Fiscian Vivian Sarpomaa, Obeng E Kwame, Goldstein Karen, Shea Judy A, Turner Barbara J
JSA Consultants Limited, Accra, Ghana.
AIDS Educ Prev. 2009 Feb;21(1):67-79. doi: 10.1521/aeap.2009.21.1.67.
We adapted a U.S. HIV prevention program to address knowledge gaps and cultural pressures that increase the risk of infection in adolescent Ghanaian girls. The theory-based nine-module HIV prevention program combines didactics and games, an interactive computer program about sugar daddies, and tie-and-dye training to demonstrate an economic alternative to transactional sex. The abstinence-based study was conducted in a church-affiliated junior secondary school in Nsawam, Ghana. Of 61 subjects aged 10-14 in the prevention program, over two thirds were very worried about becoming HIV infected. A pre-post evaluation of the intervention showed significant gains in three domains: HIV knowledge (p = .001) and self efficacy to discuss HIV and sex with men (p < .001) and with boys (p < .001). Responses to items about social norms of HIV risk behavior were also somewhat improved (p = .09). Subjects rated most program features highly. Although short-term knowledge and self-efficacy to address HIV improved significantly, longer term research is needed to address cultural and economic factors placing young women at risk of HIV infection.
我们对一个美国的艾滋病预防项目进行了调整，以应对导致加纳少女感染风险增加的知识差距和文化压力。这个基于理论的九个模块的艾滋病预防项目结合了教学与游戏、一个关于“糖爹”的交互式计算机程序，以及扎染培训，以展示一种替代性交易的经济选择。这项以禁欲为基础的研究在加纳Nsawam一所与教会有关联的初中进行。在预防项目中的61名10至14岁的受试者中，超过三分之二的人非常担心感染艾滋病病毒。对干预措施的前后评估显示，在三个方面有显著收获：艾滋病知识（p = 0.001）以及与男性（p < 0.001）和男孩（p < 0.001）讨论艾滋病和性的自我效能感。对关于艾滋病风险行为社会规范项目的回答也有所改善（p = 0.09）。受试者对该项目的大多数特点评价很高。尽管在应对艾滋病方面的短期知识和自我效能感有显著提高，但仍需要进行长期研究，以解决使年轻女性面临艾滋病感染风险的文化和经济因素。
