Aix Marseille Université (AMU), AP-HM, Hôpital Conception, Hôpital de la Conception, Gynecology and obstetrics, Marseille, France.
Aix Marseille Univ, APHM, INSERM, IRD, SESSTIM, Hôpital Timone, Public health department (BIOSTIC), Marseille, France.
BMC Public Health. 2022 Dec 1;22(1):2239. doi: 10.1186/s12889-022-14583-x.
Sexual education is an international priority to promote sexual and reproductive health (SRH) and to reduce risky sexual behaviour. Experts recommend holistic and comprehensive SRH peer-led education. In 2018, the French government launched a new public peer-led health prevention programme called the "Service Sanitaire" (SeSa), consisting of health education provided by healthcare students (peer educators) to teenagers. For the first time in France, the impact of the programme was prospectively evaluated during its first year to examine whether the programme improved the SRH knowledge of healthcare students and teenagers. Risk perception and risky sexual behaviour among these populations were also evaluated.
A prospective multicentre controlled study was conducted from November 2018 to May 2019. SRH knowledge was compared before and after the SeSa programme, and the evolution of this knowledge was compared, with linear regression, between healthcare students part of the SRH SeSa programme and those who were part of another programme. The same analysis of knowledge was performed with respect to teenagers who received SRH interventions as part of the SeSa compared to teenagers who did not participate in a specific SRH education programme. Risk perception and risky behaviour were studied before and after the programme among healthcare students and teenagers.
More than 70% of the targeted population participated in the study, with 747 healthcare students and 292 teenagers. SRH peer educators increased their knowledge score significantly more than other peer educators (a difference of 2.1 points/30 [95% CI 1.4-2.9] (p [between group] < 0.001)). Teenagers participating in the SeSa interventions also had a greater increase in their knowledge score than the other teenagers (+ 5.2/30 [95% CI 3.2-7.4] p [between group] < 0.001). There was no evidence of change in sexual risk behaviours for the healthcare student population.
The "Service Sanitaire" programme significantly improved the sexual and reproductive health knowledge of peer-educator healthcare students and teenagers compared to a classic education programme. Longer and/or qualitative studies are needed to evaluate changes in sexual behaviour as well as positive impacts on sexuality.
性教育是促进性健康和生殖健康（SRH）以及减少危险性行为的国际优先事项。专家建议采用全面和综合的 SRH 同伴主导教育。2018 年，法国政府启动了一项新的公共同伴主导的健康预防计划，称为“Service Sanitaire”（SeSa），由医疗保健学生（同伴教育者）向青少年提供健康教育。这是法国首次前瞻性评估该计划的影响，以检验该计划是否提高了医疗保健学生和青少年的 SRH 知识。还评估了这些人群的风险感知和危险性行为。
从 2018 年 11 月至 2019 年 5 月进行了一项前瞻性多中心对照研究。比较了 SeSa 计划前后的 SRH 知识，并通过线性回归比较了参加 SRH SeSa 计划的医疗保健学生和参加另一计划的医疗保健学生之间的知识演变。还对接受 SeSa 计划中 SRH 干预的青少年与未参加特定 SRH 教育计划的青少年进行了知识分析。在计划前后，对医疗保健学生和青少年的风险感知和危险行为进行了研究。
超过 70%的目标人群参加了研究，其中包括 747 名医疗保健学生和 292 名青少年。SRH 同伴教育者的知识得分显著高于其他同伴教育者（差异为 2.1 分/30[95%CI 1.4-2.9]（p[组间]<0.001））。参加 SeSa 干预的青少年的知识得分也比其他青少年增加了更多（+5.2/30[95%CI 3.2-7.4]p[组间]<0.001）。医疗保健学生群体的性行为风险没有变化的迹象。
与传统教育计划相比，“Service Sanitaire”计划显著提高了同伴教育医疗保健学生和青少年的性健康和生殖健康知识。需要进行更长时间和/或定性研究，以评估性行为的变化以及对性的积极影响。
