Scull Tracy M, Dodson Christina V, Kupersmidt Janis B, Evans-Paulson Reina, Stump Kathryn N, Reeder Liz C
Innovation Research & Training, Durham, North Carolina, USA.
J Health Commun. 2024 Dec;29(11-12):716-725. doi: 10.1080/10810730.2024.2433527. Epub 2024 Dec 10.
This study evaluates the efficacy of , a comprehensive sex education program with a media literacy education approach, for improving sexual health cognitions among 1139 U.S. community college students (ages 18-19) from 23 campuses. Students were randomized to condition (intervention or delayed-intervention control) and completed pretest and posttest questionnaires. Several main effects of the intervention were found at posttest, including reduced perceived realism of media messages, positive attitudes about risky sex, and descriptive normative beliefs about unprotected and risky sexual activity, and increased self-efficacy to use dental dams. Gender and pretest levels moderated some intervention effects. Women in the intervention group reported less identification with media messages compared to women in the control group. Students in the intervention group who reported lower pretest levels of self-efficacy to use dental dams and to refuse unprotected sex had higher posttest levels on those outcomes as compared with the control group. Students in the intervention group who reported higher pretest levels of normative beliefs about risky sexual activity had lower posttest levels on those outcomes as compared with the control group. Results suggest that is a promising method to improve the sexual health of young adults attending community college.
本研究评估了一种采用媒体素养教育方法的综合性性教育项目对来自23个校区的1139名美国社区大学生（年龄在18 - 19岁）性健康认知的改善效果。学生被随机分配到不同条件组（干预组或延迟干预对照组），并完成了前测和后测问卷。在后测中发现了该干预的几个主要效果，包括降低对媒体信息的感知真实性、对危险性行为的积极态度以及对无保护和危险性性行为的描述性规范信念，同时提高了使用牙垫的自我效能感。性别和前测水平调节了一些干预效果。与对照组的女性相比，干预组的女性报告称对媒体信息的认同感较低。干预组中报告前测使用牙垫和拒绝无保护性行为的自我效能感较低的学生，在后测中这些结果的水平高于对照组。干预组中报告前测对危险性性行为的规范信念较高的学生，在后测中这些结果的水平低于对照组。结果表明，该项目是改善就读社区大学的年轻人性健康的一种有前景的方法。
