文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

Condom use increased after a peer group intervention implemented by community volunteers in Malawi.

作者信息

Norr Kathleen F, Banda Chimwemwe K, Chang Cecilia, Krishna Shruthi, Kumbani Lily C, Liu Li, McCreary Linda L, Patil Crystal L

机构信息

College of Nursing, Univiersity of Illinois Chicago.

Malawi-Liverpool-Wellcome Trust Clinical Research Programme.

出版信息

Res Sq. 2023 Jul 4:rs.3.rs-3120974. doi: 10.21203/rs.3.rs-3120974/v1.


DOI:10.21203/rs.3.rs-3120974/v1
PMID:37461672
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10350185/
Abstract

BACKGROUND: HIV prevention remains a global priority, especially in sub-Saharan Africa. Our research team previously developed an evidence-based peer group program for HIV prevention called (Friend to Friend). A community-engaged collaboration adapted the program for community ownership and implementation. Here we report whether this HIV prevention program, implemented by community volunteers, increased condom use among sexually active individuals in rural Malawi. METHODS: Three communities sequentially rolled out the program. Effectiveness was evaluated using repeated surveys. At Time 1, no community had offered the intervention. At Time 2, the first community had offered the intervention and two had not (control group). At Time 3, two communities had offered the intervention and one had not (control group). We used two condom use indicators; condom use frequency in the last 2 months (N = 776) and condom use at last sex (N = 880). For each indicator, the sample included all sexually active persons answering that question at one or more time points. Regression analyses were used to model the two condom indicators over time, controlling for demographic factors, UNAIDS HIV knowledge, safer sex self-efficacy and partner communication. RESULTS: This peer group intervention implemented by trained community volunteers increased both condom use indicators at Times 2 and 3. In the final regression models. Other predictors of greater condom use for at least one condom use indicator included younger age group (13-19), male gender, not married/cohabiting, high involvement in religiously affiliated activities, higher safer sex self-efficacy, and greater partner communication. Although the intervention increased UNAIDS HIV knowledge, knowledge did not predict condom use. CONCLUSIONS: This community engaged implementation study found that an evidence-based peer group program for HIV prevention increased condom use when delivered by trained community volunteers. Leveraging community strengths and human capital resources facilitated implementation of this effective HIV prevention program in rural Malawi. Community ownership and program delivery by trained local volunteers offers an innovative and cost-effective strategy to address ongoing HIV prevention needs without overburdening heathcare systems in sub. TRIAL REGISTRATION: Clinical Trials.gov NCT02765659 Registered May 6, 2016.

摘要

相似文献

[1]
Condom use increased after a peer group intervention implemented by community volunteers in Malawi.

Res Sq. 2023-7-4

[2]
Condom use increased after a peer group intervention implemented by community volunteers in Malawi.

BMC Public Health. 2024-6-3

[3]
A peer group intervention implemented by community volunteers increased HIV prevention knowledge.

BMC Public Health. 2023-2-10

[4]
A hybrid design testing a 3-step implementation model for community scale-up of an HIV prevention intervention in rural Malawi: study protocol.

BMC Public Health. 2018-8-2

[5]
Participation and diffusion effects of a peer-intervention for HIV prevention among adults in rural Malawi.

Soc Sci Med. 2015-5

[6]
Impact of a longitudinal community HIV intervention targeting injecting drug users' stage of change for condom and bleach use.

Am J Health Promot. 1997

[7]
Outcomes of an HIV prevention peer group intervention for rural adults in Malawi.

Health Educ Behav. 2011-3-10

[8]
Folic acid supplementation and malaria susceptibility and severity among people taking antifolate antimalarial drugs in endemic areas.

Cochrane Database Syst Rev. 2022-2-1

[9]
Exposure to a community-level HIV prevention intervention: who gets the message.

J Community Health. 1998-8

[10]
Short-term impact of safer choices: a multicomponent, school-based HIV, other STD, and pregnancy prevention program.

J Sch Health. 1999-5

本文引用的文献

[1]
Association between knowledge of Human Immunodeficiency Virus transmission and consistent condom use among sexually active men in Nigeria: An analysis of 2018 Nigeria Demographic Health Survey.

PLOS Glob Public Health. 2022-3-21

[2]
Conceptual tensions and practical trade-offs in tailoring implementation interventions.

Front Health Serv. 2022-11-17

[3]
A peer group intervention implemented by community volunteers increased HIV prevention knowledge.

BMC Public Health. 2023-2-10

[4]
Effect of comprehensive knowledge of HIV on risky sexual behaviours associated with HIV transmission among adult Ugandans: a propensity score-matched analysis.

BMJ Open. 2022-12-12

[5]
Low condom use at the last sexual intercourse among university students in sub-Saharan Africa: Evidence from a systematic review and meta-analysis.

PLoS One. 2022

[6]
Temporal shifts in HIV-related risk factors among cohorts of adolescent girls and young women enrolled in DREAMS programming: evidence from Kenya, Malawi and Zambia.

BMJ Open. 2022-2-1

[7]
Evaluating the impact of DREAMS on HIV incidence among adolescent girls and young women: A population-based cohort study in Kenya and South Africa.

PLoS Med. 2021-10

[8]
Adolescent condom use in Southern Africa: narrative systematic review and conceptual model of multilevel barriers and facilitators.

BMC Public Health. 2021-6-26

[9]
Ending the epidemic of HIV/AIDS by 2030: Will there be an endgame to HIV, or an endemic HIV requiring an integrated health systems response in many countries?

Int J Infect Dis. 2020-11

[10]
Knowledge, attitudes and practices of young adults towards HIV prevention: an analysis of baseline data from a community-based HIV prevention intervention study in two high HIV burden districts, South Africa.

BMC Public Health. 2020-8-17

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索