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应用健康信念模型探索斯里兰卡性与生殖健康(SRH)教育的质量

Application of the Health Belief Model (HBM) to Explore the Quality of Sexual and Reproductive Health (SRH) Education in Sri Lanka.

作者信息

Rajapakshe Wasantha, Wickramasurendra Anjana Koushani, Amarasinghe Rajini Ranmini, Kohilawatta Arachchige Wijerathne Shynie Lourds Minoli, Wijesinghe Nikini Devindi, Madhavika Naduni

机构信息

SLIIT Business School, Sri Lanka Institute of Information Technology, Malabe 10110, Sri Lanka.

Tasmanian School of Business and Economics, University of Tasmania, Private Bag 84, Hobart 7001, Australia.

出版信息

Int J Environ Res Public Health. 2024 Dec 20;21(12):1703. doi: 10.3390/ijerph21121703.


DOI:10.3390/ijerph21121703
PMID:39767542
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11728200/
Abstract

Many countries, including Sri Lanka, are taking steps to integrate sex education into their educational systems to combat child abuse. However, this effort is often met with skepticism in Asian nations, including Sri Lanka. This study takes a unique approach by applying the criteria of the health belief model to predict the quality of reproductive health (SRH) education in Sri Lanka, offering a fresh perspective on this issue. A positive philosophical framework and a deductive approach have been employed to provide justification for the underlying assumptions. A structured questionnaire was used as the survey methodology, which included questions about external cues to action, self-efficacy, perceived barriers, perceived susceptibility, and perceived severity. Data was collected from a total of 384 Sri Lankan non-state undergraduate students to test their perception of these factors and how they affect the perceived benefits of quality SRH education. The level of self-efficacy, perceived susceptibility, and perceived severity yielded a coefficient estimate that was statistically significant, thus influencing the perceived benefits of quality SRH education. These results, obtained through a multivariate regression analysis, underscore the importance of one's role in implementing effective SRH education. Importantly, there is no evidence that external cues to action and perceived barriers predict the perceived benefits of quality SRH education. This underscores the gravity of the situation and the need for immediate action. The findings of this study have significant practical implications. They can be used to develop an effective SRH program that aims to prevent sexual abuse among adolescents. This study also demonstrates that the health belief model can serve as a useful conceptual framework for such intervention programs, providing tangible solutions to the issue of SRH education quality.

摘要

包括斯里兰卡在内的许多国家都在采取措施,将性教育纳入其教育体系,以打击虐待儿童行为。然而,在包括斯里兰卡在内的亚洲国家,这一努力往往遭到怀疑。本研究采用了一种独特的方法,即应用健康信念模型的标准来预测斯里兰卡生殖健康(SRH)教育的质量,为这一问题提供了新的视角。采用了积极的哲学框架和演绎方法来为基本假设提供依据。使用结构化问卷作为调查方法,其中包括关于行动的外部线索、自我效能感、感知到的障碍、感知到的易感性和感知到的严重性等问题。总共从384名斯里兰卡非国立本科生中收集数据,以测试他们对这些因素的看法以及它们如何影响对高质量SRH教育的感知益处。自我效能感、感知到的易感性和感知到的严重性水平产生了具有统计学意义的系数估计值,从而影响了对高质量SRH教育的感知益处。通过多元回归分析获得的这些结果强调了个人在实施有效的SRH教育中的作用的重要性。重要的是,没有证据表明行动的外部线索和感知到的障碍能够预测高质量SRH教育的感知益处。这凸显了形势的严峻性和立即采取行动的必要性。本研究的结果具有重大的实际意义。它们可用于制定一项旨在预防青少年性虐待的有效的SRH计划。本研究还表明,健康信念模型可作为此类干预计划的有用概念框架,为SRH教育质量问题提供切实可行的解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c15d/11728200/f5b0a319647e/ijerph-21-01703-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c15d/11728200/b90e8d7c403b/ijerph-21-01703-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c15d/11728200/f87d9aec6fd3/ijerph-21-01703-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c15d/11728200/0f359b9c7a05/ijerph-21-01703-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c15d/11728200/f5b0a319647e/ijerph-21-01703-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c15d/11728200/b90e8d7c403b/ijerph-21-01703-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c15d/11728200/f87d9aec6fd3/ijerph-21-01703-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c15d/11728200/0f359b9c7a05/ijerph-21-01703-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c15d/11728200/f5b0a319647e/ijerph-21-01703-g004.jpg

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引用本文的文献

[1]
Impact of Health Education on Infectious Disease Knowledge in Indigenous Communities in Northwestern Malaysia.

Trop Med Infect Dis. 2025-7-9

本文引用的文献

[1]
Parental knowledge and attitudes about child sexual abuse and their practices of sex education in a Sri Lankan setting.

Asian J Psychiatr. 2023-7

[2]
Validation of the Questionnaire on Sexual and Reproductive Health Literacy for Adolescents Age 15 to 19 Years in Lao People's Democratic Republic.

Health Lit Res Pract. 2022-1

[3]
Sex education and self-poisoning in Sri Lanka: an explorative analysis.

BMC Public Health. 2022-1-6

[4]
Adolescent condom use in Southern Africa: narrative systematic review and conceptual model of multilevel barriers and facilitators.

BMC Public Health. 2021-6-26

[5]
Sex education and Afghan migrant adolescent women.

J Family Med Prim Care. 2021-2

[6]
A Systematic Review of Randomized Controlled Trials of School Based Interventions on Sexual Risk Behaviors and Sexually Transmitted Infections Among Young Adolescents in Sub-Saharan Africa.

AIDS Behav. 2021-11

[7]
Arabic speaking migrant parents' perceptions of sex education in Sweden: A qualitative study.

Sex Reprod Healthc. 2021-6

[8]
Acceptability of a Comprehensive Sex Education Self-Study Website for Teaching Reproductive Health: A Pilot Study Among College Students and Obstetrics and Gynecology Resident Physicians.

Sex Med. 2021-2

[9]
Proportion of unplanned pregnancies, their determinants and health outcomes of women delivering at a teaching hospital in Sri Lanka.

BMC Pregnancy Childbirth. 2020-11-5

[10]
Determinants of knowledge on sexually transmitted infections among students in public higher education institutions in Melaka state, Malaysia.

PLoS One. 2020-10-29

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