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运用性教育强化模式提升农村学校的性与生殖健康成果:学习者的观点

Advancing sexual and reproductive health outcomes in rural schools with the use of a sexuality education enhancement model: learners' perspectives.

作者信息

Adekola Ayobami Precious, Mavhandu-Mudzusi Azwihangwisi Helen

机构信息

Institute for Gender Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa.

Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa.

出版信息

Heliyon. 2022 Oct 20;8(10):e11189. doi: 10.1016/j.heliyon.2022.e11189. eCollection 2022 Oct.

Abstract

Despite evidence-based proof that sexuality education enhances school-going adolescents' sexual and reproductive health, the high number of teenage pregnancies and sexually transmitted infections, including HIV, among young people in the rural areas of South Africa suggests that the school-based sexuality education programme in the rural areas might have less influence on learners due to various contextual factors in these settings. This phenomenological study used nine focus group interviews to explore the experiences of 84 school-going adolescents regarding sexuality education offered in their schools, located in the rural areas of the King Cetshwayo District, in Kwazulu-Natal, South Africa. The participants were purposively sampled and the transcribed data from the interviews were thematically analysed. The study revealed that the sexuality information provided to learners did not improve their motivation or encourage behaviour to act on the information provided. Additionally, the results highlighted environmental factors in the research setting that influenced the effectiveness of the sexuality education programme. To enhance its effectiveness, a sexuality education enhancement model was developed using elements of the systems theory and modified information-motivation-behavioural skills model. The model identifies the input resources needed to address issues of information, motivation and skills as well as the influencing environmental factors.

摘要

尽管有循证依据表明性教育能提升在校青少年的性健康和生殖健康,但南非农村地区青少年怀孕及包括艾滋病毒在内的性传播感染人数众多,这表明由于这些地区的各种背景因素,农村地区的校本性教育计划对学习者的影响可能较小。这项现象学研究采用了九次焦点小组访谈,以探讨84名在校青少年对在南非夸祖鲁 - 纳塔尔省国王塞特舒韦约区农村地区学校提供的性教育的体验。参与者是经过有目的抽样选取的,访谈的转录数据进行了主题分析。研究表明,向学习者提供的性信息并未提高他们的积极性,也未鼓励他们根据所提供的信息采取行动。此外,研究结果突出了研究环境中的环境因素对性教育计划有效性的影响。为提高其有效性,利用系统理论要素和修改后的信息 - 动机 - 行为技能模型开发了一个性教育强化模型。该模型确定了处理信息、动机和技能问题所需的输入资源以及影响环境因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c193/9593174/d6e045b7ef79/gr1.jpg

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