Craig-Kuhn Megan Clare, Schmidt Norine, Lederer Alyssa, Gomes Gérard, Watson Shannon, Scott Glenis, Martin David H, Kissinger Patricia
Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine New Orleans, USA.
Department of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine New Orleans, USA.
Sex Educ. 2021;21(4):404-416. doi: 10.1080/14681811.2020.1809369. Epub 2020 Sep 9.
The purpose of this study was to examine the association between institution-delivered sex education given under real-world conditions and sexually transmitted infection (STI) rates, STI fatalism, and prior STI testing among African American men aged 15-24 who have sex with women. Participants were tested at community venues for Chlamydia and gonorrhoea and undertook a survey to elicit history of sex education and sexual health information. Among 1196 participants, 73.0% reported having received institution-delivered sex education topics including STI information (90.5%), condoms (89.2%), pregnancy/birth (72.1%) and birth control (67.1%). Among a subset of participants asked about the quality of sex education, 85.7% reported it was 'very good' or 'OK'. Prevalence rate for Chlamydia and/or gonorrhoea was 10.5%. Those who received sex education were more likely to have lower STI fatalism (51.0% vs. 42.4%, p=0.01) and more likely to report previous Chlamydia screening (44.1% vs. 31.6%, p<0.01), but did not have a significantly lower rate of Chlamydia and/or gonorrhoea (9.9% vs. 12.4%, p=0.20) compared to those who did not receive sex education. These findings suggest that institution-delivered sex education given under real-world conditions has beneficial effects on STI risk factors among young African American men.
本研究的目的是调查在现实世界条件下由机构提供的性教育与15至24岁与女性发生性行为的非裔美国男性的性传播感染（STI）率、STI宿命论以及既往STI检测之间的关联。参与者在社区场所接受衣原体和淋病检测，并进行一项调查以获取性教育史和性健康信息。在1196名参与者中，73.0%报告接受过由机构提供的性教育主题，包括STI信息（90.5%）、避孕套（89.2%）、怀孕/生育（72.1%）和节育（67.1%）。在被问及性教育质量的一部分参与者中，85.7%报告其“非常好”或“还可以”。衣原体和/或淋病的患病率为10.5%。接受性教育的人更有可能具有较低的STI宿命论（51.0%对42.4%，p=0.01），并且更有可能报告既往衣原体筛查（44.1%对31.6%，p<0.01），但与未接受性教育的人相比，衣原体和/或淋病的发病率没有显著降低（9.9%对12.4%，p=0.20）。这些发现表明，在现实世界条件下由机构提供的性教育对年轻非裔美国男性的STI风险因素具有有益影响。
