Use of western-based HIV risk-reduction interventions targeting adolescents in an African setting.
To evaluate an intervention (based on one which had previously been successful in reducing adolescent human immunodeficiency virus (HIV) risk behaviors in the United States) among adolescents residing in Namibia, a country located in sub-Saharan Africa.
A randomized trial of a 14-session face-to-face intervention emphasizing abstinence and safer sex was conducted among 515 youth (median age 17 years ; median grade 11) attending 10 secondary schools located in two districts in Namibia.
Knowledge, attitudes, intentions, and HIV risk behaviors were assessed at baseline and in the immediate postintervention period.
Knowledge increased significantly among intervention compared to control youth (88% vs. 82% ; correct responses, p<. 0001).
At postintervention follow-up, more intervention than control youth believed that they could be intimate without having sex, could have a girlfriend or boyfriend for a long time without having sex, could explain the process of impregnation, knew how to use a condom, and could ask for condoms in a clinic.
Fewer intervention than control youth believed that if a girl refused to have sex with her boyfriend it was permissible for him to strike her, and that condoms took away a boy's pleasure.
More intervention than control youth anticipated using a condom when they did have sex, and fewer expected to drink alcohol.
Finally, after intervention, there was a trend for increased condom use. (...)
Mots-clés Pascal : SIDA, Virose, Infection, Prise risque, Prévention, Programme sanitaire, Namibie, Afrique, Etude comparative, Sexe, Relation sexuelle, Facteur risque, Adolescent, Homme, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Risk taking, Prevention, Sanitary program, Namibia, Africa, Comparative study, Sex, Sexual intercourse, Risk factor, Adolescent, Human, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0469002
Code Inist : 002B30A03B. Création : 22/03/2000.