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[儿童性虐待初级预防:在米兰小学实施的健康教育项目成果评估]

[Child sexual abuse primary prevention: outcome evaluation of a health education project implemented in Milan's elementary schools].

作者信息

Pellai A, Castelli B, Scyslowska G, Bassoli L, Lanzi M, Pazardjiklian I, Sacchetti A

机构信息

Istituto di Igiene e Medicina Preventiva, IRCCS Ospedale Maggiore di Milano.

出版信息

Ann Ig. 2003 Sep-Oct;15(5):529-39.

PMID:14969306
Abstract

The study we present is aimed at evaluating the efficacy of a child sexual abuse prevention program that involved children attending 4th and 5th grade in Milan's (Italy) elementary schools. The project involved 53 classes (10 of 4th, 43 of 5th grade) during school year 2000-2001. Children filled a questionnaire before the beginning of the project and two months after the end; the questionnaire evaluates children's perception of risk and their self-efficacy skills in adopting protective strategies when involved in at risk situations. Final analysis has involved 674 children, 51.8% girls, 48.2% boys; 19.6% of children attended 4th grade, 80.4% 5th grade. Percentage of children that recognize the potential danger in the suggested at-risk situation is higher in post-test then in pre-test (87.9% vs 73.2%) and the number of them that does not adopt any self-defence strategy decreases (from 35.3% to 21.0%). The project increased the number of children that know body puberal changes (from 16.0% to 32.8%). According to these results it is evident that the program increased children's capacity to recognize and use self defence strategies in at risk situations. These results call for a potential extention and replication of this health education program.

摘要

我们开展的这项研究旨在评估一项儿童性虐待预防计划的效果,该计划针对的是意大利米兰小学四年级和五年级的学生。该项目在2000 - 2001学年涉及53个班级(四年级10个班,五年级43个班)。孩子们在项目开始前和结束后两个月填写了一份问卷;该问卷评估孩子们对风险的认知以及他们在面临危险情况时采取保护策略的自我效能技能。最终分析涉及674名儿童,其中女孩占51.8%,男孩占48.2%;19.6%的儿童是四年级学生,80.4%是五年级学生。在后测中,认识到所建议的危险情况中潜在危险的儿童比例高于前测(87.9%对73.2%),且未采取任何自卫策略的儿童数量减少(从35.3%降至21.0%)。该项目增加了了解身体青春期变化的儿童数量(从16.0%增至32.8%)。根据这些结果,显然该计划提高了儿童在危险情况下识别和使用自卫策略的能力。这些结果呼吁对这一健康教育计划进行潜在的扩展和推广。

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