Rushing Stephanie N Craig, Hildebrandt Nichole L, Grimes Carol J, Rowsell Amanda J, Christensen Benjamin C, Lambert William E
Northwest Portland Area Indian Health Board, Portland, Oregon.
Oregon Health & Science University, Center for Healthy Communities, Oregon Health & Science University/Portland State University School of Public Health, Portland, Oregon.
Am J Prev Med. 2017 Mar;52(3 Suppl 3):S263-S267. doi: 10.1016/j.amepre.2016.10.024.
During 2010-2012, Oregon Health & Science University's Prevention Research Center, a Northwest Tribe, and the Northwest Portland Area Indian Health Board, collaborated to evaluate the Healthy & Empowered Youth Project, a school- and community-based positive youth development program for American Indian and Alaska Native high school students.
The Native STAND (Students Together Against Negative Decisions) curriculum was enhanced with hands-on learning activities in media design to engage students in sexual and reproductive health topics covered by the curriculum. Guest speakers, field trips, and extracurricular activities were added to provide academic enrichment, engage students in cultural activities, and offer opportunities for career development. Students completed comprehensive pre- and post-surveys, and the authors conducted focus groups and key informant interviews with students and teachers. Data analysis was conducted during 2013-2014.
Survey findings demonstrated improvements in student leadership and achievement, physical and mental health, and protective sexual health behaviors. The percentage of female teens reporting use of a condom the last time they had sex increased from 17% to 30%, and those who reported ever having been tested for sexually transmitted illnesses doubled from 12% to 24%. Focus group and interview findings indicated similar improvements in student self-esteem, life skills, health behavior, and engagement in community.
The Healthy & Empowered Youth Project educated and empowered Native high school students on a variety of sensitive health topics. The media enhancements were central to the program's success, reinforcing and personalizing classroom lessons and generating health-related videos and posters that resonated with family and friends.
2010年至2012年期间，俄勒冈健康与科学大学预防研究中心、一个西北部落以及西北波特兰地区印第安人健康委员会合作，对“健康且有力量的青少年项目”进行评估。该项目是一个以学校和社区为基础的针对美国印第安人和阿拉斯加原住民高中生的积极青少年发展项目。
在“本土立场（学生共同抵制负面决定）”课程中增加了媒体设计方面的实践学习活动，以使学生参与到课程涵盖的性健康和生殖健康主题中。增加了客座演讲者、实地考察和课外活动，以提供学业拓展、让学生参与文化活动并提供职业发展机会。学生完成了全面的课前和课后调查，作者对学生和教师进行了焦点小组访谈和关键信息提供者访谈。数据分析于2013年至2014年进行。
调查结果表明，学生在领导力和成就、身心健康以及保护性健康行为方面有所改善。报告上次性行为时使用避孕套的少女比例从17%增至30%，报告曾接受性传播疾病检测的少女比例从12%翻倍至24%。焦点小组和访谈结果表明，学生在自尊、生活技能、健康行为以及社区参与方面有类似改善。
“健康且有力量的青少年项目”就各种敏感健康主题对本土高中生进行了教育并赋予他们力量。媒体方面的改进是该项目成功的关键，强化并使课堂课程个性化，制作出与家人和朋友产生共鸣的健康相关视频和海报。
