Mba C I, Obi S N, Ozumba B C
Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital Enugu, Nigeria.
J Obstet Gynaecol. 2007 Jul;27(5):513-7. doi: 10.1080/01443610701478991.
This intervention study was to evaluate the impact of reproductive health education on the knowledge and attitude of adolescents in a rural Nigerian community to reproductive health issues. It compared adolescents in a secondary school (study group), which received health education on reproductive health with another secondary school (control group), which did not receive any. The impact of the programme was evaluated with a pre-test baseline knowledge and post-test gain in the knowledge 6 weeks later, using the same questionnaire. A total of 180 students selected by systematic sampling from each of the two randomly selected schools in Item, a rural community in south-east Nigeria participated in the programme. While all the respondents have heard of reproductive health and could identify at least one of its components, their knowledge of it prior to the health education were defective and were obtained mainly from peers and the mass media. Such information was incomplete and often coloured with cultural and religious bias. However, there was a significant (p < 0.05) gain in correct knowledge following the health education. The students in the study group showed a positive and permissive attitude towards reproductive health education and there was a drop in risky sexual behaviour following the intervention. Pre-marital sex (94.3%), pregnancy prevention and abortion (88.5%) and sexually transmitted infections (82.8%) were common reproductive health problems raised by the students. Reproductive health education as part of the school curriculum will provide an effective means of improving knowledge and reducing reproductive health problems among adolescents in developing countries.
这项干预研究旨在评估生殖健康教育对尼日利亚农村社区青少年在生殖健康问题方面的知识和态度的影响。该研究将一所接受了生殖健康教育的中学（研究组）的青少年与另一所未接受任何此类教育的中学（对照组）的青少年进行了比较。通过使用相同的问卷，在预测试基线知识以及6周后的知识后测试增益情况来评估该项目的影响。从尼日利亚东南部农村社区伊滕随机挑选的两所学校中，通过系统抽样各选出180名学生参与了该项目。虽然所有受访者都听说过生殖健康，并且能够识别其至少一个组成部分，但他们在接受健康教育之前对生殖健康的了解存在缺陷，且主要来自同龄人及大众媒体。此类信息不完整，且常常带有文化和宗教偏见。然而，健康教育后正确知识有显著（p < 0.05）增加。研究组的学生对生殖健康教育表现出积极和宽容的态度，干预后危险的性行为有所减少。婚前性行为（94.3%）、预防怀孕和堕胎（88.5%）以及性传播感染（82.8%）是学生们提出的常见生殖健康问题。将生殖健康教育纳入学校课程将为改善发展中国家青少年的知识水平和减少生殖健康问题提供一种有效手段。
