School of Human Development and Organizational Studies, College of Education, University of Florida, Gainesville, Florida, USA.
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Sex Transm Infect. 2019 Dec;95(8):580-583. doi: 10.1136/sextrans-2018-053674. Epub 2019 Feb 7.
We evaluated the feasibility of conducting a 9-week long sexually transmitted infection (STI) prevention intervention, within an alternative disciplinary school for adolescent girls.
All girls who were 16-18 years old, enrolled in the school and did not have plans to transfer from the school were eligible to participate. We measured process feasibility with recruitment, retention and participant enjoyment. Using a pretest-post-test design with a double post-test, we used χ² tests to estimate the intervention effect on participants' sexual partner risk knowledge, intentions to reduce partner risk and sexual activities in the past 60 days with three behavioural surveys: prior to, immediately following and 3 months after the intervention.
Among the 20 girls who were eligible, 95% (19/20) of parents consented and all girls (19/19) agreed to participate. Survey participation was 100% (19/19) prior to, 76% (13/17) immediately following and 53% (9/17) 3 months after the intervention. The intervention was administered twice and a total 17 girls participated. Session attendance was high (89%) and most participants (80%) reported enjoying the intervention. The intervention increased the percentage of girls who could identify partner characteristics associated with increased STI risk: 38% before, 92% immediately following and 100% 3 months after the intervention (p=0.01). Girls also increased their intentions to find out four of the most highly associated partner characteristics (partner's age, recent sexual activity and STI or jail history): 32% before to 75% immediately following (p=0.02) and 67% 3 months after the intervention (p=0.09).
This pilot study suggests girls at alternative disciplinary schools participated in and enjoyed a 9-week STI preventive intervention. Within alternative disciplinary schools, it is potentially feasible to increase girls' consideration of partner risk characteristics as a means to enhance their STI prevention skills.
我们评估了在一所专为少女设立的替代纪律学校内开展为期 9 周的性传播感染（STI）预防干预的可行性。
所有年龄在 16-18 岁、就读于该校且无转学计划的女孩均有资格参加。我们通过招募、保留和参与者的满意度来衡量过程可行性。采用预-后测试设计和双重后测试，我们使用 χ²检验来估计干预对参与者的性伴侣风险知识、减少伴侣风险的意愿以及过去 60 天内性行为的影响，使用三个行为调查：干预前、干预后立即以及干预后 3 个月进行。
在 20 名符合条件的女孩中，95%（19/20）的家长同意，所有女孩（19/19）均同意参加。调查参与率为 100%（19/19），干预后立即为 76%（13/17），干预后 3 个月为 53%（9/17）。干预措施共实施了两次，共有 17 名女孩参加。出席率很高（89%），大多数参与者（80%）表示喜欢该干预。干预增加了能够识别与 STI 风险增加相关的伴侣特征的女孩比例：干预前为 38%，干预后立即为 92%，干预后 3 个月为 100%（p=0.01）。女孩们还增加了了解四个与伴侣关联度最高的特征的意愿（伴侣的年龄、近期性行为、性传播感染或入狱史）：干预前为 32%，干预后立即为 75%（p=0.02），干预后 3 个月为 67%（p=0.09）。
这项初步研究表明，替代纪律学校的女孩参加并喜欢为期 9 周的 STI 预防干预。在替代纪律学校中，有可能通过提高女孩对伴侣风险特征的考虑来增强其 STI 预防技能。
