| Objective：To study the sub-health status and health-risky behaviors of leftbehind middle school students in Chongqing Three-gorge area and providethe Peer education interventions And Then, evaluated the effect of theinterventionMethod: Qualitative and quantitative research methods are both used in thestudy, Qualitative research: using non-probability sampling," Based oninformation "saturation" principle, randomly selected three similarconditions township high school as a survey point. The main interviewsubjects include every school leadership, health teacher, doctor, staying andnon-staying high school students. Quantitative research: A multi-stagecluster random sampling to select township complete secondary school forthe investigation points and randomly assigned to peer education group, thetraditional health education and control groups. Respectively, before andafter the intervention, using “sub-health multidimensional assessmentquestionnaire" and health risk behaviors factor questionnaire.to assess theeffect of the intervention. Result:1.Peer education needs and feasibility：The health knowledge waslower and fewer school activities on health of left behind students inreservoir. Currently, the health education is mainly performed by the classteacher or part-time teachers. Understanding peer education, the majority ofstudents are willing to participate in peer education activities. Schoolleaders said that they are lack of full-time health education and peereducation was expressed very supportive and necessary.2. sub-health state and risk behavior factors：The overall, physical andpsychological sub-health state detection rate of the left behind student were10.73%,8.24%,12.43%, non-left behind students sub-health state detectionrate were9.46%,7.37%,10.29%, the difference was not significant (P>0.05); the overall，physical and psychological sub-health state detectionrates of peer education group were12.71%,9.32%,14.40%,sub-health statedetection rates of health education were10.35%,9.47%,11.45%,sub-health state detection rates of the control group were12.50%,8.86%,15.68%, there was no significant difference (P>0.05);the overall，physical,and psychological sub-health state detection rate of female were11.55%,8.98%,13.09%,males sub-health state detection rate were9.61%,7.47%,11.61%, the difference was not significant (P>0.05). the overall，physicaland psychological sub-health state detection rate of high grade studentswere13.71%,8.81%,16.10%, the junior grade students sub-health statedetection rate were7.23%,7.63%,8.32%,overall and psychological sub-health state detection rate difference was statistical significant (P<0.05); the overall，physical and psychological sub-health state detectionrate of accommodation student were11.63%,9.05%,13.48%the walkingstudent sub-health state detection rate were8.09%，6.29%,9.67%,the overalland psychological sub-health state difference was statistical significant (P<0.05).3. Process evaluation: In total of227interventions, the main form includedclass meetings, panel discussions and makes games, and Interventioncontent was mainly related to health behavior and lifestyle, reasonable diet,smoking, exercise and so on. Through peer education,61.8%studentsbelieve as peer educators with a good attitude,71.2%students believe peereducator who played a small teacher role,51.3%students think they cangrasp the relevant knowledge, in the form of lectures, compared to peereducation and health education,43.3%student Prefer to peer education,38.5%students believe that peer education has a greater impact onthem.58.3%students are Satisfied with the peer education4. Sub-health state improvement：Recent results Show that peer educationgroup overall, physical and psychological sub-health state detection ratedecreased, the difference was not statistically significant (P>0.05);Healtheducation group and control group sub-health state detection rate rise,which the overall and physical sub-health state of controls increasedsignificantly, the differences were statistic significant (P <0.05).The long-term result show that peer education group sub-health state decline,the difference was not statistic significant (P>0.05), the Health Educationgroup sub-health state detection rate rise, and the overall and physicalsub-health state differences was statistically significant (P <0.05); thecontrol group sub-health state detection rate rises, the body sub-health statedifferences was statistic significant (P <0.05).5. Risk behavior factors improvement：Peer education recent results showthat the number of eating breakfast every day increased16.64%,high-intensity daily exercise increased by5.16%the small-intensity dailyexercise increased by8.99%, the intentional injury behavior declined by22.56%, the unintentional injury behavior a decrease6.70%, Long-termeffects show that the number of eating breakfast every day dropped by0.62%, high-intensity daily exercise increased by18.54%, thesmall-intensity daily exercise increases2.59%,the intentional injurydeclined by31.18%,the unintentional injuries declined by12.85%.Health education recent results show that the number of eatingbreakfast every day declined by13.97%, high-intensity daily exerciseincreased by0.92%,the small-intensity daily exercise declined by0.97%,the intentional injury behavior declined by20.49%， theunintentional injury behavior declined by7.46%.Long-term effects showthat the number of eating breakfast every day declined by25.24%,high-intensity daily exercise increased by17.98%，the small-intensity daily exercise declined by0.56%, the intentional injury declined by21.56%，theunintentional injuries declined by7.32%.Control education recent results show that the number of eatingbreakfast every day declined by11.40%, high-intensity daily exercisedeclined by0.95%, the small-intensity daily exercise increasedby14.43%,the intentional injury behavior increased by4.2%,theunintentional injury behavior declined by18.47%, Long-term effectsshow that the number of eating breakfast every day declined by26.28%,high-intensity daily exercise declined by4.92%, the small-intensity dailyexercise increased by14.47%,the intentional injury declined by16.67%,theunintentional injuries declined by24.15%.Conclusion Peer education is feasible in the reservoir，The majorityare Satisfied with the peer education. Peer education intervened thesub-health status and health risk behaviors have some effect, although theeffect is not obvious or not fully reflected in the statistical sense, we can’tignore the effect of peer education intervention, under the background oflacking health education teacher in reservoir, peer education can beregarded as a desirable supplement education. |
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