Shulkin J J, Mayer J A, Wessel L G, de Moor C, Elder J P, Franzini L R
CA College Health 2000, San Diego State University.
J Am Coll Health. 1991 Sep;40(2):75-9. doi: 10.1080/07448481.1991.9936259.
Acquired immune deficiency syndrome (AIDS) has become a major health threat to university students. This study evaluated a peer-led AIDS intervention program with university students (1) increase knowledge of human immunodeficiency virus (HIV) transmission and infection; (2) change attitudes to reflect scientific information on AIDS-related facts; and (3) change behavioral intentions to correspond with safer sexual practices. Subjects were students (N = 142) from four undergraduate classes and were predominantly female (65%), white (82%), and sexually active (86%). A non-equivalent control group design was used, with two classes receiving the intervention and two classes receiving no information. For the intervention, peer educators presented AIDS-related information, modeled ways to use condoms safely and ways to discuss condom use with sexual partners, and led discussions on HIV infection and use with sexual partners, and led discussions on HIV infection and AIDS, relationships, sexuality, and condom use. A questionnaire was administered to assess differential changes in AIDS-related knowledge, attitudes, and behavioral intentions between the intervention and control groups. The results showed significant improvements among intervention subjects on the knowledge, attitudes, and behavioral intentions scales compared with the control group.
获得性免疫缺陷综合征(艾滋病)已成为大学生面临的主要健康威胁。本研究评估了一项由同伴主导的针对大学生的艾滋病干预项目,该项目旨在(1)增加对人类免疫缺陷病毒(HIV)传播和感染的知识;(2)改变态度以反映关于艾滋病相关事实的科学信息;(3)改变行为意图以符合更安全的性行为方式。研究对象是来自四个本科班级的学生(N = 142),其中大多数为女性(65%)、白人(82%)且有性行为(86%)。采用了非等效对照组设计,两个班级接受干预,两个班级不接受任何信息。在干预过程中,同伴教育者介绍了与艾滋病相关的信息,示范了安全使用避孕套的方法以及与性伴侣讨论使用避孕套的方法,并就HIV感染、与性伴侣的关系、性行为和避孕套使用等问题展开讨论。通过问卷调查来评估干预组和对照组在艾滋病相关知识、态度和行为意图方面的差异变化。结果显示,与对照组相比,干预组受试者在知识、态度和行为意图量表上有显著改善。