Sarvela P D, Ford T D
Dept. of Health Education, Southern Illinois University, Carbondale.
J Sch Health. 1993 Mar;63(3):147-52. doi: 10.1111/j.1746-1561.1993.tb06104.x.
A non-equivalent control group design was used to examine effectiveness of a drug and alcohol abuse prenatal care health education program for pregnant teens (N = 212) in the Mississippi delta region of southern Illinois. Experimental group posttest knowledge scores were significantly higher than control group scores; however, no significant differences occurred in attitudes between the two groups at posttest. Frequency of drug use decreased substantially for both experimental and control groups at posttest; however, significantly more experimentals than controls indicated they reduced or quit using drugs. The experimental group had a significantly lower rate of diabetes, anemia, and sexually transmitted diseases, and possibly a lower rate of spontaneous abortion depending on the statistical test used. Data suggest prenatal care health education programs may be effective methods for increasing patient awareness about the dangers of drug and alcohol abuse and may have an effect on infant and maternal outcomes.
采用非等效对照组设计，对伊利诺伊州南部密西西比三角洲地区的怀孕青少年（N = 212）开展药物和酒精滥用产前保健健康教育项目的效果进行了研究。实验组的后测知识得分显著高于对照组得分；然而，两组在后测时的态度没有显著差异。后测时实验组和对照组的药物使用频率均大幅下降；然而，表明自己减少或停止使用药物的实验组人数显著多于对照组。根据所使用的统计检验，实验组患糖尿病、贫血和性传播疾病的比率显著较低，自然流产率可能也较低。数据表明，产前保健健康教育项目可能是提高患者对药物和酒精滥用危害认识的有效方法，并且可能对母婴结局产生影响。
