预防艾滋病教育初中题库检验及应用

Design and application of a question bank for school-based HIV/AIDS education among junior high school students

目的检验与应用学校预防艾滋病教育初中题库,发挥在督导与评估中的教育引导功能。方法在上海、广东、四川共10所初中889名学生中进行题库检验;在7个省方便整群抽取14所普通中学2 098名初中学生进行题库问卷应用研究。结果学校预防艾滋病教育初中题库中产生的问卷具有较好的可比性和区分度;7个项目地区初中学生总体得分为72.17分,高于非项目校的68.40分,差异有统计学意义(P<0.01);项目学校学生总分合格率为57.2%(426/744),明显高于非项目学校的34.7%(240/691)(2χ=30.993,P<0.01);除青海省贵德县外,项目校学生在知识、态度和总分的合格率均明显高于非项目校(P<0.05);项目学校学生总体对大众艾滋病基本知识的知晓率为78.5%(1 104/1 407),高于非项目学校的71.8%(496/691)(P<0.01)。结论题库中产生的问卷具有较好的可比性和区分度,可以作为测试工具用于学校艾滋病教育的督导与评估。

Objective To test and apply a question bank for school-based HIV/AIDS education in junior high school students,and to explore its role in the supervision and evaluation on health education.Methods A total of 889 students from 10 junior high schools in Shanghai city,Guangdong and Sichuan province were sampled to test and modify the question bank.A preliminary study among 2 098 students from 14 junior high schools in 7 provinces was carried out with convenient cluster sampling to modity the question bank for school-based HIV/AIDS education.Results Results of parallelism and discrimination study on the question bank among the students in 16 classes showed that the difference between the two questionnaires compiled based on the bank was not statistically significant in 13 classes（P0.05） except for 1 class in Shanghai with significantly lower scores for the questionnaire 1（81.00） than that of the questionnaire 2（85.52） and 2 classes in Sichuan with signiticantly higher scores for the questionnaire 1（78.56,83.86） than that of questionnaire 2（72.52,78.68）.The differences in the scores among the classes with the education program were significantly different from those of without the education.Students＇ achievements（75.06-87.48 scores） in schools with the health education were better than those in the schools with ordinary health education（72.52-83.20 scores）（P0.01）.The overall score of the students in project schools in 7 provinces（72.17） was higher than that of students in non-project schools（68.40）.The awareness rate of basic HIV/AIDS knowledge of the students in project schools（78.5%,1 104/1 407） was higher than that of the students in non-project schools（71.8%,496/691,P0.01）.Conclusion Questionnaires compiled based on the question bank have a good comparability and discrimination and could be used as a test in supervision and evaluation on HIV/AIDS education in schools.