Racial Disparities in a Teen Pregnancy Prevention Program: Abstinence-Only Versus a Comprehensive Sexuality Education Program.

IF 1.8 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH

Journal of School Health Pub Date : 2024-11-06 DOI:10.1111/josh.13524

Breanca Merritt, Jennifer Green, Louisiana Montserrat Sanchez, Janene Fluhr, Roy F Oman

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引用次数: 0

Abstract

Background: Despite overall declines in risky teen sexual activity, racial and ethnic disparities persist. This study compared abstinence-only and comprehensive teen pregnancy prevention (TPP) programs to explore the effects of the programs on teen sexual activity-related outcomes that may differ by race/ethnicity.

Methods: Program evaluation data were collected from 7th-grade students in comprehensive (N = 3244) and abstinence-only (N = 3172) TPP programs. Differences between outcomes by TPP program were analyzed using chi-square tests and logistic regression for each racial/ethnic group.

Results: Black and Hispanic students were significantly less likely to indicate positive attitudes, intentions, and behaviors at baseline. Only white students significantly improved in both programs from pre- to post-assessment. Native American students in the abstinence-only program were significantly less likely than Native American students in the comprehensive sexuality programming to improve from pre- to post-assessment regarding male sexuality, refusal skills, sex and teen norms, and sexual abstinence.

Conclusions: The findings suggest that youth of diverse racial/ethnic backgrounds do not enter TPP programs with similar attitudes, intentions, or behavior regarding appropriate sexual behavior and that the impact of such programs also may vary by race and ethnicity.

查看原文本刊更多论文

青少年怀孕预防计划中的种族差异：仅禁欲与全面性教育计划的对比。

背景：尽管青少年危险性活动总体上有所减少，但种族和民族差异依然存在。本研究比较了单纯禁欲项目和综合青少年怀孕预防项目（TPP），以探讨项目对青少年性活动相关结果的影响，这些结果可能因种族/民族而异：方法：从参加综合预防青少年怀孕计划（3244 人）和纯禁欲预防青少年怀孕计划（3172 人）的七年级学生中收集计划评估数据。采用卡方检验和逻辑回归分析了各种族/族裔群体参加 TPP 项目的结果差异：结果：黑人和西班牙裔学生在基线时表示积极态度、意向和行为的可能性明显较低。从评估前到评估后，只有白人学生在两个项目中都有明显改善。在男性性行为、拒绝技巧、性与青少年规范以及性禁欲方面，只参加禁欲计划的美国本土学生从评估前到评估后的改善程度明显低于参加全面性教育计划的美国本土学生：研究结果表明，不同种族/民族背景的青少年在参加 TPP 项目时，对适当性行为的态度、意向或行为并不相同，而且这些项目的影响也可能因种族和民族而异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of School Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.70

自引率

9.10%

发文量

134

审稿时长

6-12 weeks

期刊介绍： Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.