Long-term follow-up study on peer-led school-based HIV/AIDS prevention among youths in Shanghai

ArticleinInternational Journal of STD & AIDS 19(12):848-50 · January 2009with12 Reads
DOI: 10.1258/ijsa.2008.008129 · Source: PubMed
Abstract
The HIV/AIDS epidemic is a major problem around the world and an increasing percentage of new HIV cases is reported to be by sexual transmission. Many studies have been carried out in the field of peer education on HIV/AIDS among young people, however, few studies focused on the long-term effect of this education. To evaluate both the short- and long-term effects of the peer education programme, we conducted a follow-up study to evaluate the related knowledge, attitudes and behaviour intention to HIV/AIDS among senior high-school students in Shanghai, China. We selected 1950 students from 10 senior high schools in Shanghai, from whom 968 students were selected at random for the intervention group and 982 students for the control group. The same questionnaires were carried out before intervention, one month and one year later in both the groups. In the intervention group, the knowledge score of reproductive health, HIV/AIDS and sexually transmitted disease rose from 21.66 to 31.72 one month later (P < 0.001). After one year it was still 30.97, and there was no significant difference between one month and one year (P > 0.05). The behaviour intention to HIV/AIDS prevention, such as condom use during sexual intercourse also changed before and after the intervention. After both the one month and one-year follow-up intervention, we found that more students declared that they would use condoms during sexual intercourse when compared with the control group (P < 0.001). No change was seen in either knowledge or behaviour intention in the control group. These results showed that peer education on HIV/AIDS prevention among high-school students is both effective in promoting knowledge and in changing behaviour intention long term.
    • "By the mid-1980's, it became clear that the virus had spread, largely unnoticed, throughout most of the world [8]. The worldwide distribution of HIV/AIDS poses one of the biggest public health and social challenge in the world today [9]. According to the Joint UN Committee on HIV/AIDS [10], an estimated 38 million people worldwide were living with HIV in 2003, of which 5 million were newly infected. "
    Article · Apr 2015 · PLoS ONE
    • "Previous studies have shown gaps in the HIV knowledge of young adults121314151617. Different interventions to improve this knowledge have been described, with varying degrees of success18192021. Improving knowledge can have different secondary goals: reducing sexual risk behaviour, improving condom use or establishing better attitudes towards people living with HIV (PLWH)222324. "
    [Show abstract] [Hide abstract] ABSTRACT: Background Adolescents are a risk group for acquiring sexually transmitted diseases, including HIV. Correct knowledge about transmission mechanisms is a prerequisite to taking appropriate precautions to avoid infection. This study aimed at assessing the level of HIV-related knowledge among university students as a first step in developing targeted interventions. We used a self-developed HIV knowledge questionnaire, supplemented with socio-demographic and sexual behaviour questions. The questionnaire was composed of 59 items from different existing questionnaires. It included general statements and statements about prevention, transmission and treatment of HIV. Results There were 357 (79.7%) female and 93 (20.3%) male participants and their median age was 20 (IQR 19–21). On average 42/59 (71.2%) questions were answered correctly, 5/59 (8.5%) were answered incorrectly and 12/59 (20.3%) were unknown . The best and worse scores were seen on the prevention questions and the treatment questions, respectively. HIV-related knowledge is higher in older students and in students with a health-related education. Students with sexual experience, with five or more partners and students who have been tested on STDs have a higher HIV-related knowledge. Conclusions Knowledge on prevention and transmission of HIV is fairly good among university students and knowledge is higher among students with more sexual experience. They still have some misconceptions (e.g. HIV is spread by mosquitoes) and they are ignorant of a substantial number of statements (e.g. risk for infection through oral sex).
    Full-text · Article · May 2014
    • "Researchers would like to estimate the peer effects independent of the associations arising from homophily and environmental confounding. Many studies have revealed peer effects in behaviors including smoking and drug use among adolescents [15,16,17,18] and peer effects in HIV-related unsafe behaviors [19,20]. However, these may be subject to selection bias or confounding mentioned earlier. "
    [Show abstract] [Hide abstract] ABSTRACT: Relatively little is known about the peer influence in health behaviors within university dormitory rooms. Moreover, in China, the problem of unhealthy behaviors among university students has not yet been sufficiently recognized. We thus investigated health behavior peer influence in Peking University dormitories utilizing a randomized cluster-assignment design. Cross-sectional in-dormitory survey. Study population: Current students from Peking University Health Science Center from April to June, 2009. Self-reported questionnaire on health behaviors: physical activity (including bicycling), dietary intake and tobacco use. Use of bicycle, moderate-intensity exercise, frequency of sweet food and soybean milk intake, frequency of roasted/baked/toasted food intake were behaviors significantly or marginally significantly affected by peer influence. Health behavior peer effects exist within dormitory rooms among university students. This could provide guidance on room assignment, or inform intervention programs. Examining these may demand attention from university administrators and policy makers.
    Full-text · Article · Sep 2013
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