Journal
JOURNAL OF HIV-AIDS & SOCIAL SERVICES
Volume 15, Issue 1, Pages 29-47Publisher
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/15381501.2014.999183
Keywords
adolescents; gender; HIV prevention; pregnancy; school-based intervention; South Africa
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Funding
- National Institutes of Health, Eunice Kennedy Shriver National Institute for Child Health and Development [R01 HD037343]
- National Institute for Mental Health, center grant to the HIV Center for Clinical and Behavioral Studies [P30-MH-43520]
- South African Medical Research Council
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT [R01HD037343] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF MENTAL HEALTH [P30MH043520, P50MH043520] Funding Source: NIH RePORTER
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This pilot study evaluated a 15-session classroom intervention for HIV and pregnancy prevention among grade 8-10 boys and girls (aged 14-17 years) 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. The main outcome was condom use at last sex; secondary outcomes were partner communication, gender beliefs and values, perceived peer behaviors, and self-efficacy for safer sex. At 5 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 (odds ratio [OR] 1.61, 95% confidence interval [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.
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