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首页> 外文期刊>Journal of health communication >Extracurricular School-Based Social Change Communication Program Associated with Reduced HIV Infection Among Young Women in South Africa
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Extracurricular School-Based Social Change Communication Program Associated with Reduced HIV Infection Among Young Women in South Africa

机译：基于课外学校的社会变革通信程序，与南非少妇中的艾滋病毒感染降低相关

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Background: Young women in South Africa are at high risk for HIV, particularly after they leave school. There are few studies examining the long-term impact of school-based public health interventions aimed at protecting young women from HIV. We undertook a long-term evaluation of an extracurricular, school-based HIV prevention program, that leveraged off a mass media television series in South Africa. Methods: We recruited 403 women aged 18-28 years. One hundred and seventy were members of Soul Buddyz Clubs (SBCs) between 2004 and 2008 and 233 were matched controls from the same communities as the ex-Buddyz. Face-to-face interviews were conducted and HIV testing undertaken. Analysis was restricted to 320 women who had ever had sex (136 ex-Buddyz and 184 controls). Multivariate analysis in Stata v14 was conducted. Findings: 16.4% of women tested HIV positive. Ex-Buddyz were more likely to be HIV negative than controls (AOR 2.92, 95% CI 1.26-6.77, p = 0.013). Ex-Buddyz were more likely to have only had one sexual partner in the past year (AOR 2.14, 95% CI 1.17-3.89, p = 0.013) and 1.7 times more likely to have used a condom at first sex (95% CI 0.99-2.92, p = 0.053). Interpretation: Participation in an SBC is associated with a decrease in young women's HIV risk and suggests an impact on some key risky sexual behaviors. School-based prevention programs that leverage off of other media platforms demonstrate a positive outcome on health status.
机译：背景：南非的少妇对艾滋病毒的风险很高，特别是在他们离开学校之后。少数研究审查了旨在保护艾滋病毒艾滋病毒的少妇的公共卫生干预措施的长期影响。我们对南非南非的大众媒体电视系列奠定了长期评估了课外课堂艾滋病毒预防计划。方法：我们招聘了403名18-28岁的女性。 2004年至2008年至2008年之间的灵魂Buddyz俱乐部（SBCS）是Soul Buddyz俱乐部（SBC）的成员，233年与同一社区的匹配控制是前伙伴。进行面对面的采访，并进行了艾滋病毒检验。分析仅限于320名曾经发生过性行为的女性（136个前伙伴和184个控件）。进行了STATA V14中的多变量分析。结果：16.4％的女性测试艾滋病毒阳性。 Ex-Buddyz比对照（AOR 2.92,95％CI 1.26-6.77，P = 0.013）更容易受到HIV负数。在过去的一年里，前伙伴更有可能只有一个性伴侣（AOR 2.14，95％CI 1.17-3.89，P = 0.013）和在第一性中使用安全套的1.7倍（95％CI 0.99 -2.92，p = 0.053）。解释：参与SBC与年轻女性艾滋病毒风险的减少有关，并对某些关键的性行为产生影响。基于学校的预防计划，即利用其他媒体平台的杠杆展示了对健康状况的积极结果。

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