以参与式学习为主的大学生生殖健康教育效果评价

Impact of reproductive health program with participatory learning method among university students in Shanghai

目的评价以参与式学习为主的干预方法对高校大学生生殖健康教育的效果,为高校大学生开展有效的生殖健康教育活动提供实践依据。方法以上海市2所综合性大学低年级871名在校学生为研究对象,由经过培训的学生骨干进行以主题班会、情景剧、辩论会等参与学习方式为主的生殖健康教育,通过问卷调查和干预后定性访谈评价干预效果。结果干预后干预组知识得分均高于对照组,总知识得分由干预前的（3.1±0.9）分提高到干预后的（4.1±0.7）分（t=-16.879,P〈0.01）。干预组反对婚前性行为的比例由基线调查时的32.2%上升为45.2%（x^2=15.353,P〈0.01）。安全套使用意向的多因素分析显示,在调整其他影响因素后,组别和时间之间存在交互作用,干预的效应OR值为2.519（95%CI=1.481～4.287）。80.9%的学生认为通过参加活动使自己的生殖健康知识技能受益颇丰。结论以参与式学习为主的干预方式对大学生生殖健康教育的短期效果显著,但是否存在长期影响还有待进一步研究。

Objective To evaluate the feasibility and effectiveness of a reproductive health program with participatory learning method among university students in Shanghai. Methods A intervention with participatory learning method was conducted in two universities among freshmen and sophomore students in Shanghai. Participatory activities were used by facilitators who received related training before, such as class meeting, role playing and debating discussion. The impacts of intervention were evaluated by comparing results of surveys before and after the intervention. Results Compared with control group, knowledge scores of intervention group were improved significantly after the intervention, the general knowledge scores were increased by 3.1±0.9 to 4.1～0.7（ P〈0.01 ）. At posttest, the proportion of those who opposed premarital sex were increased by 32.2% to 45.2% in the intervention group（ P〈0.01 ）. Controlled for other influencing factors, groupxtime interaction effect in multi-factor analysis was found on the intention of using condoms （OR = 2.519, 95% CI： 1.481-4.287}. The percentage of the students who expressed that they benefited from this intervention was 80.9%. Conclusion This short-term reproductive health program with participatory learning method is welcomed by university students and positively influenced them. But the long-term impact of the intervention is essential to deter- mine whether the observed patterns are sustained or lead to behavior change.