Odeyemi K A, Onajole A T, Ogunowo B E, Olufunlayo T, Segun B
Department of Community health and Primary Care, College of Medicine, University of Lagos, Nigeria.
Niger Postgrad Med J. 2014 Jun;21(2):122-7.
This study was conducted to assess the effect of a community based sexuality education programme on the sexual health knowledge and practices of out of school female adolescents.
This Intervention study was conducted in two markets within Lagos, Nigeria. Representative samples of adolescents were interviewed on their sexual health knowledge and practices. An Education- entertainment programme provided sexuality education to adolescents in Mushin market only (intervention group) followed by post intervention surveys in Mushin market and Sangrouse market (control group). The pre and post intervention surveys were compared 6 months post intervention to detect any changes.
Sexual health knowledge and behaviour was similar among respondents in both markets pre intervention. Post intervention, the sexual health knowledge of the respondents in the intervention site improved significantly. (p<0.05) Fewer adolescents initiated sex in the intervention site than in the control site and contraceptive use increased. However among the sexually active, there was no significant change in their condom use and number of sexual partners.
Community based health education programmes can be used to provide effective sexuality education for out of school adolescents. Provision should be made by government and non-governmental organisations during adolescent reproductive health programming for sexuality education targeted at out of school adolescents.
本研究旨在评估一项基于社区的性教育项目对失学少女性健康知识及行为的影响。
这项干预性研究在尼日利亚拉各斯的两个市场开展。选取具有代表性的青少年样本，就其性健康知识及行为进行访谈。仅在穆欣市场（干预组）为青少年提供了一个寓教于乐的性教育项目，之后在穆欣市场和桑格劳斯市场（对照组）进行干预后调查。干预后6个月对干预前后的调查结果进行比较，以检测是否有任何变化。
干预前，两个市场的受访者在性健康知识和行为方面相似。干预后，干预地点受访者的性健康知识有显著改善（p<0.05）。干预地点开始性行为的青少年比对照组少，且避孕措施的使用有所增加。然而，在性活跃人群中，他们使用避孕套的情况和性伴侣数量没有显著变化。
基于社区的健康教育项目可用于为失学青少年提供有效的性教育。政府和非政府组织在青少年生殖健康规划中应为针对失学青少年的性教育提供支持。
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