Onyechi Kay Chinonyelum Nwamaka, Eseadi Chiedu, Okere Anthony U, Otu Mkpoikanke Sunday
Department of Educational Foundations/Guidance and Counseling, Faculty of Education, University of Nigeria, Nsukka, Enugu State, Nigeria.
Medicine (Baltimore). 2016 Jul;95(29):e3967. doi: 10.1097/MD.0000000000003967.
Exploring beliefs about personal risk for human immunodeficiency virus (HIV) infection is essential to understanding what motivates people to engage in behaviors that reduce or increase their risk of HIV infection. Therefore, the current study's objective was to examine the effects of a Rational-Emotive Health Education Program (REHEP) on HIV risk perceptions among in-school adolescents in Anambra State, Nigeria.Forty-four participants were identified as having high-risk perceptions about HIV infection through a self-report questionnaire and met the inclusion criteria. The treatment process was guided by a REHEP manual and consisted of 8 weeks of full intervention and 2 weeks of follow-up meetings that marked the end of intervention. The study used repeated measures analysis of variance to assess improvements in individual participants and across control and treatment group risk perceptions after the intervention.HIV risk perceptions of in-school adolescents did not differ across the treatment and control groups at baseline. Through REHEP, HIV risk perceptions significantly reduced in the treatment group compared to those in the control group. REHEP had significant effect on HIV risk perceptions of in-school adolescents exposed to treatment group, despite their sex. Religious background did not determine the significant effect of REHEP on HIV risk perceptions of in-school adolescents in the treatment group.Follow-up studies that would use a REHEP to assist client population from other parts of the country to promote HIV risk reduction, especially among those with high-risk behavior, are needed in Nigeria.
探究人们对人类免疫缺陷病毒（HIV）感染个人风险的看法，对于理解是什么促使人们采取降低或增加HIV感染风险的行为至关重要。因此，本研究的目的是检验理性情绪健康教育项目（REHEP）对尼日利亚阿南布拉州在校青少年HIV风险认知的影响。通过一份自填式问卷，44名参与者被确定为对HIV感染有高风险认知，且符合纳入标准。治疗过程以REHEP手册为指导，包括8周的全面干预和2周的随访会议，随访会议标志着干预的结束。该研究使用重复测量方差分析来评估干预后个体参与者以及对照组和治疗组风险认知的改善情况。在校青少年的HIV风险认知在基线时治疗组和对照组之间没有差异。通过REHEP，与对照组相比，治疗组的HIV风险认知显著降低。无论性别如何，REHEP对接受治疗组的在校青少年的HIV风险认知都有显著影响。宗教背景并未决定REHEP对治疗组在校青少年HIV风险认知的显著影响。尼日利亚需要开展后续研究，利用REHEP帮助该国其他地区的人群降低HIV风险，特别是那些有高风险行为的人群。
