纽约市学校中以禁欲为基础的小组预防怀孕项目的长期结果。

Family planning perspectives Pub Date : 2000-09-01
L D Lieberman, H Gray, M Wier, R Fiorentino, P Maloney
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引用次数: 0

摘要

背景:尽管美国青少年出生率有所下降,但如何最好地降低美国青少年出生率的问题仍在不断出现。以学校为基础的项目仍然被认为是接触有过早性行为风险的青少年的最佳途径之一。方法:共有312名学生完成了前测、后测和后测一年后的随访:125名学生参加了由训练有素的社会工作者领导的为期3-4个月的基于禁欲的小组干预,187名学生参加了没有接受特殊服务的对照组。结果:干预组与对照组后测差异无统计学意义。然而,在一年的随访中,干预组的学生在控制点、与父母的关系以及(仅在男性中)对青少年性行为适当性的态度方面得分明显更高。在抑郁、自尊、性意图、对少女怀孕的态度和各种行为方面,两组之间没有显著差异。在为期一年的随访中,研究小组中女性在开始性行为方面没有差异。在男性中,干预组的开始性行为似乎高于对照组,但差异无统计学意义。在研究开始时性行为活跃的学生中,积极的结果尤其有限,这一发现强调了接触已经处于怀孕高风险的青少年的困难。结论:以精神健康为重点的小群体禁欲干预可以对青少年的态度和关系(特别是与父母的关系)产生一些影响。长期评估对于确定干预的效果很重要,因为很难改变青少年的危险行为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Long-term outcomes of an abstinence-based, small-group pregnancy prevention program in New York City schools.

Context: Despite drops in U.S. teenage birthrates, questions continue to arise about how best to reduce the country's adolescent birthrate. School-based programs continue to be considered one of the best ways to reach adolescents at risk of early sexual activity.

Methods: A total of 312 students completed a pretest, a posttest and a follow-up one year after the posttest: 125 who had participated in a 3-4-month-long abstinence-based small-group intervention led by trained social workers, and 187 in a comparison group that received no special services.

Results: There were few significant differences between the intervention and comparison groups at posttest. At the one-year follow-up, however, intervention students had significantly better scores on locus of control, their relationship with their parents and (among males only) their attitudes about the appropriateness of teenage sex. Measures of depression, self-esteem, intentions to have sex, attitudes toward teenage pregnancy and various behaviors did not differ significantly between groups. By the time of the one-year follow-up, there was no difference between study groups among females in the initiation of sexual intercourse. Among the males, initiation of sexual intercourse appeared to be higher in the intervention group than in the comparison group, but the difference was not statistically significant. Positive outcomes were especially limited among students who were already sexually active at the start of the study, a finding that emphasizes the difficulties of reaching adolescents who are already at high risk for pregnancy

Conclusions: A small-group abstinence-based intervention focusing on mental health can have some impact on adolescents' attitudes and relationships (particularly with their parents). Long-term evaluations are important for determining the effects of an intervention, as it is difficult to change adolescent risk behavior.

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