Ye X X, Huang H, Li S H, Xu G, Cai Y, Chen T, Shen L-X, Shi R
Shanghai Children's Medical Center affiliated with Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Children's Environmental Health, Shanghai, People's Republic of China.
Int J STD AIDS. 2009 Aug;20(8):549-52. doi: 10.1258/ijsa.2008.008471.
Few studies have examined the long-term effects of peer-led HIV prevention in Chinese adolescents. A two-year follow-up study was conducted among senior high school students in a medium-sized city of Fujian Province, from 1 March 2006 to 30 April 2008. In all, 3068 students from 14 schools were invited in March 2006, and 893 students in five schools were followed up. Data were collected at baseline, right after intervention (one month later) and two years later by a self-administered questionnaire. In the intervention group, the average knowledge score including reproductive health and HIV/AIDS/sexually transmitted diseases rose from 4.30 to 7.06 one month later (P < 0.01) and to 7.08 two years later (P < 0.01). There was no significant difference between the average knowledge score after one month and two years (P > 0.05). Sustained increases were found in the attitude scores towards people living with HIV/AIDS (PLWH) and intention of condom use after intervention. The study indicates that peer-led HIV prevention education succeeds in improving and sustaining HIV/AIDS-related knowledge and some behaviour intentions. Future research should focus on strategies to sustain long-term behaviour change.
很少有研究探讨同伴主导的艾滋病预防措施对中国青少年的长期影响。2006年3月1日至2008年4月30日，在福建省一个中等城市的高中生中开展了一项为期两年的随访研究。2006年3月，共邀请了来自14所学校的3068名学生参与研究，对其中5所学校的893名学生进行了随访。通过自填问卷在基线、干预后（一个月后）和两年后收集数据。在干预组中，包括生殖健康和艾滋病/性传播疾病在内的平均知识得分在一个月后从4.30提高到7.06（P<0.01），两年后提高到7.08（P<0.01）。一个月后和两年后的平均知识得分之间没有显著差异（P>0.05）。干预后，对艾滋病病毒感染者/艾滋病患者（PLWH）的态度得分和使用避孕套的意愿持续上升。该研究表明，同伴主导的艾滋病预防教育成功地提高并维持了与艾滋病相关的知识和一些行为意愿。未来的研究应侧重于维持长期行为改变的策略。
