Effects of the Gama Cuulu Radio Serial Drama on HIV-Related Behavior Change in Zambia
Effects of the Gama Cuulu Radio Serial Drama on HIV-Related Behavior Change in Zambia
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DOI：
10.1080/10810730.2011.650834
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发表时间：
2012-01-01
影响因子：
4.4
通讯作者：
Mwinga, Alwyn
中科院分区：
文献类型：
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作者：
Kraft, Joan Marie;Hill, Zelee;Mwinga, Alwyn
Gama Cuulu广播剧是在赞比亚南部省份编剧和制作的。它促进行为改变和服务使用，以防止艾滋病毒传播。作者评估了Gama Cuulu在过去一年中对18至49岁成年人的中间结果(例如，感知正常)以及性伴侣数量、避孕套使用和艾滋病毒检测的影响。本研究采用前后测对照设计，以南方省份为干预区，西部省份为对照地区。2006年(预试)、2007年和2008年在这两个省进行了约1500次面谈。回归模型包括省份、时间以及两者之间的相互作用。两个省的结果都有所改善(例如，到2008年，37.6%的南部省和28.3%的西部省的参与者在过去一年中进行了艾滋病毒检测)。试验前后安全套使用率的变化(南方省份从20.2%到29.4%)和5个中间结果在两省有显著差异。然而，避孕套使用的变化与听Gama Cuulu无关，其他结果的变化在两个省是相似的。干预效果不佳可能是由于赞比亚的执行挑战或艾滋病毒方案饱和所致。
The Gama Cuulu radio serial drama is written and produced in Zambia's Southern Province. It promotes behavior change and service use to prevent HIV transmission. The authors evaluated the effects of Gama Cuulu on intermediate outcomes (e.g., perceived norms), as well as number of sexual partners, condom use, and HIV testing in the past year among adults between 18 and 49 years of age. The authors used a pretest/posttest assessment with a comparison group design, with Southern Province as the intervention area and Western Province as the comparison area. Approximately 1,500 in-person interviews were conducted in both provinces in 2006 (pretest), 2007, and 2008. Regression models included terms for province, time, and the interaction of the two. Outcomes improved in both provinces (e. g., by 2008, 37.6% of participants in Southern Province and 28.3% participants in Western Province tested for HIV in the past year). Pretest-to-posttest changes in condom use (from 20.2% to 29.4% in Southern Province) and 5 intermediate outcomes were significantly different in the 2 provinces. However, changes in condom use were not associated with listening to Gama Cuulu and changes in other outcomes were similar in both provinces. Weak intervention effects might be attributable to implementation challenges or the saturation of HIV programs in Zambia.