学校教育联合医院干预对农村留守儿童青春期性健康的影响

    Effect of the school education combined with hospital intervention on the adolescent sexual health in rural left-behind children

    • 摘要: 目的:分析学校教育联合医院干预对农村留守儿童青春期性健康的影响,探讨农村留守儿童青春期性健康教育的有效模式。方法:选取某县4所中学全日制在读寄宿学生1 200名,均为父母双方外出务工无法与其共同生活。采用随机数字表法分为观察组和对照组,各600名。对照组开设教育部规定的中学生青春期性教育课程;观察组在对照组基础上进行医院联合学校的性健康教育干预活动,由学校老师和心理医生共同参与,定期开展活动,时间为1学年。设计性教育问卷调查表,内容主要包括性认知、性价值观及性适应,比较2组学生干预前后得分情况。结果:干预前2组学生在基本生理常识、性知识、性观念、性态度、社会适应、性控制力及自身适应方面评分差异均无统计学意义(P>0.05)。干预后对照组基本生理常识、性态度和社会适应3项评分均明显高于干预前(P<0.01);而观察组各项得分均明显高于干预前(P<0.01),且各项得分均高于对照组(P<0.05~P<0.01)。结论:农村留守儿童属特殊群体,性知识相对匮乏,医院联合学校共同开展青春期性健康教育有助于其形成科学的性观念和性态度。

       

      Abstract: Objective:To analyze the effects of the school education combined with hospital intervention on the adolescent sexual health in rural left-behind children,and explore the effective sexual health education mode in rural left-behind children.Methods:One thousand two hundred left-behind children from 4 middle schools were randomly divided into the control group and observation group(600 cases each group).The control group were taught with adolescent sexual education curriculum required by the Chinese Ministry of Education.The observation group were taught with school education combined with hospital intervention.The regular activity was implemented by school teachers and psychologists for 1 year,the content of which included sexual knowledge,value and adaptation.The scores before and after intervention between two groups were compared.Results:The differences of the scores of the basic knowledge of physiology,sexual knowledge,sexual attitude,sexual control,social adaptation and oneself adaptation before intervention between two groups were not statistically significant(P>0.05).The scores of the basic knowledge of physiology,sexual attitude and social adaptation after intervention in control group were significantly higher than those before intervention(P<0.01).The scores of all items after intervention were higher than those in observation group before intervention,and in control group after intervention(P<0.05 to P<0.01).Conclusions:Rural left-behind children belong to a special group,and their sexual knowledge is lack.The school education combined with hospital intervention can help to develop the scientific sexual concept and attitude.

       

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