The efficacy of peer education in sexual behavioral change among school-going adolescents in Northern Malawi: A quasi experiment

IF 0.4 Q4 SOCIAL WORK Journal of HIV-AIDS & Social Services Pub Date : 2019-06-09 DOI:10.1080/15381501.2019.1620664
M. Mwale, A. Muula
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引用次数: 5

Abstract

Abstract We conducted a quasi-experiment to investigate whether a peer education intervention could result in positive sexual behavioral change outcomes in selected schools in Northern Malawi. The experimental participants (n = 158) were exposed to an HIV risk reduction intervention. The control participants (n = 147) were exposed to a Health Promotion Package. At 8 months, there were significant improvements in the intervention arm on several outcomes. The experimental group was 96% less likely to have sex than the control (OR = 0.04, CI = 0.01–0.20). Intervention participants were also 3.49 times likely to report condom use when they had sex (OR = 3.49, 95% CI = 0.96 to 12.65) and had lower odds of having multiple sexual partners. There were no significant differences on abstinence and the desire to have medical male circumcision (MMC). We suggest the intervention has potential efficacy to improve HIV risk reduction among adolescents in Malawi and perhaps in other similar settings. Trial registration: Pan African Clinical Trial Registry identifier: PACTR201612001889209.
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同伴教育对马拉维北部在校青少年性行为改变的影响:一项准实验
摘要我们进行了一项准实验,调查同伴教育干预是否能在马拉维北部选定的学校中产生积极的性行为改变结果。实验参与者(n = 158)暴露于HIV风险降低干预。对照组参与者(n = 147)暴露于健康促进包。8点 几个月来,干预组在几个结果上都有显著改善。实验组发生性行为的可能性比对照组低96%(OR = 0.04,CI = 0.01–0.20)。干预参与者在发生性行为时报告使用避孕套的可能性也是3.49倍(OR = 3.49,95%CI = 0.96至12.65),并且具有多个性伴侣的几率较低。在禁欲和进行医学男性包皮环切术(MMC)的愿望方面没有显著差异。我们认为,这种干预措施有可能提高马拉维青少年以及其他类似环境中艾滋病毒风险的降低。试验注册:泛非临床试验注册标识符:PACTR201612001889209。
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
8
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