广州4所高校大学生生殖健康教育干预效果评价

Effectiveness evaluation of the reproductive health education intervention for undergraduates from four colleges in Guangzhou

目的:探讨和评价对广州4所高校大学生进行生殖健康教育干预的效果。方法:采用随机分层整群抽样方法,选取广州市4所高校的750名大学生进行生殖健康教育干预,通过干预前后2次问卷调查进行评价和分析干预效果。结果:干预前后大学生知晓和认为适合青少年使用的避孕措施中,均为避孕套所占比例最高(>99%);干预后大学生对各种避孕方法的知晓率明显升高,认为适合青少年的避孕方法中选择高效避孕方法(包括复方短效口服避孕药、皮下埋植剂、宫内节育器)的比例显著增加;选择低效及长效不可逆避孕方法(安全期、体外排精、外用避孕药、男性/女性绝育术)的比例明显减少(P<0.001);大学生对常见的5项避孕误区回答的正确率均有明显提高(P<0.01);99.7%的学生认为有必要在大学开展生殖健康教育科普讲座。结论:在高校进行生殖健康教育,可明显提高大学生科学避孕知识知晓率,干预效果显著可行,应重视大学生群体的生殖健康教育的需求。

Objective:To explore and evaluate the effect of reproductive health education interventions of undergraduates from four colleges in Guangzhou. Methods: A random stratified cluster sampling method was used to select 750 undergraduates from four colleges in Guangzhou for reproductive health education interventions. The effect was evaluated and analyzed by questioner before and after intervention. Results: Before and after intervention, condoms accounted for the highest proportion of contraception used of undergraduates in both knew and considered suitable contraceptives for teenagers. After the intervention, the awareness rate of contraceptives of undergraduates had increased significantly, and the proportion of effective suitable contraceptives for teenagers by undergraduates chosen(included compound oral contraceptives, subcutaneous implants, and intrauterine devices) had increased significantly. And the proportion of low-efficiency contraceptives and long-acting irreversible contraceptive(included safety period, in vitro sperm expulsion, external contraceptive, and male/female sterilization) had decreased significantly(P<0.001). The correct rate of answering the five common contraceptive questions had increased significantly(P<0.01). 99.7% of undergraduates had thought that it was necessary to carry out lectures on reproductive health education in universities. Conclusion: The reproductive health education in universities can increase the contraceptive knowledge of undergraduates significantly. The intervention effect is significant and feasible, so the needs of reproductive health education of undergraduates should be paid more attention to.