TITLE

Evaluation of a school-based HIV prevention intervention among Yemeni adolescents

AUTHOR(S)
Al-Iryani, Buthaina; Basaleem, Huda; Al-Sakkaf, Khaled; Crutzen, Rik; Kok, Gerjo; van den Borne, Bart
PUB. DATE
January 2011
SOURCE
BMC Public Health;2011, Vol. 11 Issue 1, p279
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: This article describes an evaluation of a school-based peer education intervention for HIV prevention among students in twenty seven high schools in Aden, Yemen. The intervention was developed after a survey among the same population in 2005, which revealed a high level of stigma towards people living with HIV (PLWH) and a low level of HIV knowledge. Methods: In a quasi-experimental design students who received the peer education intervention (78.6%) were compared with students who did not receive the intervention (21.4%). No systematic procedure was applied in selecting students for the intervention condition. Data were collected using a self-administered questionnaire from a sample of 2510 students from all 27 high-schools in Aden governorate. To increase internal validity, students were also compared with a cohort control sample surveyed in 2005, which was a random sample of 2274 students from the same schools. Results: Sixty eight percent of students targeted by peer education had good knowledge scores, compared with 43.3% of students not targeted by peer education (χ² = (df = 1) = 111.15, p < .01). Multi-level regression analysis revealed that, although there was a significant difference among schools, the intervention effect of peer education at the individual level was significant; students who received peer education had a statistically higher knowledge score(9.24 out of 12.0) compared with those not targeted (7.89 out of 12.0), OR = 2.11, 95% CI = 1.04-4.27, p < .05). Compared with the 2005 cohort control sample, students targeted by peer education had better knowledge on the modes of transmission and prevention and fewer misconceptions; and knowledge on the use of condoms increased from 49.4% to 67.8%. In addition, students who received the peer education interventions suggested significantly more actions to provide care and support for PLWH. Also, the levels of stigma and discrimination were much higher among the 2005 cohort control group, compared with those who received the peer education intervention. Conclusion: The school-based peer education intervention has succeeded in improving levels of knowledge on modes of transmission and prevention, and in decreasing levels of stigma and discrimination in a culturally conservative setting.
ACCESSION #
62653890

 

Related Articles

  • Effects of the SATZ teacher-led school HIV prevention programmes on adolescent sexual behaviour: cluster randomised controlled trials in three sub-Saharan African sites. Mathews, C.; Aarø, L.E.; Grimsrud, A.; Flisher, A.J.; Kaaya, S.; Onya, H.; Schaalma, H.; Wubs, A.; Mukoma, W.; Klepp, K.-I. // International Health (1876-3413);Jun2012, Vol. 4 Issue 2, p111 

    Abstract: In this study, the effects on young adolescent sexual risk behaviour of teacher-led school HIV prevention programmes were examined in two sites in South Africa (Cape Town and Mankweng) and one site in Tanzania (Dar es Salaam). In Cape Town, Dar es Salaam and Mankweng, 26, 24 and 30...

  • Contraceptive use and associated factors among adolescents on Santiago Island - Cape Verde - Western Africa. Tavares, Carlos Mendes; Schor, Néia; França Junior, Ivan // Revista Brasileira de Saude Materno Infantil;abr-jun2010, Vol. 10 Issue 2, p229 

    Objective: to estimate the prevalence of contraceptive use and associated factors among adolescents attending public schools on Santiago Island, Cape Verde. Methods: a cross-sectional study was carried out with 368 sexually active adolescents aged 13-17 years attending eight public elementary...

  • Teaching teens about condoms. Bolus, Josephine; Begany, Timothy // RN;Mar94, Vol. 57 Issue 3, p44 

    Offers advice on how to teach teenagers about condoms as part of preventive measure against HIV infection. Getting the teenagers' attention; Proper way to put on and take off condoms; Deciding on the kind of condoms to buy; Precautions to take when intercourse is over; Protection against other...

  • How to get your boyfriend to use condoms: Advice for teenage girls.  // Patient Care;9/15/1993, Vol. 27 Issue 14, p148 

    Presents advice for teenage girls on how to get boyfriends to wear condoms. Advantages; Bringing up the subject early in the relationship; Not getting personal right away; Making condom use a sign of caring; Finding out why a boyfriend objects; Practicing talking to a boyfriend ahead of time;...

  • Early condom use: Good for future teen health.  // Contraceptive Technology Update;Jul2007, Vol. 28 Issue 7, p77 

    Results from a new study suggest that teens who use condoms the first time they have sexual intercourse are more likely to continue using condoms into young adulthood. These adolescents also are less likely than their peers to have contracted a sexually transmitted disease (STD), the findings...

  • Exposure to a National HIV-Prevention Program Linked To Lower Risk of Infection for South African Youth. London, S. // International Family Planning Perspectives;Dec2005, Vol. 31 Issue 4, p200 

    The article discusses findings from surveys of adolescents conducted between March and August 2003 in South Africa eliciting information about their sexual behavior and their exposure to programs of a national HIV prevention campaign called loveLife. The researchers concluded that although...

  • Promoting sexual and reproductive health in early adolescence in South Africa and Tanzania: Development of a theory‐ and evidence‐based intervention programme. AarØ, Leif Edvard; Flisher, Alan J.; Kaaya, Sylvia; Onya, Hans; Fuglesang, Minou; Klepp, Knut‐Inge; Schaalma, Herman // Scandinavian Journal of Public Health;Mar2006, Vol. 34 Issue 2, p150 

    Aims: Action to prevent the spread of HIV among young people in Sub-Saharan Africa is needed urgently. In order to be effective, such action should be theory and evidence based and carefully adapted to local cultures and contexts. The present article describes the organization, theoretical...

  • Substance Use and Sexual Risk Prevention in Cape Town, South Africa: An Evaluation of the HealthWise Program. Smith, Edward A.; Palen, Lori-Ann; Caldwell, Linda L.; Flisher, Alan J.; Graham, John W.; Mathews, Catherine; Wegner, Lisa; Vergnani, Tania // Prevention Science;Dec2008, Vol. 9 Issue 4, p311 

    Sexual behavior and substance use represent major threats to the health and well-being of South African adolescents, especially in light of the high prevalence of HIV infection in this population. However, there is currently a lack of evidence-based school programs designed to address health...

  • A dose-response relationship between exposure to a large-scale HIV preventive intervention and consistent condom use with different sexual partners of female sex workers in southern India. Deering, Kathleen N.; Boily, Marie-Claude; Lowndes, Catherine M.; Shoveller, Jean; Tyndall, Mark W.; Vickerman, Peter; Bradley, Jan; Gurav, Kaveri; Pickles, Michael; Moses, Stephen; Ramesh, Banadakoppa M.; Washington, Reynold; Rajaram, S; Alary, Michel // BMC Public Health;2011 Supplement 6, Vol. 11 Issue Suppl 6, p1 

    Background: The Avahan Initiative a large-scale HIV preventive intervention targeted to high-risk populations including female sex workers (FSWs) was initiated in 2003 in six high-prevalence states in India including Karnataka. This study assessed if intervention exposure was associated with...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics