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尼日利亚拉各斯州接受过全面性教育(CSE)和未接受过全面性教育的非正规环境中全面性教育知识与态度的比较。

The comparison of comprehensive sexuality education knowledge and attitudes in CSE-exposed and CSE-naïve non-formal settings in Lagos State, Nigeria.

作者信息

Adelekan Babatunde, Somefun Esther, Kareem Olushola, Ibrahim Oladimeji, Welye Hamira, Sageer Rabiatu, Goldson Erika, Umar Rashidat, Sekoni Adekemi Oluwayemisi

机构信息

United Nations Population Fund, Nigeria Country Office, Abuja, Nigeria.

Lagos State Ministry of Youth and Social Development, Lagos, Nigeria.

出版信息

PLOS Glob Public Health. 2024 Oct 31;4(10):e0003858. doi: 10.1371/journal.pgph.0003858. eCollection 2024.

DOI:10.1371/journal.pgph.0003858
PMID:39480771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11527314/
Abstract

This study compared the sexual reproductive health and rights related knowledge and attitudes towards inclusive gender norms among students in comprehensive sexuality education (CSE) exposed and naïve technical and vocational centers in Lagos state, Nigeria. It also explored the benefits of teaching and learning about CSE from exposed students and their instructors. A mixed-method research design was used. The study population comprised of students 15-24 years of age attending technical and vocational centers in Lagos State and instructors in CSE-exposed centres. Sample size of 450 per group was calculated. A structured interviewer-administered questionnaire; focus group discussions and key informant interviews were used for data collection. Quantitative data was analyzed at p<0.05; coding and thematic analysis of qualitative data was followed by integration and of the findings; and interpreted using the information-motivation-behavioural skills model. Students in CSE-exposed schools had statistically significantly higher SRHR-related knowledge scores and positive attitudes towards inclusive gender norms. The CSE training improved the educational knowledge and teaching modalities of the instructors. The adolescents had increased knowledge, acquired behavioural skills, and changed certain behaviors. The SRHR-related benefits extended to their siblings and friends. This study contributes to the knowledge available on the benefits of CSE for young people in non-formal settings in Nigeria. It revealed that CSE training benefits not only the students but also their instructors, who reported acquisition of new teaching skills and improved parenting skills. The study findings suggest that the integration of CSE into non-formal educational settings could improve the SRHR- related knowledge among young people, promote inclusive gender norms and potentially contribute to improved SRH outcomes and related SDGs in Nigeria.

摘要

本研究比较了尼日利亚拉各斯州接受全面性教育(CSE)的学生与未接受该教育的职业技术中心学生在性与生殖健康及权利相关知识以及对包容性性别规范的态度方面的差异。研究还探讨了接受CSE教育的学生及其教师在教学和学习方面的收获。研究采用了混合研究方法。研究对象包括拉各斯州15至24岁的职业技术中心学生以及接受CSE教育的中心的教师。计算得出每组样本量为450。研究通过结构化访谈问卷、焦点小组讨论和关键信息访谈收集数据。定量数据采用p<0.05进行分析;定性数据进行编码和主题分析,然后整合研究结果,并使用信息-动机-行为技能模型进行解读。接受CSE教育的学校的学生在与性与生殖健康及权利相关的知识得分上显著更高,且对包容性性别规范持积极态度。CSE培训提升了教师的教育知识和教学方式。青少年的知识增加,掌握了行为技能,并改变了某些行为。与性与生殖健康及权利相关的益处延伸到了他们的兄弟姐妹和朋友身上。本研究丰富了关于CSE对尼日利亚非正规教育环境中的年轻人的益处的现有知识。研究表明,CSE培训不仅使学生受益,也使教师受益,教师报告称获得了新的教学技能并提高了育儿技能。研究结果表明,将CSE纳入非正规教育环境可以提高年轻人与性与生殖健康及权利相关的知识,促进包容性性别规范,并有可能为改善尼日利亚的性与生殖健康成果及相关可持续发展目标做出贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/281f/11527314/8891402383a9/pgph.0003858.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/281f/11527314/8234597fda5a/pgph.0003858.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/281f/11527314/8891402383a9/pgph.0003858.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/281f/11527314/8234597fda5a/pgph.0003858.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/281f/11527314/8891402383a9/pgph.0003858.g002.jpg

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本文引用的文献

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BMC Public Health. 2024 Jun 4;24(1):1494. doi: 10.1186/s12889-024-19005-8.
2
Understanding how social norms influence access to and utilization of adolescent sexual and reproductive health services in Northern Nigeria.了解社会规范如何影响尼日利亚北部青少年性与生殖健康服务的获取和利用情况。
Front Sociol. 2023 Oct 11;8:865499. doi: 10.3389/fsoc.2023.865499. eCollection 2023.
3
Factors associated with adolescent pregnancy and public health interventions to address in Nigeria: a scoping review.
与尼日利亚青少年怀孕相关的因素及公共卫生干预措施:范围综述。
Reprod Health. 2023 Jun 24;20(1):95. doi: 10.1186/s12978-023-01629-5.
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The design and delivery of out-of-school comprehensive sexuality education from the perspective of the young people it is intended to serve.从目标服务的年轻人的角度看校外全面性教育的设计与提供。
Sex Reprod Health Matters. 2023 Dec;31(2):2208769. doi: 10.1080/26410397.2023.2208769.
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Assessment and associated factors of comprehensive HIV knowledge in an at-risk population: a cross-sectional study from 19,286 young persons in Nigeria.高危人群中艾滋病病毒综合知识的评估及相关因素:来自尼日利亚19286名年轻人的横断面研究
Ther Adv Infect Dis. 2023 Apr 4;10:20499361231163664. doi: 10.1177/20499361231163664. eCollection 2023 Jan-Dec.
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Gender norms and ideologies about adolescent sexuality: A mixed-method study of adolescents in communities, south-eastern, Nigeria.关于青少年性行为的性别规范与观念:尼日利亚东南部社区青少年的一项混合方法研究
Front Sociol. 2022 Sep 26;7:810411. doi: 10.3389/fsoc.2022.810411. eCollection 2022.
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PLoS One. 2021 Jun 11;16(6):e0253164. doi: 10.1371/journal.pone.0253164. eCollection 2021.
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