Lowrey Kendal, Altman Claire, Jungmeyer Andra
The Pennsylvania State University.
University of Missouri-Columbia.
Child Youth Care Forum. 2021 Jun;50(3):415-435. doi: 10.1007/s10566-020-09580-3. Epub 2020 Oct 13.
Missouri Personal Responsibility Education Program (PREP) provides sexual health education programs to youth with goals of reducing unintended teen pregnancies. Theories of change provide that youth improve their sexual health knowledge, intentions, attitudes, and behaviors as a result of program implementation. Program evaluations are needed to assess the degree to which PREP programs are meeting their goals of improving youth outcomes.
The purpose of this study is to examine youth sexual intentions to use a condom, engage in sexual behavior, and abstain from sex as a result of Missouri PREP program implementation. We evaluate the effectiveness of the Missouri program in modifying youth intentions toward healthier planned behaviors.
All programs required youth to take pre- and post-program surveys. For this study, we evaluate a sample of 1,335 youth's pre- and post-survey intentions related to condom use, sex, and abstention. We utilize t-tests as well as a lagged logistic regression approach to account for youth's respective -intentions.
Youth's scores on intentions, knowledge, and attitudes rise from pre- to post-survey. Knowledge gains are salient while attitudes remain relatively high and stable. Intentions to use condoms differ from those in intentions to have or abstain from sex. Program change in intentions to use a condom are highest among the three intention outcomes.
Missouri PREP saw improvements in knowledge, attitudes, and intentions as a result of program implementation. Findings suggest that the Missouri PREP program is effective at positively influencing youth intentions to engage in risky or sexual behavior.
密苏里州个人责任教育项目（PREP）为青少年提供性健康教育项目，目标是减少意外怀孕。变革理论认为，项目实施后青少年的性健康知识、意愿、态度和行为会得到改善。需要进行项目评估，以评估PREP项目在多大程度上实现了改善青少年状况的目标。
本研究的目的是考察密苏里州PREP项目实施后青少年使用避孕套、进行性行为和 abstain from sex的性意愿。我们评估密苏里州项目在改变青少年对更健康的计划行为的意愿方面的有效性。
所有项目都要求青少年在项目前后进行调查。在本研究中，我们评估了1335名青少年在调查前后与使用避孕套、性行为和 abstention相关的意愿样本。我们使用t检验以及滞后逻辑回归方法来考虑青少年各自的意愿。
从调查前到调查后，青少年在意愿、知识和态度方面的得分有所提高。知识增长显著，而态度保持相对较高且稳定。使用避孕套的意愿与进行性行为或 abstain from sex的意愿不同。在三种意愿结果中应用避孕套的意愿的项目变化最大。
由于项目实施，密苏里州PREP在知识、态度和意愿方面有所改善。研究结果表明，密苏里州PREP项目在积极影响青少年参与危险或性行为的意愿方面是有效的。 （注：原文中“abstain from sex”未准确翻译，结合语境推测可能是“禁欲”之意，但按要求保留原文该表述。）
