Magnani Robert, Macintyre Kate, Karim Ali Mehyrar, Brown Lisanne, Hutchinson Paul, Kaufman Carol, Rutenburg Naomi, Hallman Kelly, May Julian, Dallimore Anthea
School of Public Health & Tropical Medicine, Tulane University, 1440 Canal Street, New Orleans, LA 70112, USA.
J Adolesc Health. 2005 Apr;36(4):289-304. doi: 10.1016/j.jadohealth.2004.02.025.
To assess the impact of exposure to life skills education by youth in KwaZulu-Natal Province (KZN, South Africa) on knowledge and behaviors associated with the spread of HIV/AIDS.
Data come from a panel study of 2222 youth from several population subgroups in KZN. The youth were aged 14-24 years when interviewed in 1999 and 2001. The intervention was a full coverage life skills education program for all students in middle and secondary schools. Impact was measured as net dose-response relationships between life skills exposure and outcomes. Econometric methods were used to control for nonrandom exposure to life skills education. Outcomes included sexual behavior and condom use indicators.
Significant effects, albeit modest in magnitude, were observed on selected areas of sexual-reproductive health knowledge and perceived condom self-efficacy, along with larger effects on condom use at first and last sex. No consistent effects on age at sexual initiation, secondary abstinence, or partnering behaviors were observed among these youth.
School-based life skills education appears capable of communicating key information and helping youth develop skills relevant to reducing HIV risk. However, the South African national program has yet to be fully implemented, and whether this initiative will result in sustained behavior modification among youth on a sufficient scale to affect the HIV/AIDS epidemic is uncertain.
评估南非夸祖鲁 - 纳塔尔省（KZN）的青少年接受生活技能教育对与艾滋病毒/艾滋病传播相关的知识和行为的影响。
数据来自对KZN几个亚人群体中2222名青少年的一项面板研究。这些青少年在1999年和2001年接受访谈时年龄在14 - 24岁之间。干预措施是为所有中小学学生提供全面覆盖的生活技能教育项目。影响通过生活技能接触与结果之间的净剂量反应关系来衡量。采用计量经济学方法来控制生活技能教育的非随机接触情况。结果包括性行为和避孕套使用指标。
在性生殖健康知识的选定领域和感知的避孕套自我效能方面观察到显著影响，尽管幅度不大，同时对首次和末次性行为时的避孕套使用有更大影响。在这些青少年中，未观察到对性开始年龄、二次禁欲或性伴侣行为的一致影响。
基于学校的生活技能教育似乎能够传播关键信息，并帮助青少年培养与降低艾滋病毒风险相关的技能。然而，南非的国家项目尚未全面实施，而且该举措是否会在足够规模上导致青少年行为的持续改变以影响艾滋病毒/艾滋病疫情尚不确定。
