School of Nursing/Maltepe University, Department of Nursing, Istanbul, Turkey.
J Assoc Nurses AIDS Care. 2012 May-Jun;23(3):233-43. doi: 10.1016/j.jana.2011.02.003. Epub 2011 Apr 16.
This study investigated how HIV/sexually transmitted infection peer education (PE) affected HIV knowledge, perceived prevention self-efficacy, and risky sexual behaviors among Turkish university students (N = 118) who were sexually active but did not use condoms. A methodological and pre-/posttest controlled study design was used, with data collected before PE, just after PE, 3 months after PE, and 6 months after PE. We found significant differences according to grouptime interaction in the variables of HIV knowledge, self-efficacy for condom use and refusing sexual intercourse, and vaginal-oral-anal intercourse with condom, talking with the partner about condom use, refusing sexual intercourse with someone not using a condom, and taking alcohol before sexual intercourse. No differences were found according to grouptime interaction in self-efficacy for asking potential partners questions, using drugs before and after sexual intercourse, and sexual partner. Peer education was found to reduce risky sexual behaviors among university students. Peer education should focus on safer sexual behaviors to develop strategies to increase self-efficacy.
本研究调查了 HIV/性传播感染同伴教育（PE）如何影响土耳其大学生（n=118）的 HIV 知识、预防自我效能感和危险性行为，这些大学生有过性行为但不使用避孕套。研究采用方法学和预/后测试对照设计，在 PE 前、PE 后、PE 后 3 个月和 PE 后 6 个月收集数据。我们发现，在 HIV 知识、避孕套使用和拒绝性交的自我效能感、阴道-口腔-肛门性交使用避孕套、与伴侣谈论避孕套使用、拒绝与不使用避孕套的人发生性关系以及在性交前饮酒等变量方面，根据组时间交互作用存在显著差异。在询问潜在伴侣问题、性交前后使用毒品和性伴侣方面，没有发现组时间交互作用的差异。同伴教育被发现可以减少大学生的危险性行为。同伴教育应该注重更安全的性行为，制定增加自我效能感的策略。
