愛滋病防治教育介入成效－以原民鄉青少年為例

Effectiveness of an HIV/AIDS Prevention Education Program: An Example of Adolescents Living in an Indigenous Township in Taiwan

梁蕙芳(Hwey‐Fang Liang) ； 鄭靜瑜(Ching‐Yu Cheng) ； 吳光名(Kuang‐Ming Wu)

《護理暨健康照護研究》 11卷1期 (2015/03) Pp. 64-73

https://doi.org/10.6225/JNHR.11.1.64

摘要

背景：愛滋病全球肆虐，「預防勝於治療」是首要工作。目的：探討原民鄉青少年愛滋病防治教育介入成效。方法：本研究引用2011年某原民鄉之「愛滋病防治教育」活動資料進行次級資料分析，其原始研究設計為單組前後測設計，針對50位原住民國中生進行介入，活動進行2週，以評估愛滋病與防治相關知識及態度之介入成效。衛教活動前後採用問卷調查法收集資料，問卷包括人口學、愛滋病與防治相關知識及防治態度。有效問卷有45份，資料以描述性統計、McNemar test及Wilcoxon signed-rank test等統計方法進行資料處理。結果：愛滋病與防治相關知識方面，後測高出前測3.36（SD=0.67）分，且達統計上之顯著性改變（p ＜ .001）；愛滋病防治態度方面，後測（3.72 ± 0.36）優於前測（3.43 ± 0.34），且達統計上之顯著性改變（p ＜ .05），愛滋病防治教育介入活動使原住民青少年愛滋病與防治相關知識及正向態度增進。結論／實務應用：本研究結果可提供學校與衛生單位進行防治愛滋病宣導活動之依據，尤其是針對原民鄉青少年族群更顯重要。

關鍵字

愛滋病 ； 防治教育 ； 知識 ； 態度

並列摘要

Background: AIDS is a serious disease worldwide. Prevention has been shown to be more effective than treatment in the effort to control and end the threat of this disease. Purpose: The purpose of this study was to evaluate the effects of an HIV/AIDS prevention education program on adolescents living in a primarily indigenous area of Taiwan. Methods: This study used secondary data prepared by the Health Center of one indigenous township in 2011. Authors analyzed the dataset retrospectively. A 2‐week HIV/AIDS prevention education program was arranged for a single group of 50 students from one junior high school and a pretest and posttest were conducted. A total of 45 valid questionnaires were completed. Data were analyzed using descriptive statistics, the McNemar test, and the Wilcoxon signed‐rank test. Results: Results indicate that the education program improved the knowledge (p ＜ .001) and attitude (p ＜ .05) of participants significantly between pretest and posttest. The posttest score for knowledge (9.47 ± 3.24) was significantly higher than the pretest score (6.11 ± 3.84). The posttest score for positive attitude (3.72 ± 0.36) was also significantly higher than the pretest score (3.43 ± 0.34). Conclusions / Implications for Practice: This AIDS prevention education program significantly improved the related knowledge and attitudes of participants. Schools and health units may reference the results of this study to design materials for prevention of HIV/AIDS, particularly in the context of indigenous adolescents.

並列關鍵字

HIV/AIDS ； prevention education ； knowledge ； attitude

參考文獻

孔淑萱、白芸凌、蘇宜芬、吳昭容（2012）‧偏遠地區泰雅族與漢族中學生中文識讀能力之分析‧當代教育研究季刊，20(2)，135-169。[Kung, S. H., Pai, Y. L., Su, Y. F., & Wu, C. J. (2012). Chinese reading literacy in Atayal and Han junior high school students in a remote area of Taiwan. Contemporary Educational Research Quarterly, 20(2), 135-169.]

許淑雲、王俊毅、江大雄、楊欣田、廖宏恩、林玠民、高昆裕（2007）‧靜脈注射藥癮者感染愛滋病毒之危險行為探討‧疫情報導，23(10)，549-560。[Hsu, S. Y., Wang, J. Y., Jiang, D. S., Yang, H. T., Liao, H. E., Lin, C. M., & Kao, K. Y. (2007). The risk factors for acquiring human immunodeficiency virus (HIV) infection among injection drug users. Taiwan Epidemiology Bulletin, 23(10), 549-560.]

陳嬿今、賴怡因、莊 苹、蘇逸玲、施鐘卿、馮明珠…柯乃熒（2014）‧愛滋病研習會提升校園教師愛滋知識及態度之成效探究‧榮總護理，31(1)，53-61。[Chen, Y. C., Lai, Y. Y., Chuang, P., Su, Y. L., Shi, Z. Q., Feng, M. C., & Ko, N. Y. (2014). Effects of an HIV/AIDS educational course on knowledge and attitudes toward HIV/AIDS among school teachers. VGH Nursing, 31(1), 53-61.]

鄭舒倖（2011）‧愛滋病三十年，防治走到哪裡？感染控制雜誌，21(3)，167-173。[Cheng, S. H. (2011). Thirty years of HIV/AIDS: What does prevention hold. Infection Control Journal, 21(3), 167-173.]

蘇若蘭、楊奕馨、曾筑瑄、謝天渝（2006）‧原住民國中學生實施衛生教育介入對其口腔保健認知與行為影響之研究‧中華牙醫學雜誌，25(2)，103-111。[Sue, R. L., Yang, Y. H., Tseng, C. H., & Shieh, T. Y. (2006). Intervention study of the oral health education on the knowledge and behavior of indigenous Taiwanese junior high school students. Journal of Dental Sciences, 25(2), 103-111.]