Jin Hui-Qing, Li Ying-Chun, Zhang Shu-Lin, Yu Wan-Sheng
Anhui Sanlian Accident Prevention Institute, Hefei 230081, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2009 Aug;30(8):797-801.
To evaluate the intervention effects for road traffic accident prevention among middle school students through understanding their knowledge, attitude and practice (KAP) on road safety.
Students in Grade 1 and Grade 2 from 7 junior and senior middle schools in Ji'nan city were selected as intervention group and students from a middle school in Hefei city served as control group. Education was provided to the intervention group and all the middle school students in Ji'nan city. Changes of KAP on road safety were measured for both groups during the follow-up period, and comparison on KAP for the two groups was carried statistically.
The mean scores of road safety knowledge for intervention group improved significantly during the follow-up period (from 0.9 - 3.8), while these indices did not change much in the control group (from 0 - 0.2). Negative attitude on road safety was found in both groups, but less in the intervention group. More students started to admit that middle school students themselves should be responsible for most of the RTAs. Per week frequency of violating traffic rules did not improve, however during the follow-up period on both groups as still 75% to 80% of the students violating the traffic rules less than 2 times per week. Although three kinds and one kind of traffic rules violation seemed to have improved in the intervention group and in the control group, there were still two and three other kinds turned worse in the intervention and in the control group, respectively.
Program on road safety education significantly improved the relative knowledge for middle school student and it exerted positive effects in road safety attitude to some extent. However, no significant effect was found in the improvement on their behavior. Education on road safety should be carried out in the early stage of childhood with newer and more effective intervention approaches.
通过了解中学生对道路安全的知识、态度和行为（KAP），评估预防中学生道路交通事故的干预效果。
选取济南市7所初、高中学校的初一和初二年级学生作为干预组，合肥市某中学的学生作为对照组。对干预组和济南市所有中学生进行教育。在随访期间测量两组学生道路安全KAP的变化，并对两组的KAP进行统计学比较。
随访期间干预组道路安全知识的平均得分显著提高（从0.9 - 3.8），而对照组这些指标变化不大（从0 - 0.2）。两组学生对道路安全均持消极态度，但干预组较少。更多学生开始承认中学生自身应对大多数道路交通事故负责。然而，两组学生每周违反交通规则的频率在随访期间并未改善，仍有75%至80%的学生每周违反交通规则少于2次。尽管干预组有三种交通规则违规情况以及对照组有一种交通规则违规情况似乎有所改善，但干预组和对照组分别仍有另外两种和三种交通规则违规情况变差。
道路安全教育项目显著提高了中学生的相关知识，并在一定程度上对道路安全态度产生了积极影响。然而，在改善他们的行为方面未发现显著效果。道路安全教育应在儿童早期阶段采用更新、更有效的干预方法开展。
