Díaz Margarita, Mello Maeve Brito de, Sousa Maria Helena de, Cabral Francisco, Castro e Silva Ricardo de, Campos Márcia, Faúndes Anibal
Reprolatina: Soluções Inovadoras em Saúde Reprodutiva, Campinas, Brazil.
Cad Saude Publica. 2005 Mar-Apr;21(2):589-97. doi: 10.1590/s0102-311x2005000200026. Epub 2005 Mar 21.
Three different school-based sex education and citizenship programs in public schools in Rio de Janeiro, Belo Horizonte, and Salvador, Brazil, were evaluated in a cross-sectional study comparing knowledge, attitudes, and practices in sexuality, citizenship, and gender issues among adolescents participating in the programs' activities as compared to adolescents enrolled in schools without such programs (controls). Results showed that Salvador's program achieved good results, with significant changes in knowledge on sexuality and reproductive physiology, attitudes regarding citizenship, and current use of modern contraceptives; Rio de Janeiro's program succeeded in improving students' knowledge of reproductive physiology and attitudes towards sexuality; Belo Horizonte's participants showed greater knowledge of reproductive physiology and STI/HIV prevention but had less positive attitudes towards gender issues, while reporting greater sexual activity. The main difference between Salvador's program and the others was the focus on creative and cultural activities; Belo Horizonte's main difference was its lack of interaction with health services and professionals. However, after the evaluation Belo Horizonte reframed its educational strategies and launched a scaling-up process in a joint effort with the health and school systems.
在巴西里约热内卢、贝洛奥里藏特和萨尔瓦多的公立学校开展了三项不同的以学校为基础的性教育和公民教育项目，并在一项横断面研究中对其进行了评估。该研究比较了参与项目活动的青少年与未开展此类项目学校（对照组）的青少年在性、公民意识和性别问题方面的知识、态度和行为。结果显示，萨尔瓦多的项目取得了良好成效，在性和生殖生理学知识、公民意识态度以及现代避孕药具的当前使用方面有显著变化；里约热内卢的项目成功提高了学生对生殖生理学的知识以及对性的态度；贝洛奥里藏特的参与者对生殖生理学和性传播感染/艾滋病毒预防有更多了解，但对性别问题的态度不太积极，同时报告的性活动更多。萨尔瓦多的项目与其他项目的主要区别在于注重创意和文化活动；贝洛奥里藏特的主要区别在于缺乏与卫生服务机构和专业人员的互动。然而，评估后贝洛奥里藏特重新制定了其教育策略，并与卫生和学校系统共同努力启动了扩大规模的进程。
