Kuo Kelly, Zhu Tao Y, Raidoo Shandhini, Zhao Lulu X, Sammarco Anne, Ashby Karen
Department of Obstetrics and Gynecology, MacDonald Women's Hospital, University Hospitals Case Medical Center, Cleveland, OH.
Case Western Reserve University, Cleveland, OH.
J Pediatr Adolesc Gynecol. 2014 Feb;27(1):20-4. doi: 10.1016/j.jpag.2013.08.006. Epub 2013 Dec 4.
To assess the impact of a resident-driven sexual health educational initiative in an inner-city Cleveland middle school.
DESIGN, SETTING, AND PARTICIPANTS: 10 resident physicians and 57 students in 7(th) and 8(th) grade participated in this prospective cohort study.
Residents taught 3 sessions on the topics of basic anatomy and physiology, pregnancy, sexually transmitted infections (STI), contraception, and safe relationships. Outcome measures included the percentages of students able to name at least 3 different STIs and contraceptive methods; to name potential complications of STIs; and to correctly identify condoms and abstinence as the only contraceptive methods also protective against STI transmission.
Significant improvements were noted in students' baseline knowledge of human anatomy, contraception, and safe sex practices after completion of the curriculum. The percentage of students able to name at least 3 forms of birth control increased from 1.7% to 70.7% (P < .0001). The percentage able to name at least 3 different STIs increased from 5.3% to 72.4% (P < .0001). Follow-up testing 4 months after completion of the curriculum demonstrated significant knowledge retention. All residents and medical students surveyed described a perceived need for comprehensive-rather than abstinence-based-reproductive health education in schools.
The socioeconomic burden of teen pregnancy justifies comprehensive efforts to improve reproductive health education.
评估一项由住院医师推动的性健康教育培训计划对克利夫兰市中心一所中学的影响。
设计、背景和参与者：10名住院医师和57名七年级和八年级学生参与了这项前瞻性队列研究。
住院医师就基础解剖学和生理学、怀孕、性传播感染（STI）、避孕及安全的恋爱关系等主题开展了3次课程。观察指标包括能够说出至少3种不同性传播感染和避孕方法的学生百分比；能够说出性传播感染潜在并发症的学生百分比；能够正确识别避孕套和禁欲是唯一能预防性传播感染传播的避孕方法的学生百分比。
课程结束后，学生在人体解剖学、避孕和安全性行为方面的基线知识有显著提高。能够说出至少3种避孕方式的学生百分比从1.7%增至70.7%（P < 0.0001）。能够说出至少3种不同性传播感染的学生百分比从5.3%增至72.4%（P < 0.0001）。课程结束4个月后的随访测试表明知识保留情况良好。所有接受调查的住院医师和医学生均表示，他们认为学校需要开展全面的生殖健康教育，而非仅基于禁欲的教育。
青少年怀孕带来的社会经济负担表明，有必要全面努力改善生殖健康教育。
