Duh Erica, Medina Sheyla P, Coppersmith Nathan, Adjei Naomi, Roberts Mary B, Magee Susanna
Warren Alpert Medical School of Brown University.
Fam Med. 2017 Nov;49(10):785-788.
Risky sexual behavior among adolescents is a public health crisis. We describe a novel approach to sexual health education where medical students manage a curriculum for an entire seventh grade in one Rhode Island city to better equip students with comprehensive knowledge about sexual health.
Medical students were trained to teach 12 sessions to seventh-grade students under the supervision of the classroom teacher using a curriculum designed by medical students and faculty (modeled on the Family Life and Sexual Health [FLASH] curriculum but tailored to meet the community's needs). Pre- and postassessment surveys were conducted during the 2015-2016 academic year. We analyzed survey data collected pre- and postprogram using IBM SPSS Statistics.
Pre and postassessments were completed by 62% of students (74/120). Students completing the curriculum scored 8% higher on the postassessment vs the preassessment, (70.4% vs 62.32%, absolute difference=8.11%, P<0.001). Student knowledge improved in domains of pregnancy prevention, reproductive system/anatomy, general knowledge and prevention of sexually transmitted infections (STIs), safe sex practices, sexual assault, and sexual decision making. Respondents' perception of the importance of school-based sexual health lessons as well as their willingness to discuss sexual issues with an adult increased after completing the program.
A year-long, middle school-based sexual health program taught by medical students showed significant improvements in sexual health knowledge and increased willingness to engage in dialogue about sex with trusted adults. Adolescents may benefit from long-term interaction and instruction about sexual education from medical students.
青少年的危险性行为是一场公共卫生危机。我们描述了一种性健康教育的新方法，即医学生为罗德岛州一个城市的整个七年级管理一门课程，以便更好地让学生掌握全面的性健康知识。
医学生在课堂教师的监督下，使用由医学生和教师设计的课程（以家庭生活与性健康[FLASH]课程为蓝本，但根据社区需求进行了调整），接受培训为七年级学生授课12节。在2015 - 2016学年期间进行了课前和课后评估调查。我们使用IBM SPSS Statistics分析了项目前后收集的调查数据。
62%的学生（74/120）完成了课前和课后评估。完成课程的学生在课后评估中的得分比课前评估高8%（70.4%对62.32%，绝对差异 = 8.11%，P < 0.001）。学生在预防怀孕、生殖系统/解剖学、一般知识、预防性传播感染（STIs）、安全性行为、性侵犯和性决策等领域的知识有所提高。完成该项目后，受访者对基于学校的性健康课程重要性的认知以及他们与成年人讨论性问题的意愿都有所增加。
由医学生讲授的为期一年的基于中学的性健康项目在性健康知识方面有显著提高，并且增加了与可信赖的成年人就性问题进行对话的意愿。青少年可能会从医学生进行的长期性教育互动和指导中受益。
