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2015 ; 12
(ä): 84
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Effects of peer education intervention on HIV/AIDS related sexual behaviors of
secondary school students in Addis Ababa, Ethiopia: a quasi-experimental study
#MMPMID26346980
Menna T
; Ali A
; Worku A
Reprod Health
2015[Sep]; 12
(ä): 84
PMID26346980
show ga
BACKGROUND: Worldwide, about 50% of all new cases of HIV occur in youth between
age 15 and 24 years. Studies in various sub-Saharan African countries show that
both out of school and in school adolescents and youth are engaged in risky
sexual behaviors. School-based health education has been a cornerstone of
youth-focused HIV prevention efforts since the early 1990s. In addition,
peer-based interventions have become a common method to effect important
health-related behavior changes and address the HIV/AIDS pandemic. Thus, the aim
of this study was to evaluate efficacy of peer education on changing HIV related
risky sexual behaviors among school youth in Addis Ababa, Ethiopia. METHODS: A
quasi experimental study with peer education intervention was conducted in
purposively selected four secondary schools (two secondary schools for the
intervention and other two for the control group) in Addis Ababa, Ethiopia. Five
hundred sixty students from randomly selected sections of grade 11 were assessed
through anonymous questionnaires conducted in pre- and post-intervention periods.
Pertinent data on socio-demographic and sexual behavior related factors were
collected. The statistical packages used for data entry and analysis were
epi-info version 3.5.4 and SPSS version 20.0 respectively. Chi-square test and
multivariable logistic regressions were used for testing association between peer
education intervention and sexual behaviors of students. In addition to testing
association between dependent and independent variables, multi-variable analysis
was employed to control for the effects of confounding variables. RESULTS: When
the pre and post intervention data of each group were compared, comprehensive
Knowledge of HIV (P-Values =0.004) and willingness to go for HIV counseling and
testing (P-value?=?0.01) showed significant differences among intervention group
students during post intervention period. Moreover, students in the intervention
group were more likely to use condoms during post intervention period compared to
students of the control group [AOR?=?4.73 (95% CI (1.40-16.0)]. CONCLUSION:
Despite short follow up period, students in the intervention group demonstrated
positive changes in HIV related comprehensive knowledge and showed better
interest to go for HIV testing in the near future. Furthermore, positive changes
on risky sexual behaviors were reported from the intervention group. Implementing
secondary school targeted peer education by allocating appropriate amounts of
resources (money, man power, materials and time) could play significant role to
prevent and control HIV/AIDS among school youth.