针对在校青少年的以性别为重点的艾滋病毒与妊娠预防：南非夸祖鲁-纳塔尔省的试点干预措施
Gender-Focused HIV and Pregnancy Prevention for School-Going Adolescents: The Pilot Intervention in KwaZulu-Natal, South Africa.
作者信息
Harrison Abigail, Hoffman Susie, Mantell Joanne E, Smit Jennifer A, Leu Cheng-Shiun, Exner Theresa M, Stein Zena A
机构信息
Department of Behavioral and Social Sciences, School of Public Health, Brown University and Population Studies and Training Center, Providence, RI, USA.
HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA; Department of Epidemiology, Joseph L. Mailman School of Public Health, Columbia University, New York, NY, USA.
出版信息
J HIV AIDS Soc Serv. 2016;15(1):29-47. doi: 10.1080/15381501.2014.999183. Epub 2016 Mar 22.
UNLABELLED
This pilot study evaluated a 15 session classroom intervention for HIV and pregnancy prevention among grade 8-10 boys and girls (ages 14-17) in rural South Africa, guided by gender-empowerment theory and implemented by teachers, nurses, and youth peer educators. Pre- and post-intervention surveys included 933 male and female students in two intervention and two comparison schools.
MAIN OUTCOME
condom use at last sex; secondary outcomes: partner communication; gender beliefs and values; perceived peer behaviors; self-efficacy for safer sex. At five months post-intervention, change in condom use did not differ between intervention and comparison schools. Intervention school youth had greater increases in self-efficacy for unsafe sex refusal [OR=1.61; 95% CI=1.01, 2.57] and condom use [OR=1.76; 95% CI=1.07, 2.89], partner communication [OR=2.42; 95% CI=1.27, 4.23], and knowledge of HIV testing opportunities [OR=1.76; 95% CI=1.08, 2.87]. This gender-focused pilot intervention increased adolescents' self-efficacy and partner communication, and has potential to improve preventive behaviors.
未标注
本试点研究评估了一项针对南非农村地区8至10年级男女生（年龄14至17岁）的为期15节课程的艾滋病毒和预防怀孕课堂干预措施，该干预措施以性别赋权理论为指导，由教师、护士和青年同伴教育者实施。干预前后的调查涵盖了两所干预学校和两所对照学校的933名男女学生。
主要结果
最近一次性行为时使用避孕套的情况；次要结果：与性伴侣的沟通；性别观念和价值观；感知到的同伴行为；安全性行为的自我效能感。在干预后五个月，干预学校和对照学校在避孕套使用情况的变化方面没有差异。干预学校的青少年在拒绝不安全性行为的自我效能感[比值比（OR）=1.61；95%置信区间（CI）=1.01，2.57]、避孕套使用[OR=1.76；95%CI=1.07，2.89]、与性伴侣的沟通[OR=2.42；95%CI=1.27，4.23]以及艾滋病毒检测机会的知识[OR=1.76；95%CI=1.08，2.87]方面有更大的提高。这项以性别为重点的试点干预提高了青少年的自我效能感和与性伴侣的沟通，并有潜力改善预防行为。
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