生殖健康教育对提高男性性病患者的性病知识和改善其使用避孕套态度的效果研究

目的 :评价以观看录像为主的生殖健康教育对提高性病患者的性病和避孕套使用知识 ,以及改善使用避孕套态度的效果。方法 :1 998年 5～ 1 2月 ,在上海市某性病诊所招集 2 2 66名男性性病患者。首先征得对象同意后 ,采用结构式问卷获得基线资料 ,并将患者随机分为 3组 :( 1 )常规治疗组 (对照组 ) ;( 2 )常规治疗加观看录像 (录像组 ) ;( 3 )常规治疗加观看录像并参加小组讨论 (讨论组 )。录像内容主要是有关性病知识和预防以及避孕套的正确使用方法。在干预后约 2～ 3周 (即复查时 ) ,由对象填写有关性病 /艾滋病传播、疾病症状和正确使用避孕套的知识及使用避孕套态度的自答卷。全过程由两位专职医生负责实施。结果 :讨论组和录像组的性病 /使用避孕套的知识和态度得分中位数 (总分为 1 6)为 1 3 ,显著高于对照组的 9( P<0 .0 0 1 )。多元 logistic回归分析表明 ,讨论组 ( OR=3 1 .3 90 )和录像组 ( OR=1 6.978)的知识得分显著高于对照组 ,文化程度高和曾用过避孕套者知识得分高于文化程度低和未用过避孕套者。对照、录像和讨论组的态度得分中位数分别为 1 0 ,1 2和 1 3 (总分 1 5) ( P<0 .0 0 1 )。多元 logistic回归分析结果显示 :讨论组 ( OR=1 2 .2 1 5)和录像组 ( OR=5.478)的态度得分显著高于对照

The effectiveness of reproductive health education intervention on increasing knowledge about sexually transmitted diseases and condom use and improving attitude towards condom application among male patients with sexually transmitted diseases in Shanghai

Objective: This study examined the effectiveness of video based reproductive health education interventions on increasing knowledge about sexually transmitted diseases (STDs) and condom use and improving attitude towards condom application among male STD patients attended at a large STD clinic in Shanghai. Methods: From May 1998 to December 1998, 2 266 male STD clients were recruited at a large STD clinic in Shanghai. Video based interventions designed to promote safer sexual behaviors were evaluated in a randomized study in male STDs' patients. Subjects were randomly assigned to one of the three groups: (1) regular treatment (control group); (2)regular treatment and video viewing (video group); (3)regular treatment and video viewing followed by participation in a session discussion led by a trained doctor (discussion group). At first visit, subjects received treatments and baseline data were collected, second interview was conducted 2~3 weeks after the first visit to evaluate their knowledge about STDs and attitude towards condom use. Two full time doctors were specifically trained for the study. Results: Compared with control group, patients assigned to video group and discussion group had significantly higher knowledge scores and more acceptable attitude. The median knowledge scores were 9,13,13(on a scale of 16) in the control, video and discussion group respectively ( P<0.001 ). A stepwise logistic regression analysis showed that knowledge score was associated with intervention level, education level and the experience of previous condom use. Patients in the video group ( OR =16.978) and discussion group ( OR =31.390) scored much higher than those in the control group. The knowledge scores from patients who had ever used condom or had higher education level were significantly higher than those from patients who had never used condom or had lower education level. The median attitude scores were 10,12,13 (on a scale of 15) in the control, video and discussion group respectively ( P<0.001 ). A stepwise logistic regression analysis showed that attitude score was associated with intervention level, education level and marital status. Patients in the video group ( OR =5.478) and discussion group ( OR =12.215) scored much higher than those in the control group. The patients who had higher education level or unmarried scored higher than those who had lower education level or married. Conclusion/Recommendations: This study proves that video based interventions have a significant impact on patients' knowledge about STDs and attitude towards condom use. Video viewing is an inexpensive, feasible, practical and acceptable approach for STDs prevention. Efforts should be made to explore how the video based interventions could be integrated into different STD clinic settings and STD clinics should provide comprehensive services. It suggests that STDs education and primary treatment of STDs could introduce into family planning services.