社区主导的强化结构化健康教育对肯尼亚基安布县青少年了解酒精影响的影响:一项准实验研究。

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Pan African Medical Journal Pub Date : 2025-06-09 eCollection Date: 2025-01-01 DOI:10.11604/pamj.2025.51.34.47071
Antony Kimata Mukui, John Paul Oyore, Mary Muiruri Gitahi
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引用次数: 0

摘要

导言:酒精是全球消费最广泛的物质,每年造成260万人死亡,其中32万人是青年人。在非洲,酒精与高死亡率和增加的残疾调整生命年有关。在肯尼亚的基安布,青少年酒精消费量为28.9%,超过了11.2%的全国平均水平。本研究探讨社区主导的、加强的、结构化的健康教育对青少年对酒精影响的认识的影响。方法:于2022年5月至2023年5月在坚布省加通都南(干预)和卡贝特(对照)县进行准实验研究。14名社区保健促进者每月在加通都南部举办一小时的会议,共12次会议,涉及12个主题。使用世卫组织酒精审计和问卷收集定量数据集,而通过焦点小组讨论(fgd)和关键信息提供者访谈(KIIs)收集定性数据集并进行主题分析。肯雅塔大学伦理委员会批准了这项研究。R软件支持数据分析,包括平均知识得分、卡方、有序逻辑回归、差中差分析和Cohen's d.结果:干预组青年的“非常高知识”从57%显著增加到92.6%,而对照组的上升幅度较小,从26.1%增加到39.5%。研究结束后,Kabete有2.6%的参与者属于极低知识类别,而Gatundu为0%。干预显示出显著的影响(DiD: 1.8, Cohen’s d: 1.161)。FGDs和kii表明对筛查服务的认识和获取有限。结论:干预提高了对酒精相关危害的认识,鼓励了更健康的行为,减少了不良反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Impact of community-led enhanced structured health education on youths' knowledge of alcohol's effects in Kiambu county, Kenya: a quasi-experimental study.

Impact of community-led enhanced structured health education on youths' knowledge of alcohol's effects in Kiambu county, Kenya: a quasi-experimental study.

Impact of community-led enhanced structured health education on youths' knowledge of alcohol's effects in Kiambu county, Kenya: a quasi-experimental study.

Impact of community-led enhanced structured health education on youths' knowledge of alcohol's effects in Kiambu county, Kenya: a quasi-experimental study.

Impact of community-led enhanced structured health education on youths' knowledge of alcohol's effects in Kiambu county, Kenya: a quasi-experimental study.

Impact of community-led enhanced structured health education on youths' knowledge of alcohol's effects in Kiambu county, Kenya: a quasi-experimental study.

Impact of community-led enhanced structured health education on youths' knowledge of alcohol's effects in Kiambu county, Kenya: a quasi-experimental study.

Introduction: alcohol is the most widely consumed substance globally, contributing to 2.6 million deaths annually, including 320,000 involving youths. In Africa, alcohol is linked to high mortality rates and increased Disability-adjusted Life Years. In Kiambu, Kenya, youth alcohol consumption stands at 28.9%, surpassing the national average of 11.2%. This study explores the impact of community-led, enhanced, structured health education on youths' awareness of alcohol's effects.

Methods: a quasi-experimental study was conducted in Gatundu South (intervention) and Kabete (control) sub-counties in Kiambu from May 2022 to May 2023. Fourteen Community Health Promoters delivered monthly one-hour sessions in Gatundu South, totaling 12 sessions, covering 12 topics. Quantitative datasets were collected using the WHO's Alcohol AUDIT and questionnaire, while qualitative datasets were gathered through focus group discussions (FGDs) and key informant interviews (KIIs) and analyzed thematically. Kenyatta University's ethics committee granted study approval. R software supported data analysis, including mean knowledge scores, Chi-Square, ordinal logistic regression, Difference-in-Difference analysis, and Cohen's d.

Results: youth in the intervention group experienced a significant increase in "very high knowledge" from 57% to 92.6%, compared to a smaller rise in the control group from 26.1% to 39.5%. Post-study, Kabete had 2.6% of participants in the very low knowledge category, versus 0% in Gatundu. The intervention showed a significant impact (DiD: 1.8, Cohen's d: 1.161). FGDs and KIIs indicated limited awareness and access to screening services.

Conclusion: the intervention improved knowledge of alcohol-related harm, encouraged healthier behaviors, and reduced adverse effects.

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来源期刊
Pan African Medical Journal
Pan African Medical Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.80
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