Department of Public Health Education, University of North Carolina at Greensboro, Gateway University Research Park, 5900 Summit Avenue, Box #108, Brown Summit, NC 27214, USA.
J Sch Health. 2011 Mar;81(3):152-8. doi: 10.1111/j.1746-1561.2010.00574.x.
Although males are often the initiators of teen sexual activity, pregnancy prevention programs generally target females. To address this deficiency, the Wise Guys Male Responsibility Curriculum was developed to be delivered to adolescent males in weekly classroom sessions.
Seventh grade participants (n = 124) in the Wise Guys program were compared to randomly selected controls (n = 106) at pretest (baseline), posttest, and 6-month follow-up data points. Comparisons were made on knowledge of sexual behavior and reproductive biology, knowledge of sexually transmitted disease (STD) transmission, desirable attitudes toward sex and appropriate behavior in sexual relationships; and on limited behavioral outcomes, including initiation of sexual activity, and use of condoms and contraception by sexually active adolescents.
Wise Guys participants demonstrated greater posttest and follow-up knowledge of sex and reproductive biology (p < .000), greater knowledge of STD transmission (p < .000), and higher rates of desirable attitudes toward sex and appropriate behavior in sexual relationships (p ≤ .013) than controls. Favorable behavioral changes were also reported among sexually active participants at follow-up.
The Wise Guys curriculum effectively improves adolescent males' knowledge of sexual behavior and reproductive behavior, and their knowledge of STD transmission, and instills desirable attitudes toward sex and appropriate behavior in sexual relationships. The results also indicate that the curriculum may promote greater condom use and contraception among sexually active males.
尽管男性通常是青少年性行为的发起者，但避孕计划通常针对女性。为了解决这一不足，开发了“明智男孩男性责任课程”，以便每周在课堂上向青少年男性进行教学。
在预测试（基线）、后测试和 6 个月随访数据点上，将 Wise Guys 计划中的七年级参与者（n = 124）与随机选择的对照组（n = 106）进行比较。比较了性行为和生殖生物学知识、性传播疾病（STD）传播知识、对性的理想态度和性关系中的适当行为；以及有限的行为结果，包括性活跃青少年的性行为开始、使用避孕套和避孕药具的情况。
与对照组相比，Wise Guys 计划的参与者在性和生殖生物学知识方面表现出更高的后测和随访知识（p <.000）、更高的 STD 传播知识（p <.000），以及更高的对性的理想态度和性关系中适当行为的比率（p ≤.013）。在随访中，也报告了性活跃参与者的有利行为变化。
“明智男孩”课程有效地提高了青少年男性对性行为和生殖行为的认识，以及他们对性传播疾病传播的认识，并培养了对性的理想态度和性关系中的适当行为。结果还表明，该课程可能会促进性活跃男性更多地使用避孕套和避孕药具。
