基于格林模式对珠三角地区流动青少年性与生殖健康素养的干预效果研究

The effect of intervention on the sexual and reproductive health literacy of migrant adolescents in the Pearl River Delta region based on the Green model

目的探讨格林模式对流动青少年性与生殖健康素养的影响效果。方法采用分层整群抽样方法选取2020年7月至2021年12月珠三角地区某3所三级医疗机构诊治的435名流动青少年作为研究对象。随机分为实验组(n=215)和对照组(n=220),实验组接受基于格林模式为理论依据构建的健康素养干预方案;对照组接受生殖健康常规教育方案。比较干预6个月后两组的性与生殖健康素养状况和非意愿妊娠率。结果干预后,实验组流动女性青少年的非意愿妊娠率低于对照组,实验组避孕知识、艾滋病知识、生殖健康态度得分明显高于对照组,差异具有统计学意义(P<0.05)。结论以格林模式为理论依据构建的健康素养干预方案能够有效提高流动青少年性与生殖健康素养水平,减少非意愿妊娠的发生。

Objective To explore the effect of Green model on the sexual and reproductive health literacy of migrant adolescents.Methods A stratified cluster sampling method was used to select 435 migrant adolescents who were treated in three Grade three A medical institutions in the Pearl River Delta region from July 2020 to December 2021 as the research objects.They were randomly divided into the experimental group(n=215)and the control group(n=220).The experimental group received the health literacy intervention program based on the Green model;the control group received the reproductive health routine education program.The sexual and reproductive health literacy status and unwanted pregnancy rate were compared between the two groups after 6 months of intervention.Results After the intervention,the unwanted pregnancy rate of migrant female adolescents in the experimental group was lower than that in the control group,and the scores of contraceptive knowledge,AIDS knowledge and reproductive health attitude in the experimental group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusions The health literacy intervention program based on Green model can effectively improve the sexual and reproductive health literacy level of migrant adolescents and reduce the incidence of unwanted pregnancy.