Gender-Focused HIV and Pregnancy Prevention for School-Going Adolescents: The Mpondombili Pilot Intervention in KwaZulu-Natal, South Africa.
Gender-Focused HIV and Pregnancy Prevention for School-Going Adolescents: The Mpondombili Pilot Intervention in KwaZulu-Natal, South Africa.
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DOI：
10.1080/15381501.2014.999183
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Stein ZA
中科院分区：
文献类型：
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作者：
Harrison A;Hoffman S;Mantell JE;Smit JA;Leu CS;Exner TM;Stein ZA
这项试点研究评估了南非农村地区8-10年级男孩和女孩（14-17岁）的15次艾滋病毒和怀孕预防课堂干预，以性别赋权理论为指导，由教师，护士和青年同伴教育者实施。干预前和干预后的调查包括933名男女学生在两个干预和两个比较学校。主要结果：最后一次性交时使用避孕套;次要结局：伙伴沟通;性别信仰和价值观;知觉同伴行为;安全性行为的自我效能干预后5个月，避孕套使用的变化在干预学校和对照学校之间没有差异。干预学校青少年在拒绝不安全性行为[OR=1.61; 95% CI=1.01，2.57]和安全套使用[OR=1.76; 95% CI=1.07，2.89]、伴侣沟通[OR=2.42; 95% CI=1.27，4.23]和艾滋病毒检测机会知识[OR=1.76; 95% CI=1.08，2.87]。这项以性别为重点的试点干预措施提高了青少年的自我效能和伙伴沟通，并有可能改善预防行为。
This pilot study evaluated a 15 session classroom intervention for HIV and pregnancy prevention among grade 8–10 boys and girls (ages 14–17) in rural South Africa, guided by gender-empowerment theory and implemented by teachers, nurses, and youth peer educators. Pre- and post-intervention surveys included 933 male and female students in two intervention and two comparison schools. Main outcome: condom use at last sex; secondary outcomes: partner communication; gender beliefs and values; perceived peer behaviors; self-efficacy for safer sex. At five months post-intervention, change in condom use did not differ between intervention and comparison schools. Intervention school youth had greater increases in self-efficacy for unsafe sex refusal [OR=1.61; 95% CI=1.01, 2.57] and condom use [OR=1.76; 95% CI=1.07, 2.89], partner communication [OR=2.42; 95% CI=1.27, 4.23], and knowledge of HIV testing opportunities [OR=1.76; 95% CI=1.08, 2.87]. This gender-focused pilot intervention increased adolescents’ self-efficacy and partner communication, and has potential to improve preventive behaviors.