Shuey D A, Babishangire B B, Omiat S, Bagarukayo H
African Medical and Research Foundation (AMREF), Kampala, Uganda.
Health Educ Res. 1999 Jun;14(3):411-9. doi: 10.1093/her/14.3.411.
A school health education programme in primary schools aimed at AIDS prevention in Soroti district of Uganda emphasized improved access to information, improved peer interaction and improved quality of performance of the existing school health education system. A cross-sectional sample of students, average age 14 years, in their final year of primary school was surveyed before and after 2 years of interventions. The percentage of students who stated they had been sexually active fell from 42.9% (123 of 287) to 11.1% (31 of 280) in the intervention group, while no significant change was recorded in a control group. The changes remained significant when segregated by gender or rural and urban location. Students in the intervention group tended to speak to peers and teachers more often about sexual matters. Increases in reasons given by students for abstaining from sex over the study period occurred in those reasons associated with a rational decision-making model rather than a punishment model. A primary school health education programme which emphasizes social interaction methods can be effective in increasing sexual abstinence among school-going adolescents in Uganda. The programme does not have to be expensive and can be implemented with staff present in most districts in the region.
乌干达索罗蒂区开展的一项旨在预防艾滋病的小学学校健康教育项目，着重改善信息获取渠道、加强同伴互动以及提升现有学校健康教育系统的执行质量。在干预措施实施两年前后，对小学六年级平均年龄14岁的学生进行了横断面抽样调查。干预组中表示有过性活动的学生比例从42.9%（287人中有123人）降至11.1%（280人中有31人），而对照组未记录到显著变化。按性别或城乡地点划分时，这些变化依然显著。干预组的学生更倾向于与同伴和教师更多地谈论性问题。在研究期间，学生给出的禁欲理由中，与理性决策模式相关的理由有所增加，而非惩罚模式。一项强调社会互动方法的小学健康教育项目，对于增加乌干达在校青少年的性禁欲有效。该项目无需高昂成本，利用该地区大多数地区现有的工作人员即可实施。
