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目的 评价农村中学生向家庭、社区再传播预防艾滋病知识的健康教育效果。方法 采用随机整群抽样的方法抽取琼海农村两个乡镇分别作为实验组和对照组,对实验组中学生开设性健康教育课,并指导其将所学知识进行再传播给家长及周围社区居民,比较实验组和对照组干预前后预防艾滋病知识掌握情况。结果 实验组中学生在干预后预防艾滋病知识知晓率提高了31.97％,农民知晓率提高20％以上,远高于对照组。其中又以知识和态度的改变最为显著,而农民的安全套使用率改变则无显著性。艾滋病知识知晓率的提高与文化程度呈正相关关系。结论由中学生到家庭、社区的健康教育再传播模式是完全可行的,有效的,值得进一步推广。
Objectives To evaluate the effectiveness of rural middle school students in re-distributing HIV/AIDS prevention education to families and communities. Methods Randomized cluster sampling was used to select two rural townships in Qionghai as experimental and control groups. Sexual health education classes were set up for middle school students in the experimental group, and they were instructed to re-distribute their knowledge to parents and residents in surrounding communities. Compare the prevention and control of AIDS knowledge before and after intervention in the experimental group and the control group. Results After the intervention, middle school students in the prevention of AIDS knowledge awareness rate increased by 31.97%, farmers awareness rate increased by more than 20%, much higher than the control group. Among them, changes in knowledge and attitude are the most significant, while the change in the use of condom use by farmers is not significant. There is a positive correlation between the increase in awareness of AIDS knowledge and the level of education. Conclusion The model of re-dissemination of health education from middle school students to families and communities is completely feasible, effective and worthy of further promotion.