AIDS education in Tanzania: Promoting risk reduction among primary school children

AIDS education in Tanzania: Promoting risk reduction among primary school children
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DOI:
10.2105/ajph.87.12.1931
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发表时间:
1997-12-01
影响因子:
12.7
通讯作者:
Lyimo, BA
Lyimo, BA
中科院分区:
医学2区
文献类型:
--
作者:
Klepp, KI;Ndeki, SS;Lyimo, BA

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目标.本研究的目的是测试的效果:在坦桑尼亚的教育计划,旨在减少儿童的人类免疫缺陷病毒(HIV)感染的风险,提高他们的耐受性和照顾获得性免疫缺陷综合征(AIDS)的人。方法,一个随机对照社区试验,包括基线和12个月的随访调查。坦桑尼亚阿鲁沙和基利曼哈罗地区的公立小学根据地点分层,并随机分配到干预(n = 6)或比较(n = 12)条件。在1063名六年级学生(平均年龄:13.6岁)中,有814名参加了基线调查。随访时,干预组在艾滋病信息与传播、艾滋病知识、对艾滋病患者的态度、对性行为的主观规范和行为意向等方面均优于对照组,差异有统计学意义。一致的积极:但对发生性行为的态度和对前一年开始性行为的态度无明显变化(7%对17%)。培训当地教师和卫生工作者为坦桑尼亚小学生提供艾滋病毒/艾滋病教育是可行和有效的。
Objectives. The purpose of this study was to test the effects of:an education program in Tanzania designed to reduce children's risk of human immunodeficiency virus (HIV) infection and to improve their tolerance of and care for people with acquired immunodeficiency syndrome (AIDS).Methods, A randomized controlled community trial including baseline and 12-month follow-up surveys was employed. Public primary schools in the Arusha and Kilimanjaro regions of Tanzania were stratified according to location and randomly assigned to intervention (n = 6) or comparison (n = 12) conditions. Of the 1063 sixth-grade students (average age: 13.6 years) who participated at baseline, 814 participated in the follow-up survey.Results. At follow-up, statistically Significant effects favoring the intervention group were observed for exposure to AIDS information and communication, AIDS knowledge, attitudes toward people with AIDS, and subjective norms and behavioral intentions toward having sexual intercourse. A consistent positive: but nonsignificant trend was seen for attitudes toward having sexual intercourse and for initiation of sexual intercourse during the previous year (7% vs 17%).Conclusions. It is feasible and effective to train local teachers and health workers to provide HIV/AIDS education to Tanzanian primary school children.