The Department of Sociology, University of North Carolina at Chapel Hill, 155 Pauli Murray Hall, CB #3210, Chapel Hill, NC 27599-3210, USA.
Zhongshan Primary & Middle School Health Care Office, Zhongshan Education and Sports Bureau, 6 Tangbian Street, Minquan Boulevard, Zhongshan, Guangdong 528400, China.
Health Educ Res. 2023 Mar 23;38(2):119-138. doi: 10.1093/her/cyad009.
This study assesses the ability of an online sexuality education (OSE) module ('You and Me') to enhance sexual and reproductive health (SRH) knowledge and attitudes among 10th-grade vocational high school students in China. We conducted a cluster randomized controlled trial, randomizing 29 vocational high schools to (i) receiving the module (intervention) or (ii) not receiving the module (control). Students completed a baseline questionnaire, then completed the module within 8 weeks and then completed a follow-up questionnaire within the following 2 weeks. We assessed the differences in intervention effects using hierarchical linear modeling. No significant differences between intervention and control groups were found for knowledge and attitude scores at baseline among the 2985 students included in the analyses. For the intervention group at follow-up, we observed significant improvements in SRH knowledge scores of approximately 20% for boys and girls although girls responded to the module with larger knowledge gains than boys. At follow-up, intervention group students also had higher SRH attitude scores toward views that are more contemporary than the control group. In addition, girls held more contemporary attitudes than boys. The comprehensive OSE module assessed is effective in improving SRH knowledge, and attitude among Chinese vocational high school students after the module is completed.
本研究评估了在线性教育（OSE）模块（“你和我”）在中国提高 10 年级职业高中学生性与生殖健康（SRH）知识和态度的能力。我们进行了一项集群随机对照试验，将 29 所职业高中随机分为（i）接受模块（干预组）或（ii）不接受模块（对照组）。学生完成基线问卷，然后在 8 周内完成模块，然后在接下来的 2 周内完成后续问卷。我们使用层次线性建模评估干预效果的差异。在包括在分析中的 2985 名学生中，基线时，干预组和对照组在知识和态度得分方面没有显著差异。对于干预组在随访中，我们观察到男孩和女孩的 SRH 知识得分都有了大约 20%的显著提高，尽管女孩对模块的反应比男孩更大。在随访中，干预组学生对更符合现代观点的 SRH 态度得分也高于对照组。此外，女孩的态度比男孩更现代。经过评估，综合性的 OSE 模块在完成后有效提高了中国职业高中学生的 SRH 知识和态度。
