School-based HIV prevention programmes for African youth
School-based HIV prevention programmes for African youth
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DOI：
10.1016/s0277-9536(03)00331-9
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发表时间：
2004-04-01
影响因子：
5.4
通讯作者：
Maticka-Tyndale, E
中科院分区：
文献类型：
--
作者：
Gallant, M;Maticka-Tyndale, E
非洲青年艾滋病毒感染率很高，引起了国家和国际的关注。教育和预防方案被视为降低这一比率的主要途径。本文回顾了11个已公布和评价的非洲青年学校减少艾滋病毒/艾滋病风险方案。大多数评估是准实验设计，具有前后测试评估。方案的目标各不相同，有些仅针对知识，有些针对态度，还有一些针对行为改变。在11项评估知识的研究中，有10项报告了显著的改善。所有七个评估的态度报告了一定程度的变化，增加的态度，有利于减少风险。在针对性行为的三项研究中，有一项研究发现，初次性行为被推迟，性伴侣的数量减少。在两个针对安全套使用的国家中，有一个国家的安全套使用行为有所改善。审查结果表明，知识和态度最容易改变，但行为更具挑战性。文章提供了有关方案的详细情况，并确定了最成功方案的特点。然而，显然需要进行更多的研究，以确定推动非洲成功实施以学校为基础的减少艾滋病毒/艾滋病风险方案的因素。(C)2003爱思唯尔有限公司。保留所有权利。
The high rate of HIV infection among youth in Africa has prompted both national and international attention. Education and prevention programmes are seen as the primary way of decreasing this rate. This paper reviews 11 published and evaluated school-based HIV/AIDS risk reduction programmes for youth in Africa. Most evaluations were quasi-experimental designs with pre-post test assessments. The programme objectives varied, with some targeting only knowledge, others attitudes, and others behaviour change. Ten of the 11 studies that assessed knowledge reported significant improvements. All seven that assessed attitudes reported some degree of change toward an increase in attitudes, favourable to risk reduction. In one of the three studies that targeted sexual behaviours, sexual debut was delayed, and the number of sexual partners decreased. In one of the two that targeted condom use, condom use behaviours improved. The results of this review suggest that knowledge and attitudes are easiest to change, but behaviours are much more challenging. The article provides details about programmes and identifies characteristics of the most successful programmes. Clearly, however, more research is needed to identify, with certainty, the factors that drive successful school-based HIV/AIDS risk reduction programmes in Africa. (C) 2003 Elsevier Ltd. All rights reserved.