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农村青春期女孩生殖健康教育的效果:卡纳塔克邦乌杜皮县基于学校的干预研究

Effectiveness of reproductive health education among rural adolescent girls: a school based intervention study in Udupi Taluk, Karnataka.

作者信息

Rao R S P, Lena A, Nair N S, Kamath V, Kamath A

机构信息

Department of Community Medicine, Kasturba Medical College, Manipal, India.

出版信息

Indian J Med Sci. 2008 Nov;62(11):439-43.

Abstract

BACKGROUND

Adolescence is the most important and sensitive period of one's life [1] . According to the World Health Organization (WHO) Expert Committee, adolescence is defined as the period between 10 and 19 years, the second decade of life.

OBJECTIVE

To determine the effectiveness of an educational intervention program on knowledge of reproductive health among adolescent girls.

SETTINGS AND DESIGN

This educational intervention study was carried out over a period of one year. A total of 791 rural girls in the age group 16-19 years were randomly selected from coastal villages in Udupi District, Karnataka.

MATERIALS AND METHODS

Adolescent girls were educated regarding reproductive health and their awareness levels were evaluated immediately following intervention.

STATISTICAL ANALYSIS

Data was tabulated and analyzed using SPSS version 11.0 for Windows. Findings were described in terms of proportions and percentages. Chi square test was used to test the effect of the intervention.

RESULTS

A significant increase in overall knowledge after the intervention (from 14.4 to 68%, P < 0.01) was observed regarding contraception. Knowledge regarding ovulation, first sign of pregnancy and fertilization improved by 37.2% (95% CI = (35.2, 39.2), P < 0.001). Knowledge regarding the importance of diet during pregnancy improved from 66 to 95% following the intervention.

CONCLUSION

This study clearly showed that an educational intervention program can bring about a desirable change in knowledge among adolescent girls regarding reproductive health.

摘要

背景

青春期是人生中最重要且最敏感的时期[1]。根据世界卫生组织(WHO)专家委员会的定义,青春期是指10至19岁这一生命中的第二个十年阶段。

目的

确定一项教育干预计划对青春期女孩生殖健康知识的有效性。

设置与设计

这项教育干预研究为期一年。从卡纳塔克邦乌杜皮区的沿海村庄中随机抽取了791名年龄在16 - 19岁的农村女孩。

材料与方法

对青春期女孩进行生殖健康教育,并在干预后立即评估她们的认知水平。

统计分析

数据使用Windows版SPSS 11.0进行制表和分析。研究结果以比例和百分比的形式呈现。采用卡方检验来检验干预效果。

结果

干预后,关于避孕的总体知识有显著增加(从14.4%增至68%,P < 0.01)。关于排卵、怀孕的首个迹象和受精的知识提高了37.2%(95%置信区间 =(35.2,39.2),P < 0.001)。干预后,关于孕期饮食重要性的知识从66%提高到了95%。

结论

本研究清楚地表明,一项教育干预计划能够使青春期女孩在生殖健康知识方面产生理想的变化。

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