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目的评价4课时的“海南省小学艾滋病预防相关教育”课程在海南省A县和B市6所小学校五年级试用后对学生艾滋病相关知识和生活技能态度的影响。方法采用非随机平行对照设计,比较课前和课后1个月6所试点小学(约1700人)和同地区3所对照小学(约700人)全体五年级学生问卷调查结果以评价课程的近期效果;开课后2年,在两地选择8所中学的初中一年级学生(约7000人)进行横断面问卷调查,比较在5年级上过本课程的学生(1437人)与其他学生在上述指标方面的差异以评价课程的中期效果。结果与自身基线比较,开课组课后1月多数艾滋病知识题目知晓率提高20～40个百分点;生活技能自我评价方面多数题目提高10～20个百分点。开课后2年,开课组学生的部分艾滋病知识知晓率下降,但仍高于同期对照组水平。两年间的3次调查显示,开课组学生能够比对照组更稳定地掌握预防艾滋病相关知识和生活技能。结论结合学生实际需求的以生活技能为基础的艾滋病预防课程可以使小学五年级学生更好的掌握艾滋病预防相关知识和生活技能。
Objective To evaluate the impact of 4 classes of HIV / AIDS related education for primary school students on HIV / AIDS-related knowledge and attitude toward life skills in the fifth grade of six elementary schools in A County and B City of Hainan Province. Methods The non-randomized parallel control design was used to compare the questionnaire survey results of all the fifth grade students in 6 pilot primary schools (about 1700) and 3 control primary schools (about 700 persons) in the same area before and after class to evaluate the recent course Results: Two years after the start of the program, a cross-sectional questionnaire was conducted among the first-year junior high school students (about 7,000) in 8 middle schools in both places to compare the results of the above indicators Differences to evaluate the medium-term effect of the course. Results Compared with their baseline, the awareness rate of most AIDS knowledge items in January after classes was increased by 20-40 percentage points. Most subjects in life skills self-evaluation increased by 10-20 percentage points. Two years after the commencement of classes, some of the students in the start-class group had a lower awareness rate of AIDS knowledge, but still higher than the control group in the same period. Three surveys in two years showed that students in the start-up class were able to acquire a more stable knowledge of AIDS-prevention and life skills than the control group. Conclusions Life skills-based AIDS prevention curriculum, which combines students’ actual needs, can help fifth graders better understand HIV / AIDS related knowledge and life skills.