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...
Main Authors: | , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SAGE Publishing
2018-01-01
|
Series: | Global Pediatric Health |
Online Access: | https://doi.org/10.1177/2333794X18754452 |
_version_ | 1811225613490454528 |
---|---|
author | Stephen B. Kennedy MD Katherine Atwood DSc Albert O. Harris MSc Curtis H. Taylor BSc Steve Shamblen PhD Wede M. Nagbe BSc Mawen E. Gobeh BBA Fred Sosu BSc Jemee K. Tegli MSc Cecelia A. Morris MSN |
author_facet | Stephen B. Kennedy MD Katherine Atwood DSc Albert O. Harris MSc Curtis H. Taylor BSc Steve Shamblen PhD Wede M. Nagbe BSc Mawen E. Gobeh BBA Fred Sosu BSc Jemee K. Tegli MSc Cecelia A. Morris MSN |
author_sort | Stephen B. Kennedy MD |
collection | DOAJ |
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. |
first_indexed | 2024-04-12T09:10:19Z |
format | Article |
id | doaj.art-406b1d5abfe942468eede2d7afb0f5e6 |
institution | Directory Open Access Journal |
issn | 2333-794X |
language | English |
last_indexed | 2024-04-12T09:10:19Z |
publishDate | 2018-01-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Global Pediatric Health |
spelling | doaj.art-406b1d5abfe942468eede2d7afb0f5e62022-12-22T03:38:59ZengSAGE PublishingGlobal Pediatric Health2333-794X2018-01-01510.1177/2333794X18754452Preliminary Impacts of an HIV-Prevention Program Targeting Out-of-School Youth in Postconflict LiberiaStephen B. Kennedy MD0Katherine Atwood DSc1Albert O. Harris MSc2Curtis H. Taylor BSc3Steve Shamblen PhD4Wede M. Nagbe BSc5Mawen E. Gobeh BBA6Fred Sosu BSc7Jemee K. Tegli MSc8Cecelia A. Morris MSN9Pacific Institute for Research & Evaluation, Louisville Center, Louisville, KY, USAPacific Institute for Research & Evaluation, Louisville Center, Louisville, KY, USAUL-PIRE Africa Center, University of Liberia, Monrovia, LiberiaUL-PIRE Africa Center, University of Liberia, Monrovia, LiberiaPacific Institute for Research & Evaluation, Louisville Center, Louisville, KY, USAUL-PIRE Africa Center, University of Liberia, Monrovia, LiberiaUL-PIRE Africa Center, University of Liberia, Monrovia, LiberiaUL-PIRE Africa Center, University of Liberia, Monrovia, LiberiaUL-PIRE Africa Center, University of Liberia, Monrovia, LiberiaUL-PIRE Africa Center, University of Liberia, Monrovia, LiberiaAdolescents 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.https://doi.org/10.1177/2333794X18754452 |
spellingShingle | Stephen B. Kennedy MD Katherine Atwood DSc Albert O. Harris MSc Curtis H. Taylor BSc Steve Shamblen PhD Wede M. Nagbe BSc Mawen E. Gobeh BBA Fred Sosu BSc Jemee K. Tegli MSc Cecelia A. Morris MSN Preliminary Impacts of an HIV-Prevention Program Targeting Out-of-School Youth in Postconflict Liberia Global Pediatric Health |
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 |
url | https://doi.org/10.1177/2333794X18754452 |
work_keys_str_mv | AT stephenbkennedymd preliminaryimpactsofanhivpreventionprogramtargetingoutofschoolyouthinpostconflictliberia AT katherineatwooddsc preliminaryimpactsofanhivpreventionprogramtargetingoutofschoolyouthinpostconflictliberia AT albertoharrismsc preliminaryimpactsofanhivpreventionprogramtargetingoutofschoolyouthinpostconflictliberia AT curtishtaylorbsc preliminaryimpactsofanhivpreventionprogramtargetingoutofschoolyouthinpostconflictliberia AT steveshamblenphd preliminaryimpactsofanhivpreventionprogramtargetingoutofschoolyouthinpostconflictliberia AT wedemnagbebsc preliminaryimpactsofanhivpreventionprogramtargetingoutofschoolyouthinpostconflictliberia AT mawenegobehbba preliminaryimpactsofanhivpreventionprogramtargetingoutofschoolyouthinpostconflictliberia AT fredsosubsc preliminaryimpactsofanhivpreventionprogramtargetingoutofschoolyouthinpostconflictliberia AT jemeekteglimsc preliminaryimpactsofanhivpreventionprogramtargetingoutofschoolyouthinpostconflictliberia AT ceceliaamorrismsn preliminaryimpactsofanhivpreventionprogramtargetingoutofschoolyouthinpostconflictliberia |