Outcomes of an HIV Prevention Peer Group Intervention for Rural Adults in Malawi
Outcomes of an HIV Prevention Peer Group Intervention for Rural Adults in Malawi
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DOI：
10.1177/1090198110378588
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发表时间：
2011-04-01
影响因子：
4.2
通讯作者：
Dancy, Barbara L.
中科院分区：
文献类型：
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作者：
Kaponda, Chrissie P. N.;Norr, Kathleen F.;Dancy, Barbara L.
本研究采用了准实验设计，以评估六届同龄组干预农村成年人在马拉维的艾滋病毒预防。两个农村地区被随机分配到干预和控制条件。社区成年人的独立随机样本比较了基线和干预后6个月和18个月的地区。使用多重回归控制6个人口因素，干预区成年人在6个月和18个月的评估安全套的态度，自我效能的社区预防，自我效能的实践更安全的性行为，合作伙伴的沟通，使用安全套在过去的2个月，社区预防活动有显着更有利的结果。只有在6个月的评估中，干预区控制流行病的知识和希望显着更高;只有在18个月时，最近的艾滋病毒检测显着更高。当人口因素得到控制时，污名化程度和危险性行为的数量并没有减少。扩大同龄人预防艾滋病毒的干预措施将使农村成年人受益。
This study used a quasi-experimental design to evaluate a six-session peer group intervention for HIV prevention among rural adults in Malawi. Two rural districts were randomly assigned to intervention and control conditions. Independent random samples of community adults compared the districts at baseline and at 6 and 18 months postintervention. Using multiple regressions controlling for six demographic factors, intervention district adults had significantly more favorable outcomes at 6- and 18-month evaluations for condom attitudes, self-efficacy for community prevention, self-efficacy for practicing safer sex, partner communication, using condoms ever in the past 2 months, and community prevention activities. Knowledge and hope for controlling the epidemic were significantly higher in the intervention district only at the 6-month evaluation; having a recent HIV test was significantly higher only at 18 months. Levels of stigma and the number of risky sex practices did not decrease when demographic factors were controlled. Expanding peer group intervention for HIV prevention would benefit rural adults.