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UNESCO HIV and Health Education Clearinghouse

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  1. Impact of school-based HIV prevention program in post-conflict Liberia

    This paper presents findings of a feasibility study to adapt and evaluate the impact of an evidence-based HIV prevention intervention on sexual risk behaviors of in-school 6th grade youth in post-conflict Liberia (n = 812). The study used an attention-matched, group randomized controlled trial. Four matched pairs of elementary/middle schools in Monrovia, Liberia, were randomly assigned to either an adapted eight-module HIV prevention or a general health curriculum. Three- and nine-month impacts of the intervention on sexual risk behaviors and on mediating variables are presented. …

  2. HIV, syphilis infection, and risky sexual behaviors among male university students who have sex with men in Beijing, China: a cross-sectional study

    Young male university students who have sex with men are at high risk of HIV and sexually transmitted infections (STIs). The authors conducted a cross-sectional survey to assess the prevalence of risky sexual behaviors, HIV, and syphilis among male university students who have sex with men in Beijing, China; and to identify risk factors for unprotected anal intercourse (UAI). Among 157 study participants, HIV and syphilis prevalence were 2.5% and 7.0%, respectively. The authors found a high prevalence of UAI in the study population. …

  3. Multiple sexual partners and condom use among 10-19 year-olds in four districts in Tanzania: What do we learn?

    This study tested a hypothesis that sexual relationships with multiple partners in the 10- to 19-year age group spurs condom use during sex. The authors performed secondary analysis using data from the adolescent module of the cross-sectional household survey on Maternal, Newborn and Child Health (MNCH) that was done in Kigoma, Kilombero, Rufiji and Ulanga districts, Tanzania in 2008. A total of 612 adolescents from a random sample of 1,200 households participated in this study. Pearson Chi-Square was used as a test of association between multiple sexual partners and condom use. …

  4. HIV/AIDS related knowledge and perceived risk associated with condom use among adolescents in Uganda

    While considerable attention has been paid to sexual behaviors among HIV high-risk populations in Africa, few studies have looked at the adolescent population. Using data from the 2004 National Survey of Adolescents in Uganda, logistic regression models were fitted to examine the odds that HIV/AIDS related knowledge and perceived risk of HIV infection are associated with condom use among adolescents. …

  5. Assessing young unmarried men's access to reproductive health information and services in rural India

    The authors conducted a cross-sectional study using both qualitative and quantitative methods. Participants included 38 unmarried rural men in four focus-group discussions and a representative sample of 316 similarly profiled men, ages 17-22 years. Information was collected via survey on the men's socioeconomic characteristics; awareness, knowledge, and perceptions of family planning; attitudes toward future contraceptive use; intra-family communication; knowledge about STIs/HIV/AIDS; and access and use of condoms. …

  6. Impact of five years of peer-mediated interventions on sexual behavior and sexually transmitted infections among female sex workers in Mombasa, Kenya

    Background: Since 2000, peer-mediated interventions among female sex workers (FSW) in Mombasa Kenya have promoted behavioural change through improving knowledge, attitudes and awareness of HIV serostatus, and aimed to prevent HIV and other sexually transmitted infection (STI) by facilitating early STI treatment. Impact of these interventions was evaluated among those who attended peer education and at the FSW population level. Methods: A pre-intervention survey in 2000, recruited 503 FSW using snowball sampling. …

  7. Prevalence and correlates of sexual risk behaviors among Jamaican adolescents

    Despite high levels of sexual activity and risk behaviors among Jamaican youth, few population-based studies have examined their prevalence or correlates. The prevalence of three sexual risk behaviors was assessed using data from the 2008-2009 Jamaican Reproductive Health Survey on a subsample of adolescents aged 15-19 who neither were in a union nor had a child. Factors associated with the risk behaviors were examined separately for females and males, using bivariate analysis and multivariate logistic regression. …

  8. Awareness and knowledge of sexually transmitted diseases (STDs) among school-going adolescents in Europe: a systematic review of published literature

    This systematic review looks at levels of STI awareness, knowledge and perceived risk of school-going adolescents in Europe. Fifteen studies were included, all of which cross-sectional and conducted among 13 to 20 year olds. Awareness and knowledge varied depending on gender. Awareness on HIV/AIDS was high (over 90%) but low for HPV (5.4%-66%). While knowledge that condoms protect against STIs was high, adolescents viewed it as an interim contraception method before using the pill. In this study, knowledge did not translate into safer sex behavior change. …

  9. HIV knowledge, risk perception, and safer sex practices among female sex workers in Port Moresby, Papua New Guinea

    This qualitative study aimed to understand how knowledge of HIV and risk perceptiosn influence safer sex practices among female sex workers in Port Moresby, Papua New Guinea. Focus group discussions and semistructured interviews were used to gather data on female sex workers (FSW) (n=174) from 19 sites. FSWs also completed a structured, demographic questionnaire. Although some FSWs had misconceptions, the majority knew about HIV risk, transmission and prevention methods. …

  10. A school-based AIDS education programme for secondary school students in Nigeria: a review of effectiveness

    This study aimed to evaluate the effectiveness of health education initiatives to increase knowledge and improve attitudes and behaviors in response to rising HIV incidence. In this study, 223 students who received comprehensive health education were compared to 217 control group students who did not receive this education. …

  11. Sexuality Education in Fifth and Sixth Grades in U.S. Public Schools, 1999

    This study was conducted in 1999 using data from a nationally representative survey of 5th and 6th grader teachers (n=1789) in 5,543 public schools. Analyses were conducted of topics and skills taught relating to sexuality education, grades to which they were taught, teaching approaches, pressures experienced, support received and their needs. Seventy-two percent of the teachers reported that sexuality education is taught in their schools in at least one grade. …

  12. Sexuality Education: Our Current Status, and an Agenda for 2010

    This article presents three articles in this issue of Family Planning Perspectives. They are on changing foci within secondary school sexuality education (Changing Emphases), sexuality education for Grades 5-6 (Grades 5-6) and adolescents perceptions of reproductive health education (Adolescent Views). "Changing Emphases" discusses teachers' perceptions of a marked change from balanced treatment of abstinence and safer sexual practices in 1988 to a greater emphasis on abstinence (and abstinence only) in 1999. …

  13. Peer education in HIV prevention: an evaluation in schools

    Peer education is increasingly being used to increase HIV and AIDS awareness among youth. This pilot cohort study tested the effectiveness of this approach among high school students in 10 schools in Athens, Greece. Over one year, 702 students were followed (n = 493 experimental group, n = 209 control group) and knowledge, attitudes, behaviors, and practices assessed through a pre and post intervention questionnaire. Students in the intervention group were moderately more empowered to take personal responsibility and adopt safer sexual practices. …

  14. Comparison of Health Education and STD Risk Reduction Interventions for Incarcerated Adolescent Females

    Adolescent girls imprisoned in state reformatories were recruited (N=246) to an 18-month health education or HIV prevention program. A randomized block design was used to assign girls to one of the two programs. Girls in the HIV prevention program had improved risk reduction and condom use skills. At 9 months of follow-up, girls in both groups reported less sex under the influence of alcohol or drugs and less unprotected sex.

  15. The Association of AIDS Education and Sex Education with Sexual Behavior and Condom Use Among Teenage Men

    A 1998 national U.S. survey of 15-19 year olds found that 73% had received education about AIDS, 79% about birth control and 58% about resisting sexual activity. Multivariate analysis shows that AIDS and sex education moderately but significantly decreased number of sexual partners and frequency of intercourse in the year prior to the survey. This type of education was also associated with more consistent condom use. Education on some topics was associated with increased knowledge and improved attitudes about AIDS, but these did not always correlate with safer sexual behavior.

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