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

  • DEVELOPING, IMPLEMENTING, AND EVALUATING A CONDOM PROMOTION PROGRAM TARGETING SEXUALLY ACTIVE ADOLESCENTS. Alstead, Mark; Campsmith, Michael; Halley, Carolyn Swope; Hartfield, Karen; Goldbaum, Gary; Wood, Robert W. // AIDS Education & Prevention;Dec1999, Vol. 11 Issue 6, p497 

    The article presents information on the development, implementation, and evaluation of the HIV prevention program, Condom Campaign. Most teenagers in the U.S. receive HIV education in middle and high school and have high levels of knowledge about the transmission of HIV. However, sexual...

  • 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...

  • REAL Men: A Group-Randomized Trial of an HIV Prevention Intervention for Adolescent Boys. Dilorio, Colleen; McCarty, Frances; Resnicow, Ken; Lehr, Sally; Denzmore, Pamela // American Journal of Public Health;Jun2007, Vol. 97 Issue 6, p1084 

    Objectives. We tested the efficacy of an intervention among 11-to 14-year-old adolescent boys to promote delay of sexual intercourse, condom use among those who were sexually active, and communication on sexuality between fathers (or father figures) and sons. Methods. Sites were randomly...

  • Targeting `Risky' Gender Ideologies: Constructing a Community-Driven, Theory-Based HIV Prevention Intervention for Youth. Laub, Carolyn; Somera, Donnovan M.; Gowen, L. Kris; Diaz, Rafael M. // Health Education & Behavior;Apr99, Vol. 26 Issue 2, p185 

    Proposes that the underlying or implicit theories about teenagers' sexual risk behavior that guide most school-based HIV prevention activities are not accurate descriptions or valid explanations of sexual risk in the population. Articulation of the theories underlying HIV prevention activities...

  • Prevalence and meanings of exchange of money or gifts for sex in unmarried adolescent sexual relationships in sub-Saharan Africa. Moore, Ann M.; Biddlecom, Ann E.; Zulu, Eliya M. // African Journal of Reproductive Health;Dec2007, Vol. 11 Issue 3, p44 

    Using national survey data collected in 2004 in Burkina Faso, Ghana, Malawi, and Uganda with 12-19 year olds, we examine the prevalence of sex in exchange for money or gifts in the 12 months prior to the survey and its association with adolescents' social and economic vulnerability and condom...

  • Relationships, love and sexuality: what the Filipino teens think and feel. de Irala, Jokin; Osorio, Alfonso; del Burgo, Cristina López; Belen, Vina A.; de Guzman, Filipinas O.; del Carmen Calatrava, María; Torralba, Antonio N. // BMC Public Health;2009, Vol. 9 Issue 1, p282 

    Background: In order to achieve a change among teens' sexual behavior, an important step is to improve our knowledge about their opinions concerning relationships, love and sexuality. Methods: A questionnaire including topics on relationships, love and sexuality was distributed to a target...

  • Multiple sexual partners and condom use among 10 - 19 year-olds in four districts in Tanzania: What do we learn? Exavery, Amon; Lutambi, Angelina M.; Mubyazi, Godfrey M.; Kweka, Khadija; Mbaruku, Godfrey; Masanja, Honorati // BMC Public Health;2011, Vol. 11 Issue 1, p490 

    Background: Although some studies in Tanzania have addressed the question of sexuality and STIs among adolescents, mostly those aged 15 - 19 years, evidence on how multiple sexual partners influence condom use among 10 - 19 year-olds is limited. This study attempts to bridge this gap by testing...

  • A longitudinal examination of risky sexual behaviors among Canadian and Italian adolescents: Considering individual, parental, and friend characteristics. Boislard, P. Marie-Aude; Poulin, François; Kiesner, Jeff; Dishion, Thomas J. // International Journal of Behavioral Development;May2009, Vol. 33 Issue 3, p265 

    In this study, two longitudinal models of early adolescent risky sexual behaviors (RSB) were compared using a pooled sample of 267 Canadian and Italian adolescents (55% females; 53% Canadians) assessed yearly from grade 8 to 10. We focused on parenting practices (monitoring, control, limit...

  • Safe Sex Versus Safe Love? Relationship Context and Condom Use Among Male Adolescents in the Favelas of Recife, Brazil. Juarez, Fatima; Martín, Teresa Castro // Archives of Sexual Behavior;Feb2006, Vol. 35 Issue 1, p25 

    This study examined the influence of the relationship context where adolescent sexual activity takes place on contraceptive decisions. The data were collected in a specially designed survey carried out in May 2000 on 1,438 adolescent males aged 13–19 residing in favelas (urban slum areas)...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

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

Try another library?
Sign out of this library

Other Topics