effective to develop related knowledge and attitudes in junior students , and it is one of the valid ways to enhance the reproductive health level of young adolescents when the educational resources and parenting skills are inefficient .