Maticka-Tyndale Eleanor, Barnett Jessica Penwell
Dept. of Sociology and Anthropology, University of Windsor, 401 Sunset Ave, Windsor, Ontario, Canada N9B 3P4.
Eval Program Plann. 2010 May;33(2):98-112. doi: 10.1016/j.evalprogplan.2009.07.001. Epub 2009 Aug 3.
One approach in HIV prevention programming targeting youth is to use peer leaders in what is referred to as peer education programming. This paper critically reviews and synthesizes the results and lessons learned from 24 evaluated peer-led programs with an HIV/AIDS risk reduction component that target youth in the communities where they live and are delivered in low- and middle-income countries. Interventions were identified through a comprehensive search of the peer reviewed AIDS-related literature as well as publication lists of major organizations in the UN family that address HIV and AIDS. Our synthesis of study results finds that these programs have demonstrated success in effecting positive change in knowledge and condom use and have demonstrated some success in changing community attitudes and norms. Effects on other sexual behaviors and STI rates were equivocal. We include an overview of characteristics of successful programs, a review of program limitations, and recommendations for the development and implementation of successful community-based peer-led programs in low-income countries.
在针对青少年的艾滋病预防项目中，一种方法是利用同伴领袖开展所谓的同伴教育项目。本文批判性地回顾并综合了24个经过评估的、带有降低艾滋病毒/艾滋病风险内容的同伴主导项目的结果和经验教训，这些项目以青少年所生活的社区为目标群体，在低收入和中等收入国家开展。通过全面检索同行评审的艾滋病相关文献以及联合国系统内处理艾滋病毒和艾滋病问题的主要组织的出版物清单来确定干预措施。我们对研究结果的综合分析发现，这些项目已在实现知识和避孕套使用方面的积极变化方面取得成功，并在改变社区态度和规范方面也取得了一些成功。对其他性行为和性传播感染率的影响尚不明确。我们概述了成功项目的特点，回顾了项目的局限性，并为在低收入国家制定和实施成功的社区同伴主导项目提出了建议。
