HIV/STI risk-reduction intervention efficacy with South African adolescents over 54 months
SOURCE: Health Psychology
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2014
TITLE AUTHOR(S): J.B.Jemmott III, L.S.Jemmott, A.O'Leary, Z.Ngwane, D.A.Lewis, S.L.Bellamy, L.D.Icard, C.Carty, G.A.Heeren, J.C.Tyler, M.B.Makiwane, A.Teitelman
KEYWORDS: ADOLESCENTS, HIV/AIDS, INTERVENTION, RISK BEHAVIOUR, SEXUAL BEHAVIOUR, SEXUALLY TRANSMITTED DISEASES
Print: HSRC Library: shelf number 8349
HANDLE: 20.500.11910/2266
URI: http://hdl.handle.net/20.500.11910/2266
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2014
TITLE AUTHOR(S): J.B.Jemmott III, L.S.Jemmott, A.O'Leary, Z.Ngwane, D.A.Lewis, S.L.Bellamy, L.D.Icard, C.Carty, G.A.Heeren, J.C.Tyler, M.B.Makiwane, A.Teitelman
KEYWORDS: ADOLESCENTS, HIV/AIDS, INTERVENTION, RISK BEHAVIOUR, SEXUAL BEHAVIOUR, SEXUALLY TRANSMITTED DISEASES
Print: HSRC Library: shelf number 8349
HANDLE: 20.500.11910/2266
URI: http://hdl.handle.net/20.500.11910/2266
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Little research has tested HIV/sexually transmitted infection (STI) risk-reduction interventions' effects on early adolescents as they age into middle and late adolescence. This study tested whether intervention-induced reductions in unprotected intercourse during a 12-month period endured over a 54-month period and whether the intervention reduced the prevalence of STIs, which increase risk for HIV. Grade 6 learners (mean age = 12.4 years) participated in a 12-month trial in Eastern Cape Province, South Africa, in which 9 matched pairs of schools were randomly selected and within pairs randomized to a theory-based HIV/STI risk-reduction intervention or an attention-control intervention. They completed 42- and 54-month post-intervention measures of unprotected intercourse (the primary outcome), other sexual behaviors, theoretical constructs, and, at 42- and 54-month follow-up only, biologically confirmed curable STIs (chlamydial infection, gonorrhea, and trichomoniasis) and herpes simplex virus 2. Results: The HIV/STI risk-reduction intervention reduced unprotected intercourse averaged over the entire follow-up period, an effect not significantly reduced at 42- and 54-month follow-up compared with 3-, 6-, and 12-month follow-ups. The intervention caused positive changes on theoretical constructs averaged over the 5 follow-ups, although most effects weakened at long-term follow-up. Although the intervention's main effect on STIs was nonsignificant, an Intervention Condition X Time interaction revealed that it significantly reduced curable STIs at 42-month follow-up in adolescents who reported sexual experience. These results suggest that theory-based behavioral interventions with early adolescents can have long-lived effects in the context of a generalized severe HIV epidemic.-
Related Research Outputs:
- Mediators of behavior change resulting from a sexual risk reduction intervention for STI patients, Cape Town, South Africa
- Alcohol expectations and risky drinking among men and women at high-risk for HIV infection in Cape Town, South Africa
- Recent multiple sexual partners and HIV transmission risks among people living with HIV/AIDS in Botswana
- Brief HIV risk reduction intervention for sexually transmitted infection clinic patients who use alcohol in Cape Town
- Sensation seeking and alcohol use predict HIV transmission risks: prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa
- Heterosexual anal sex activity in the year after an STD clinic visit
- Age-disparate and intergenerational sex in southern Africa: the dynamics of hypervulnerability
- Researching MSM in South Africa: some preliminary notes from the frontlines of a hidden epidemic
- Condom failure among men receiving sexually transmissible infection clinic services, Cape Town, South Africa
- Book review: Reddy, V., Sandfort, T., Rispel, L. (eds). 2009. From social silence to social science: same-sex sexuality, HIV & AIDS and gender in South Africa: conference proceedings. Cape Town: HSRC Press. 252 pp. ISBN: 978-0-7969-2276-2
- Early sexual debut and associated factors among in-school adolescents in eight African countries
- Comparing STI risk and sexual behaviour profiles of pregnant versus non-pregnant, HIV negative black South African women
- A community-based study to examine the effect of a youth HIV prevention programme in South Africa
- Is HIV fraying the edges of gender and sexuality?: some ideas towards new ways of thinking 'on writing AIDS Review 2011'
- Efficacy of SISTA South Africa on sexual behavior and relationship control among isiXhosa women in South Africa: results of a randomized-controlled trial
- Sexual risk behaviors
- Risk and protective factors affecting sexual risk behavior among school-aged adolescents in Fiji, Kiribati, Samoa, and Vanuatu
- Child-focused state cash transfers and adolescent risk of HIV infection in South Africa: a propensity-score-matched case-control study
- Parenting and youth sexual risk in context: the role of community factors
- Abstract: Determinants of the use of voluntary counselling and testing services among the sexually active adult population of South Africa