题名

性教育教學效果之後設分析

并列篇名

A Meta-Analysis of the Effects of Sexuality Education Programs for Students

DOI

10.30074/FJMH.201409_27(3).0004

作者

張麗雲(Li-Yun Chang)；吳璧如(Pi-Ju Wu)

关键词

性教育 ； 教學效果 ； 後設分析 ； sexuality education ； teaching effect ； meta-analysis

期刊名称

中華心理衛生學刊

卷期/出版年月

27卷3期（2014 / 09 / 01）

页次

409 - 452

内容语文

繁體中文
中文摘要

研究目的：本研究旨在經由後設分析，整合個別研究所發現的性教育教學效果與調節因素，作為學校推行性教育之參考。研究方法：本研究搜尋1990－2012年性教育教學文獻，經篩選後納入97篇論文，共獲得432項個別變項效果量，其包含實驗組與對照組國小至大學之研究對象，共69,206位學生；本研究運用Study DIAD評估研究的品質；採用隨機效果模式，計算性教育教學效果整體及分層面的加權平均效果量，並以Mann-Whitney U test和Kruskal-Wallis test考驗不同文件與介入特徵其性教育教學效果的差異。研究結果：性教育教學的整體效果為0.37；分層面認知、情意及行為之加權平均效果為0.63、0.32及0.21，其中以認知層面效果最大；受試者類別、發表語言、出版類別、教學方案類型以及教學者的不同而有顯著的差異。研究結論：整體而言，性教育教學效果屬於中等程度，性教育教學對認知、情意以及行為層面效果不一，受到許多調節因素所影響。其中，以國小階段、貞潔加上避孕的教育方案以及健康專家或護士為教學者的教學效果較高。
英文摘要

Purpose: The purpose of this meta-analysis was to examine the effects of sexuality education programs for students and the impact of potential moderator factors. Methods: Relevant electronic databases, journals, documents, and reference lists were searched for eligible studies. We identified 97 studies on sexuality education programs with 432 independent effect sizes that were published in either Chinese or English from 1990 to 2012, comprising a total of 69,206 students in elementary school to college level. The Study Design and Implementation Assessment Device (Study DIAD) was used to address the quality of the studies. Weighted mean effect sizes were calculated based on the random-effects model. Additionally, Mann-Whitney U test and Kruskal-Wallis test were performed to examine the moderating effects. Results: The results of this study revealed that the overall weighted mean effect size for the sexuality programs was 0.37 with a 95% CI 0.31~0.43. The weighted mean effect sizes for the cognitive, affective, and behavioral outcomes were 0.63, 0.32, and 0.21, respectively. Moreover, moderator analyses showed that the grade level, the publication language, the article type, the program type, and the instructor type significantly influenced the weighted mean effect sizes. Conclusions: Overall, the sexuality education programs for students were moderately effective. The effects of sexuality education programs differed in students' cognitive, affective, and behavioral outcomes and were influenced by several moderator factors.
主题分类 社會科學 > 心理學
参考文献
  1. 晏涵文、劉潔心、鄭其嘉(2008)。台北市五專生五年級學生近三十年約會與性行為變化趨勢研究。中華輔導與諮商學報，25，251-274。
    連結：
  2. 張麗雲、吳璧如(2007)。國內性教育教學介入成效之後設分析。台灣性學學刊，13(2)，1-20。
    連結：
  3. World Health Organization. (2009). Adolescent health. Retrieved July 15, 2013, from http://www.who.int/topics/adolescent_health/en/.
  4. Sexuality Information and Education Council of the United States. (2009). Comprehensive sexuality education. Retrieved September 1, 2013, from http://www.siecus.org/index.cfm?fuseaction=Page.viewPage &pageId=514&parentID=477.
  5. Alderson, P., Green, S., & Higgins, J. (2004). Cochrane reviewers' handbook 4.2.2. Retrieved April 18, 2014, from http://www.mv.helsinki.fi/home/hemila/karlowski/handbook_4_2_2_Karlowski.pdf.
  6. Pardini, P. (1998). The history of sexuality education. Retrieved August 15, 2013, from http://www.rethinkingschools.org/sex/sexhisto.shtml.
  7. Sexuality Information and Education Council of the United States. (2009b). Abstinence only until marriage programs. Retrieved September 2, 2013, from http://www.siecus.org/index.cfm?fuseaction=Page.viewPage&pageId=523&parentID=477.
  8. National Abortion Rights Advocacy League. (1999). Fact sheet: The need for comprehensive sexuality education. Retrieved March 30, 2010, from http://www.naral.org/mediaresources/fact/sexed.html.
  9. Centers for Disease Control and Prevention. (2012). Trends in the Prevalence of Sexual Behaviors and HIV Testing National YRBS: 1991-2011. Retrieved April 18, 2014, from http://www.cdc.gov/healthyyouth/yrbs/pdf/us_sexual_trend_yrbs.pdf.
  10. United Nations Educational, Scientific and Cultural Organization. (2009). International guidelines on sexuality education: An evidence informed approach to effective sex, relationships and HIV/STI education. Retrieved June 25, 2013, from http://www.unhcr.org/refworld/category,POLICY,UNESCO,,,4a69b8902,0.html.
  11. United Nations Population Fund. (2007). Putting Rights into Practice: Supporting adolescents and youth. Retrieved April 18, 2014, from http://www.unfpa.org/rights/youth.htm.
  12. Concerned Women for America. (1998). Abstinence: Why sex is worth the wait. Retrieved March 30, 2010, from http://www.cwfa.org/library/family/1998-07_pp_abstinence. shtml.
  13. Baele, J.,Dusseldorp, E.,Maes, S.(2001).Condom use self-efficacy: effect on intended and actual condom use in adolescents.Journal of Adolescent Health,28(5),421-431.
  14. Barker, J. M.(2005).Adolescent reflections on a sexuality education course..Dissertation Abstracts International,66(12)
  15. Barker, J. M.(2005).University of Minnesota.
  16. Berlin, J. A.,Laird, N. M.,Sacks, H. S.,Chalmers, T. C.(1989).A comparison of statistical methods for combining event rates from clinical trials.Statistics in Medicine,8(2),141-151.
  17. Borenstein, M.,Hedges, L. V.,Higgins, J. P. T.,Rothstein, H. R.(2010).A basic introduction to fixed-effect and random-effects models for meta-analysis.Research Synthesis Methods,1(2),97-111.
  18. Brugman, M.(2007).Emerging adolescent sexuality: A comparison of American and Dutch women's experiences.Dissertation Abstracts International,68(06)
  19. Brugman, M.(2007).University of Maine.
  20. Collins, C.,Alagiri, P.,Summers, T.,Morin, S. F.(2002).,未出版
  21. Copenhaver, M. M.,Johnson, B. T.,Lee, I. C.,Harman, J. J.,Carey, M. P.,the SHARP Research Team(2006).Behavioral HIV risk reduction among people who inject drugs: Meta-analytic evidence of efficacy.Journal of Substance Abuse Treatment,31(2),163-171.
  22. Coyle, K.,Basen-Engquist, K.,Kirby, D.,Parcel, G.,Banspach, S.,Collins, J.,Harrist, R.(2001).Safer choices: Reducing teen pregnancy, HIV and STD's.Public Health Reports,116(1 Suppl),82-93.
  23. Coyle, K.,Basen-Engquist, K.,Kirby, D.,Parcel, G.,Banspach, S.,Harrist, R.,Baumler, E.,Weil, M.(1999).Short-term impact of safer choices: A multicomponent school based HIV, other STD, and pregnancy prevention program.Journal of School Health,69(5),18l-188.
  24. de Anda, D.(2006).Baby Think It Over: Evaluation of an infant simulation intervention for adolescent pregnancy prevention.Health and Social Work,31(1),26-35.
  25. de Anda, D.(2008).Replication of an intensive educational intervention for youth pregnancy and STI prevention: The GIG.Child & Adolescent Social Work Journal,25(1),55-69.
  26. DeBarr, K. A.(2004).A review of current health education theory.Californian Journal of Health Promotion,2(1),74-87.
  27. Farley, T. A.,Pomputius, P. F.,Sabella, W.,Helgerson, S. D.,Hadler, J. L.(1991).Evaluation of the effect of school-based education on adolescents' AIDS knowledge and attitudes.Connecticut Medicine,55(1),15-18.
  28. Finfgeld, D. L.(2003).Metasynthesis: The state of the art-so far.Qualitative Health Research,13(7),893-904.
  29. Glass, G. V.,McGaw, B.,Smith, M. L.(1981).Meta-analysis in social research.Beverly Hills, CA:Sage Publications.
  30. Green, J. L.(ed.),Camilli, G.(ed.),Elmore, P. B.(ed.)(2006).Handbook of complementary methods in education research.Mahwah, NJ:Lawrence Erlbaum Associates.
  31. Haldre, K.,Rahu, K.,Rahu, M.,Karro, H.(2009).Individual and familial factors associated with teenage pregnancy: an interview study.European Journal of Public Health,19(3),266-271.
  32. Hedges, L. V.,Olkin, I.(1985).Statistical methods for meta-analysis.Orlando, FA:Academic Press.
  33. Herbst, J. H.,Beeker, C.,Mathew, A.,McNally, T.,Passin, W. F.,Kay, L. S.,Johnson, R. L.(2007).The effectiveness of individual-, group-, and community-level HIV behavioral risk-reduction interventions for adult men who have sex with men: A systematic review.American Journal of Preventive Medicine,32(4 Suppl),38-67.
  34. Herbst, J. H.,Kay, L. S.,Passin, W. F.,Lyles, C. M.,Crepaz, N.,Marin, B. V.(2007).A systematic review and meta-analysis of behavioral interventions to reduce HIV risk behaviors of Hispanics in the United States and Puerto Rico.AIDS and Behavior,11(1),25-47.
  35. Ingraham, C. L.,Vernon, M.,Clemente, B.,Olney, L.(2000).Sex education for deafblind youths and adults.Journal of Visual Impairments & Blindness,94(12),756-761.
  36. Iriyama, S.,Nakahara, S.,Jimba, M.,Ichikawa, M.,Wakai, S.(2007).AIDS health beliefs and intention for sexual abstinence among male adolescent students in Kathmandu Nepal: A test of perceived severity and susceptibility.Public Health,121(1),64-72.
  37. Jarlais, D. C. D.,Semaan, S.(2005).Interventions to reduce the sexual risk behaviour of injecting drug users.International Journal of Drug Policy,16(1 Suppl),58-66.
  38. Kim, C. R.,Free, C.(2008).Recent evaluations of the peer-led approach in adolescent sexual health education: A systematic review.Perspectives on Sexual and Reproductive Health,40(3),144-151.
  39. Kim, N.,Stanton, B.,Li, X.,Dickersin, K.,Galbraith, J.(1997).Effectiveness of the 40 adolescent AIDS-risk reduction interventions: A quantitative review.Journal of Adolescent Health,20(3),204-215.
  40. Kirby, D.(1989).Research on effectiveness of sex education programs.Theory into Practice,28(3),165-171.
  41. Kirby, D. B.,Laris, B. A.,Rolleri, L. A.(2007).Sex and HIV education programs: Their impact on sexual behaviors of young people throughout the world.Journal of Adolescent Health,40(3),206-217.
  42. Kohler, P. K.,Manhart, L. E.,Lafferty, W. E.(2008).Abstinence-only and comprehensive sex education and the initiation of sexual sctivity and teen pregnancy.Journal of Adolescent Health,42(4),344-351.
  43. Landis, J. R.,Koch, G. G.(1977).The measurement of observer agreement for categorical data.Biometrics,33(1),159-174.
  44. Lipsey, M. W.,Wilson, D. B.(2001).Practical meta-analysis.Thousand Oaks, CA:Sage Publications.
  45. Maticka-Tyndale, E.,Barnett, J. P.(2010).Peer-led interventions to reduce HIV risk of youth: A review.Evaluation and Program Planning,33(2),98-112.
  46. Maticka-Tyndale, E.,Wildish, J.,Gichuru, M.(2007).Quasi-experimental evaluation of a national primary school HIV intervention in Kenya.Evaluation and Program Planning,30(2),172-186.
  47. Metcalf, C. E.(1997).The advantages of experimental designs for evaluating sex education programs.Children and Youth Services Review,19(7),507-523.
  48. Metzler, C. W.,Biglan, A.,Noell, J.,Ary, D. V.,Ochs, L.(2000).A randomized controlled trial of a behavioral intervention to reduce high-risk sexual behavior among adolescents in STD clinics.Behavior Therapy,31(1),27-54.
  49. Portnoy, D. B.,Scott-Sheldon, L. A. J.,Johnson, B. T.,Carey, M. P.(2008).Computerdelivered interventions for health promotion and behavioral risk reduction: A metaanalysis of 75 randomized controlled trials, 1988-2007.Preventive Medicine,47(1),3-16.
  50. Prochaska, J. O.(1994).Strong and weak principles for progressing from precontemplation to action on the basis of twelve problem behavior.Health Psychology,13(1),47-51.
  51. Robin, L.,Dittus, P.,Whitaker, D.,Crosby, R.,Ethier, K.,Mezoff, J.,Miller, K.,PappasDeluca, K.(2004).Behavioral interventions to reduce incidence of HIV, STD, and pregnancy among adolescents: A decade in review.Journal of Adolescent Health,34(1),3-26.
  52. Rosenberg, M. S.,Adams, D. C.,Gurevitch, J.(2000).MetaWin: Statistical software for meta-analysis.Sunderland, Massachusetts:Sinauer Associates.
  53. Rosenthal, R.(1991).Meta-analytic procedures for social research.Beverly Hills, CA:Sage Publications.
  54. Sandelowski, M.,Barroso, J.(2007).Handbook for synthesizing qualitative research.New York:Springer Publishing.
  55. Santelli, J.,Ott, M. A.,Lyon, M.,Rogers, J.,Summers, D.,Schleifer, R.(2006).Abstinence and abstinence-only education: A review of U.S. policies and programs.Journal of Adolescent Health,38(1),72-81.
  56. Smith, M. L.,Glass, G. V.,Miller, T. I.(1980).The benefits of psychotherapy.Baltimore, MD:John Hopkins University.
  57. Song, E. Y.,Pruitt, B. E.,McNamara, J.,Colwell, B.(2000).A meta-analysis examining effects of school sexuality education programs on adolescents' sexual knowledge,1960-1997.Journal of School Health,70(10),413-416.
  58. Underhill, K.,Montgomery, P.,Operario, D.(2007).Sexual abstinence only programmes to prevent HIV infection in high income countries: systematic review.British Medical Journal,335(7613),248.
  59. Valentine, J. C.,Cooper, H.(2008).A systematic and transparent approach for assessing the methodological quality of intervention effectiveness research: The study design and implementation assessment device (Study DIAD).Psychological Methods,13(2),130-149.
  60. van Empelen, P.,Kok, G.,van Kesteren, N. M. C.,van den Borne, B.,Bos, A. E. R.,Schaalma, H. P.(2003).Effective methods to change sex-risk among drug users: a review of psychosocial interventions.Social Science & Medicine,57(9),1593-1608.
  61. Walter, H. J.,Vaughan, R. D.(1993).AIDS risk reduction among a multiethnic sample of urban high school students.Journal of the American Medical Association,270(6),725-730.
  62. Wise, D.,Goggin, K. J.,Gerkovich, M. M.,Metcalf, K. A.,Kennedy, S. L.(2006).Predicting intentions to use condoms using gender, sexual experience, and the theory of planned behavior.American Journal of Health Education,37(4),210-218.
  63. 李永怡(2007)。碩士論文(碩士論文)。國立成功大學公共衛生研究所。
  64. 晏涵文(2011)。性、兩性關係與性教育。台北:心理出版社。
  65. 郭鐘隆、黃久美、蘇鳳足、邱靜如、劉貴雲、劉潔心、張婷婷(2003)。衛生教育與行為科學介入研究成效之統合分析。衛生教育學報，20，71-88。
  66. 陳郁雯(2005)。電腦模擬對學生學習成效影響之後設分析。國立新竹師範學院教育研究所論文集
  67. 廖遠光、黃淑敏(2003)。電腦網路學習與傳統教學對學生學習成效影響之後設分析。管理與教育研究學報，1，161-182。
被引用次数
  1. (2017)。質性研究綜合在教學研究上的運用。教育研究月刊，278，60-78。
  2. (2021)。臺灣近二十年來性教育介入成效之統合分析研究。教育學刊，57，127-172。
print cancel