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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
Objectives: To evaluate the effectiveness of video-based reproductive health education in improving STD and condom use among STD patients and improving condom use. Methods: From May to February of 1988, 2,266 male STD patients were recruited in a STD clinic in Shanghai. First, the consent of the consent of the object, the use of structured questionnaires for baseline data, and patients were randomly divided into three groups: (1) conventional treatment group (control group); (2) conventional treatment plus video (video group); (3) Routine treatment plus watch the video and participate in group discussions (discussion group). Video content is mainly about the STD knowledge and prevention as well as the proper use of condoms. About 2 to 3 weeks after the intervention (ie, at the time of the review), subjects should fill in self-answer questionnaires about STD / AIDS transmission, symptoms of the disease and the proper use of condoms and condom use. The whole process by two full-time doctors responsible for the implementation. RESULTS: The median scores for STD / condom use knowledge and attitude scores (total score of 16) in the discussion group and video group were 13, significantly higher than those in the control group (P <0 .001). Multivariate logistic regression analysis showed that the knowledge scores of the study group (OR = 3.138) and the video group (OR = 1 6.978) were significantly higher than those of the control group. The higher education level and condom use knowledge were higher than the culture To a lesser extent and condoms have not been used. The control, video and discussion groups had a median attitude score of 10, 12 and 13 (a total score of 15) (P <0 .001). Multivariate logistic regression analysis showed that the attitude scores of the discussion group (OR = 12.52) and the video group (OR = 5.478) were significantly higher than those of the control group