Morales Alexandra, Espada José P, Orgilés Mireia
Department of Health Psychology, Miguel Hernández University, Elche, Spain.
Department of Health Psychology, Miguel Hernández University, Elche, Spain
Eur J Public Health. 2016 Feb;26(1):35-41. doi: 10.1093/eurpub/ckv074. Epub 2015 May 9.
Competencies for adolescents with a healthy sexuality (COMPAS) is the only school-based sexual health promotion program in Spain that has been found to be as effective as an evidence-based intervention (¡Cuídate!) in the short term. This study's aim was to compare data from a 12-month follow-up evaluation on the effects of COMPAS on adolescents' sexual risks (knowledge, attitudes, perceived norms, sexual risk perception and intentions) and sexual behaviours (age of the first sex, consistent condom use and multiple partners) with an evidence-based intervention (¡Cuídate!) and a control group.
Eighteen schools from five provinces of Spain were randomly assigned to one of three conditions: COMPAS, ¡Cuídate! and a control group. The adolescents (N = 1563; 34% attrition) were evaluated 1 week before and after the program, and 1 year post-program implementation.
We found that the COMPAS program was as effective as ¡Cuídate!, the evidence-based program, in increasing the adolescents' knowledge about sexually transmitted infections and in fostering favourable attitudes about condom use and people living with HIV/AIDS. COMPAS was more effective than ¡Cuídate! in increasing the adolescents' perceptions of their peer's consistent condom use and the age delay of their first vaginal intercourse. However, it was less effective in maintaining the adolescents' intentions to use condoms and in delaying the age of their first oral sex experience.
COMPAS was as effective as ¡Cuídate! in reducing sexual risk among adolescents.
青少年健康性能力（COMPAS）是西班牙唯一一项以学校为基础的性健康促进项目，该项目在短期内被发现与循证干预措施（“关爱自己”）同样有效。本研究的目的是将COMPAS对青少年性风险（知识、态度、感知规范、性风险认知和意图）和性行为（首次性行为年龄、持续使用避孕套和多个性伴侣）影响的12个月随访评估数据，与一项循证干预措施（“关爱自己”）及一个对照组进行比较。
来自西班牙五个省份的18所学校被随机分配到以下三种情况之一：COMPAS组、“关爱自己”组和对照组。在项目开始前1周、项目结束后以及项目实施1年后对青少年（N = 1563；损耗率为34%）进行评估。
我们发现，COMPAS项目在增加青少年对性传播感染的知识以及培养对使用避孕套和艾滋病毒/艾滋病感染者的积极态度方面，与循证项目“关爱自己”同样有效。COMPAS在提高青少年对同伴持续使用避孕套的认知以及首次阴道性交年龄延迟方面比“关爱自己”更有效。然而，在维持青少年使用避孕套的意图以及延迟首次口交经历的年龄方面，它的效果较差。
COMPAS在降低青少年性风险方面与“关爱自己”同样有效。
