The authors are with the California Department of Public Health, Center for Family Health, Maternal, Child, and Adolescent Health Division, Sacramento.
Am J Public Health. 2018 Feb;108(S1):S32-S37. doi: 10.2105/AJPH.2017.304127.
To explore the programmatic reach and experience of high-need adolescents who received sexual health education in 3 distinct implementation settings (targeted-prevention settings, traditional schools, and alternative schools) through a statewide sexual health education program.
Data are from youth surveys collected between September 2013 and December 2014 in the California Personal Responsibility Education Program. A sample of high-need participants (n = 747) provided data to examine the impact of implementation setting on reach and program experience.
Implementation in targeted-prevention settings was equal to or more effective at providing a positive program experience for high-need participants. More than 5 times as many high-need participants were served in targeted-prevention settings compared with traditional schools. Reaching the same number of high-need participants served in targeted-prevention settings over 15 months would take nearly 7 years of programming in traditional schools.
To maximize the reach and experience of high-need youth populations receiving sexual health education, state and local agencies should consider the importance of implementation setting. Targeted resources and efforts should be directed toward high-need young people by expanding beyond traditional school settings.
通过全州性的性健康教育项目，探索在 3 种不同实施环境（有针对性的预防环境、传统学校和替代学校）中接受性健康教育的高需求青少年的项目覆盖范围和经验。
数据来自于 2013 年 9 月至 2014 年 12 月期间在加利福尼亚个人责任教育计划中收集的青年调查。对高需求参与者（n=747）的样本进行了数据分析，以检验实施环境对覆盖范围和项目体验的影响。
在有针对性的预防环境中的实施在为高需求参与者提供积极的项目体验方面同等有效或更有效。与传统学校相比，有针对性的预防环境中为高需求参与者提供服务的人数超过 5 倍。要在 15 个月内覆盖与在有针对性的预防环境中所服务的相同数量的高需求参与者，传统学校需要将近 7 年的时间来进行编程。
为了最大限度地提高接受性健康教育的高需求青少年群体的覆盖范围和体验，州和地方机构应考虑实施环境的重要性。通过超越传统学校环境，应该为有需要的年轻人提供有针对性的资源和努力。
