ABSTRACT

The purpose of this study was to examine the association between institution-delivered sex education given under real-world conditions and sexually transmitted infection (STI) rates, STI fatalism, and prior STI testing among African American men aged 15–24 who have sex with women. Participants were tested at community venues for Chlamydia and gonorrhoea and undertook a survey to elicit history of sex education and sexual health information. Among 1196 participants, 73.0% reported having received institution-delivered sex education topics including STI information (90.5%), condoms (89.2%), pregnancy/birth (72.1%) and birth control (67.1%). Among a subset of participants asked about the quality of sex education, 85.7% reported it was ‘very good’ or ‘OK’. The prevalence rate for Chlamydia and/or gonorrhoea was 10.5%. Those who received sex education were more likely to have lower STI fatalism (51.0% vs. 42.4%, p = 0.01) and more likely to report previous Chlamydia screening (44.1% vs. 31.6%, p < 0.01), but did not have a significantly lower rate of Chlamydia and/or gonorrhoea (9.9% vs. 12.4%, p = 0.20) compared to those who did not receive sex education. These findings suggest that institution-delivered sex education given under real-world conditions has beneficial effects on STI risk factors among young African American men.

摘要

本研究的目的是检查在现实世界条件下提供的机构提供的性教育与性传播感染 (STI) 率、性传播感染宿命论和 15-24 岁与他人发生性关系的非裔美国男性之前的性传播感染检测之间的关联。女性。参与者在社区场所接受了衣原体和淋病的测试，并进行了一项调查以获取性教育和性健康信息的历史。在 1196 名参与者中，73.0% 的人报告接受过机构提供的性教育主题，包括性传播感染信息 (90.5%)、避孕套 (89.2%)、怀孕/分娩 (72.1%) 和节育 (67.1%)。在被问及性教育质量的一部分参与者中，85.7% 的人表示“非常好”或“可以”。衣原体和/或淋病的流行率为 10.5%。接受过性教育的人更可能有较低的 STI 宿命论（51.0% 对 42.4%，p = 0.01）并且更有可能报告以前的衣原体筛查（44.1% 对 31.6%，p < 0.01），但没有与未接受过性教育的人相比，衣原体和/或淋病的发病率显着降低（9.9% 对 12.4%，p = 0.20）。这些研究结果表明，在真实世界条件下提供的机构提供的性教育对非洲裔美国年轻男性的性传播感染风险因素具有有益影响。