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马来西亚某公立大学同伴教育对学生艾滋病相关知识、态度和危险行为实践的效果:一项随机对照试验。

Effectiveness of peer-led education on knowledge, attitude and risk behavior practices related to HIV among students at a Malaysian public university--a randomized controlled trial.

机构信息

Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.

出版信息

Prev Med. 2012 Nov;55(5):505-10. doi: 10.1016/j.ypmed.2012.09.003. Epub 2012 Sep 11.

DOI:10.1016/j.ypmed.2012.09.003
PMID:22982947
Abstract

OBJECTIVE

Develop, implement and evaluate the effectiveness of a peer-led education program related to HIV/AIDS among university students.

DESIGN

randomized controlled trial with 276 university students at Faculty of Medicine and Health Sciences University Putra Malaysia (UPM), Serdang in 2011.

INTERVENTION

A peer-led education program on HIV prevention by university students.

OUTCOME

differences in knowledge, attitude and risk behavior practices related to HIV between baselines, immediate follow-up after intervention and after three months.

RESULTS

Significant improvement in sound knowledge in the intervention group as compared to the control group (Odds ratio, 1.75; 95% CI 1.01, 3.00; p=0.04) and improvement in good attitude related to HIV (Odds ratio 2.22; 95% CI 1.37, 3.61; p=0.01). The odds of high substance risk behavior was significantly reduced in the intervention group as compared to the control group (Odds ratio 0.07; 95% CI 0.02, 0.34; p=0.01). The association between good knowledge and intervention was modified by the different time points (baseline, immediately after intervention and 3 months after intervention), ethnicity and gender.

CONCLUSION

Peer-led education program in HIV prevention improves knowledge, attitude and substance risk behavior. Changes in sexual risk behavior may require a longer follow-up.

摘要

目的

开发、实施并评估一项针对大学生的艾滋病相关的同伴教育计划的效果。

设计

2011 年在马来西亚博特拉大学(UPM)赛城医学与健康科学学院对 276 名大学生进行的随机对照试验。

干预措施

大学生主导的艾滋病预防同伴教育计划。

结局

基线、干预后即刻以及干预后三个月时与艾滋病相关的知识、态度和风险行为实践方面的差异。

结果

与对照组相比,干预组在正确知识方面有显著改善(优势比,1.75;95%置信区间,1.01,3.00;p=0.04),并且与艾滋病相关的良好态度也有所改善(优势比,2.22;95%置信区间,1.37,3.61;p=0.01)。与对照组相比,干预组高度物质风险行为的几率显著降低(优势比,0.07;95%置信区间,0.02,0.34;p=0.01)。良好知识与干预之间的关联受到不同时间点(基线、干预后即刻以及干预后 3 个月)、种族和性别因素的影响。

结论

艾滋病预防中的同伴教育计划可提高知识、态度和物质风险行为。性风险行为的变化可能需要更长的随访时间。

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