Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia.
Malaysian Research Institute of Ageing (MyAgeing), Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia.
Int J Environ Res Public Health. 2022 Aug 13;19(16):10004. doi: 10.3390/ijerph191610004.
The Human Immunodeficiency Virus (HIV) epidemic in Malaysia has transitioned to occurring through more sexual transmission than injecting drugs in 2018. According to reports, the increase was caused by poor condom compliance and a lack of health programmes to prevent sexually transmitted infections (STIs) among people living with HIV (PLWH). The purpose of the study was to create, implement, and evaluate the impact of a safe sex education module on condom use among PLWH. A single-blinded, parallel randomised controlled trial was conducted at Seremban district. The intervention group received additional health information geared toward safe sex education based on Social Cognitive Theory (SCT). The study primary analysis was the intention to treat, and the overall effects of the intervention were assessed using a generalised linear mixed model (GLMM). There was no significant difference between groups in terms of sociodemographics, sexual history, mean condom usage frequency score, or STI incidence at the study baseline. Receiving the module was linked to increased condom usage frequency (β = 1.228, % CI = 0.850, 1.606). When compared to conventional treatment provided in Seremban health clinics, this module effectively increases condom usage frequency among PLWH.
2018 年,马来西亚的人类免疫缺陷病毒(HIV)疫情已从注射毒品传播为主转变为性传播为主。报告称,这一增长是由于避孕套使用率低以及缺乏预防艾滋病毒感染者(PLWH)性传播感染(STI)的卫生项目所致。本研究旨在创建、实施和评估安全性行为教育模块对 PLWH 使用避孕套的影响。该单盲、平行随机对照试验在芙蓉区进行。干预组接受了基于社会认知理论(SCT)的额外安全性行为教育相关健康信息。主要分析是意向治疗,使用广义线性混合模型(GLMM)评估干预的总体效果。两组在社会人口统计学、性史、平均避孕套使用频率评分或研究基线时的性传播感染发生率方面没有显著差异。接受该模块与增加避孕套使用频率(β=1.228,%CI=0.850,1.606)有关。与芙蓉区诊所提供的常规治疗相比,该模块可有效提高 PLWH 的避孕套使用频率。
Int J Environ Res Public Health. 2022-8-13
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