A controlled HIV/AIDS-related health education programme in Managua, Nicaragua.
To evaluate the impact of a community-wide intervention to increase HIV/AIDS-related knowledge, change attitudes and increase safer-sex practices in Managua, Nicaragua.
Design and setting
Household-based health education intervention trial comprising a knowledge, attitudes and practices (KAP) survey at baseline, a health education intervention and a follow-up KAP survey.
Four neighbourhoods were included, two received the intervention, and the other two served as controls.
Randomly selected residents aged 15-45 years were interviewed at baseline (n=2160) and follow-up (n=2271) using an identical questionnaire.
The intervention consisted of a health education campaign that emphasized HIV transmission and condom use.
Outcomes and analysis
Knowledge levels regarding transmission and prevention of HIV infection, self-reported use of condoms, levels of worries about HIV/AIDS and perception of personal risk of HIV infection.
Comparisons between baseline and follow-up employed khi2 tests with continuity correction.
The influence of the intervention was examined in multivariate logistic models including an appropriate interaction term.
Intervention and control samples were comparable with regard to sex, age, and age at first intercourse.
Significantly less intervention residents had formal education (P<0.001).
At baseline, outcome variables were generally similar in control and intervention samples.
Condom use increased from 9 to 16% (P=...
Mots-clés Pascal : SIDA, Virose, Infection, Programme sanitaire, Homme, Comportement sexuel, Education sanitaire, Nicaragua, Amérique Centrale, Amérique, Condom, Immunopathologie, Immunodéficit, Prévention
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Sanitary program, Human, Sexual behavior, Health education, Nicaragua, Central America, America, Condom, Immunopathology, Immune deficiency, Prevention
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0252345
Code Inist : 002B06D01. Création : 199608.