Instant and Long-term Effect Comparison between Peer Education and Traditional Health Education in Tuberculosis Prevention at Middle Schools of Chongqing Three Gorge Areas_Chinese Journal of Evidence-Based Medicine

Authors：

LIU Xiaoxue ,  WANG Hong , HUANG Ruirui , LIU Qin , WANG Yang

School of Public Health, Chongqing Medical University, Chongqing 400016, China;

Corresponding author：

WANG Hong, Email: wangh111111@yahoo.com.cn

Keywords：

Tuberculosis; Middle school; Peer education; Effect

DOI：

10.7507/1672-2531.20100426

Video：

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Objective 　To explore the application of peer education in TB prevention at middle schools in Kai County of Chongqing and compare it with traditional education, and to provide theory support for further policy making.
Methods 　Four complete middle schools were randomly selected as the control group, the peer education group, the traditional education group and the combined group of peer education and traditional education, respectively. Effect evaluation was performed one month later (instant evaluation) and six months later (long-term evaluation), respectively, after the intervention period.
Results 　The instant and long-term evaluation showed that the knowledge, attitude and practice scores of the three intervention groups were higher than the scores before intervention or those of the control group (P lt;0.01). Besides, the behavior score of the peer education group had no significant difference between instant and longterm evaluation. All scores in the instant evaluation were higher than those of long-term evaluation both in the peer education group and the traditional education group (P lt;0.01). For the knowledge, attitude and practice scores, there was no significant difference between instant and long-term evaluation in the combined group of peer education and traditional education.
Conclusion 　Compared with the peer education group and the traditional education group, the combined group achieves an enduring effect. There is obvious instant effect in the traditional education group, and peer education has a long-term influence on students’ behavior.

Citation： LIU Xiaoxue,WANG Hong,HUANG Ruirui,LIU Qin,WANG Yang. Instant and Long-term Effect Comparison between Peer Education and Traditional Health Education in Tuberculosis Prevention at Middle Schools of Chongqing Three Gorge Areas. Chinese Journal of Evidence-Based Medicine, 2010, 10(4): 449-453. doi: 10.7507/1672-2531.20100426 Copy

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5.	苏来娅, 曹大为. 深圳市一所中学肺结核健康教育效果评价. 中国防痨杂志, 2001, 23(2): 126-127.
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7.	王兴军, 王黎霞, 朱广荣. 中小学校结核病健康教育现状分析. 中国健康教育, 2007, 23(7): 521-523, 534.
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9.	王作振, 王克利, 钱序. 两种性同伴教育与教师授课教育近期效果比较. 中国学校卫生, 2005, 26(2): 94-95.
10.	马迎教, 邓树嵩, 梁建成, 等. 艾滋病健康教育课程中不同教学模式的效果评价. 中国热带医学, 2008, 8(3): 515-516.
11.	富小飞, 林云, 许荣全. 同伴健康教育在学生预防结核病中的应用. 职业与健康, 2008, 24(9): 886-888.
12.	王宏. 学校预防结核病同伴教育项目设计. 医学教育探索, 2008, 7(8): 795-797.
13.	高广胜, 李龙锦, 金周宏, 等. 不同艾滋病健康教育方式近、远期效果评价. 实用预防医学, 2007, 14(5): 1598-1600.
14.	郭树榜, 路陶生, 刘明哲, 等. 菏泽市大学生艾滋病健康教育近期效果评价. 第四军医大学学报, 2003, 24(6): 521.
15.	Fennell R. A review of evaluations of peer education programs. Journal of American College Health,1993, 41(6): 251-253．.
16.	Audrey S, Holliday J, Campbell R. It’s good to talk: Adolescent perspectives of an informal, peer-led intervention to reduce smoking. Social Science and Medicine, 2006, 63: 320-334.
17.	Borgia P, Marinacci C, Schifano P, et al. Is peer education the best approach for HIV prevention in schools? Findings from a randomized controlled trial. Journal of Adolescent Health, 2005, 36: 508-516.
18.	Mellanby AR, Rees JB, Tripp JH. Peer-led and adult-led school health education: a critical review of available comparative research. Health Education Research, 2000, 15(5): 533-545.

1. 陈以新. 河北省易县中小学生结核病感染现状. 职业与健康, 2008, 24(2): 167.
2. 范春, 胡代玉, 周开宪, 等. 重庆市某中学高三年级24例结核病情况分析. 重庆医学, 2007, 36(19): 2004-2005.
3. 宋建奎, 杨淑梅, 陈丽. 两起学校结核病暴发流行的调查处置. 中外医疗, 2008, 19: 172.
4. 刘英, 邹文彬, 胡代玉, 等. 重庆市某县2003-2006年学校肺结核病情况分析. 实用预防医学, 2007, 14(3): 746-747.
5. 苏来娅, 曹大为. 深圳市一所中学肺结核健康教育效果评价. 中国防痨杂志, 2001, 23(2): 126-127.
6. 万传贵. 健康教育与健康促进在结核病控制项目中的应用. 中国健康教育, 2001, 17(3): 142.
7. 王兴军, 王黎霞, 朱广荣. 中小学校结核病健康教育现状分析. 中国健康教育, 2007, 23(7): 521-523, 534.
8. 马慧, 张少茹. 陕西南部农村中学生肺结核健康教育需求调查. 中国现代护理杂志, 2009, 15(1): 36-37.
9. 王作振, 王克利, 钱序. 两种性同伴教育与教师授课教育近期效果比较. 中国学校卫生, 2005, 26(2): 94-95.
10. 马迎教, 邓树嵩, 梁建成, 等. 艾滋病健康教育课程中不同教学模式的效果评价. 中国热带医学, 2008, 8(3): 515-516.
11. 富小飞, 林云, 许荣全. 同伴健康教育在学生预防结核病中的应用. 职业与健康, 2008, 24(9): 886-888.
12. 王宏. 学校预防结核病同伴教育项目设计. 医学教育探索, 2008, 7(8): 795-797.
13. 高广胜, 李龙锦, 金周宏, 等. 不同艾滋病健康教育方式近、远期效果评价. 实用预防医学, 2007, 14(5): 1598-1600.
14. 郭树榜, 路陶生, 刘明哲, 等. 菏泽市大学生艾滋病健康教育近期效果评价. 第四军医大学学报, 2003, 24(6): 521.
15. Fennell R. A review of evaluations of peer education programs. Journal of American College Health,1993, 41(6): 251-253．.
16. Audrey S, Holliday J, Campbell R. It’s good to talk: Adolescent perspectives of an informal, peer-led intervention to reduce smoking. Social Science and Medicine, 2006, 63: 320-334.
17. Borgia P, Marinacci C, Schifano P, et al. Is peer education the best approach for HIV prevention in schools? Findings from a randomized controlled trial. Journal of Adolescent Health, 2005, 36: 508-516.
18. Mellanby AR, Rees JB, Tripp JH. Peer-led and adult-led school health education: a critical review of available comparative research. Health Education Research, 2000, 15(5): 533-545.

Chinese Journal of Evidence-Based Medicine

Instant and Long-term Effect Comparison between Peer Education and Traditional Health Education in Tuberculosis Prevention at Middle Schools of Chongqing Three Gorge Areas

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