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Preliminary Impacts of an HIV-Prevention Program Targeting Out-of-School Youth in Postconflict Liberia
Adolescents in Sub-Saharan Africa account for greater HIV/STI (human immuno defiency virus/sexually transmitted infection) burdens and difficult-to-reach populations. This study implemented a community-based HIV/STI program to reach at-risk youth aged 15 to 17 years in postconflict Liberia. Using a...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788126/ https://www.ncbi.nlm.nih.gov/pubmed/29399603 http://dx.doi.org/10.1177/2333794X18754452 |
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author | Kennedy, Stephen B. Atwood, Katherine Harris, Albert O. Taylor, Curtis H. Shamblen, Steve Nagbe, Wede M. Gobeh, Mawen E. Sosu, Fred Tegli, Jemee K. Morris, Cecelia A. |
author_facet | Kennedy, Stephen B. Atwood, Katherine Harris, Albert O. Taylor, Curtis H. Shamblen, Steve Nagbe, Wede M. Gobeh, Mawen E. Sosu, Fred Tegli, Jemee K. Morris, Cecelia A. |
author_sort | Kennedy, Stephen B. |
collection | PubMed |
description | Adolescents in Sub-Saharan Africa account for greater HIV/STI (human immuno defiency virus/sexually transmitted infection) burdens and difficult-to-reach populations. This study implemented a community-based HIV/STI program to reach at-risk youth aged 15 to 17 years in postconflict Liberia. Using a randomized controlled trial, community youths were assigned to an adapted version of an effective HIV/STI program, Making Proud Choices, or attention-matched comparison curriculum, General Health Program. Both programs were of similar doses, reach and coverage, and administered in classroom settings by trained health educators. The findings suggest that the adapted HIV/STI program had positive effects on knowledge, sexual refusal and condom use self-efficacy, condom negotiation self-efficacy, positive condom attitudes, parental communication about sex, and negative condom attitudes over time. Culturally adapted community-based, behavioral-driven programs can positively affect mediators of sexual behaviors in at-risk adolescents in postconflict settings. This is the first published report of an evidence-based HIV/STI program on sexual risk-taking behaviors of community youths in Liberia. |
format | Online Article Text |
id | pubmed-5788126 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-57881262018-02-02 Preliminary Impacts of an HIV-Prevention Program Targeting Out-of-School Youth in Postconflict Liberia Kennedy, Stephen B. Atwood, Katherine Harris, Albert O. Taylor, Curtis H. Shamblen, Steve Nagbe, Wede M. Gobeh, Mawen E. Sosu, Fred Tegli, Jemee K. Morris, Cecelia A. Glob Pediatr Health Original Article Adolescents in Sub-Saharan Africa account for greater HIV/STI (human immuno defiency virus/sexually transmitted infection) burdens and difficult-to-reach populations. This study implemented a community-based HIV/STI program to reach at-risk youth aged 15 to 17 years in postconflict Liberia. Using a randomized controlled trial, community youths were assigned to an adapted version of an effective HIV/STI program, Making Proud Choices, or attention-matched comparison curriculum, General Health Program. Both programs were of similar doses, reach and coverage, and administered in classroom settings by trained health educators. The findings suggest that the adapted HIV/STI program had positive effects on knowledge, sexual refusal and condom use self-efficacy, condom negotiation self-efficacy, positive condom attitudes, parental communication about sex, and negative condom attitudes over time. Culturally adapted community-based, behavioral-driven programs can positively affect mediators of sexual behaviors in at-risk adolescents in postconflict settings. This is the first published report of an evidence-based HIV/STI program on sexual risk-taking behaviors of community youths in Liberia. SAGE Publications 2018-01-24 /pmc/articles/PMC5788126/ /pubmed/29399603 http://dx.doi.org/10.1177/2333794X18754452 Text en © The Author(s) 2018 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Article Kennedy, Stephen B. Atwood, Katherine Harris, Albert O. Taylor, Curtis H. Shamblen, Steve Nagbe, Wede M. Gobeh, Mawen E. Sosu, Fred Tegli, Jemee K. Morris, Cecelia A. Preliminary Impacts of an HIV-Prevention Program Targeting Out-of-School Youth in Postconflict Liberia |
title | Preliminary Impacts of an HIV-Prevention Program Targeting Out-of-School Youth in Postconflict Liberia |
title_full | Preliminary Impacts of an HIV-Prevention Program Targeting Out-of-School Youth in Postconflict Liberia |
title_fullStr | Preliminary Impacts of an HIV-Prevention Program Targeting Out-of-School Youth in Postconflict Liberia |
title_full_unstemmed | Preliminary Impacts of an HIV-Prevention Program Targeting Out-of-School Youth in Postconflict Liberia |
title_short | Preliminary Impacts of an HIV-Prevention Program Targeting Out-of-School Youth in Postconflict Liberia |
title_sort | preliminary impacts of an hiv-prevention program targeting out-of-school youth in postconflict liberia |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788126/ https://www.ncbi.nlm.nih.gov/pubmed/29399603 http://dx.doi.org/10.1177/2333794X18754452 |
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