Effectiveness of a video-based motivational skills-building HIV risk-reduction intervention for female military personnel.
Identifieur interne : 003D80 ( Main/Exploration ); précédent : 003D79; suivant : 003D81Effectiveness of a video-based motivational skills-building HIV risk-reduction intervention for female military personnel.
Auteurs : E James Essien [États-Unis] ; Osaro Mgbere ; Emmanuel Monjok ; Ernest Ekong ; Marcia M. Holstad ; Seth C. KalichmanSource :
- Social science & medicine (1982) [ 1873-5347 ] ; 2011.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Comportement de réduction des risques, Comportement sexuel, Connaissances, attitudes et pratiques en santé, Enregistrement sur bande vidéo, Femelle, Humains, Infections à VIH (), Jeune adulte, Motivation, Nigeria, Personnel militaire (enseignement et éducation), Préservatifs masculins (utilisation), Éducation pour la santé (), Études de faisabilité, Études de suivi, Évaluation de programme.
- MESH :
- enseignement et éducation : Personnel militaire.
- utilisation : Préservatifs masculins.
- Adolescent, Adulte, Comportement de réduction des risques, Comportement sexuel, Connaissances, attitudes et pratiques en santé, Enregistrement sur bande vidéo, Femelle, Humains, Infections à VIH, Jeune adulte, Motivation, Nigeria, Éducation pour la santé, Études de faisabilité, Études de suivi, Évaluation de programme.
- Wicri :
- geographic : Nigeria.
English descriptors
- KwdEn :
- Adolescent, Adult, Condoms (utilization), Feasibility Studies, Female, Follow-Up Studies, HIV Infections (prevention & control), Health Education (methods), Health Knowledge, Attitudes, Practice, Humans, Military Personnel (education), Motivation, Nigeria, Program Evaluation, Risk Reduction Behavior, Sexual Behavior, Videotape Recording, Young Adult.
- MESH :
- geographic : Nigeria.
- education : Military Personnel.
- methods : Health Education.
- prevention & control : HIV Infections.
- utilization : Condoms.
- Adolescent, Adult, Feasibility Studies, Female, Follow-Up Studies, Health Knowledge, Attitudes, Practice, Humans, Motivation, Program Evaluation, Risk Reduction Behavior, Sexual Behavior, Videotape Recording, Young Adult.
Abstract
Anecdotal evidence suggests that the HIV/AIDS prevalence rates in several African armed forces are high, with gender inequality rendering female military personnel more vulnerable to the disease. The objective of this study was to replicate a successful videotape-based HIV prevention intervention among Nigerian female military personnel in an effort to establish the cross-cultural stability, feasibility and cost-effectiveness of this approach in resource-limited countries. Enlisted women (N346) were recruited from two cantonments in Southwestern Nigeria and randomly assigned to either (a) a 5-session video-based, small group, cognitive-behavioral, HIV prevention intervention, or (b) a 5-session, video-based, contact-matched, HIV education control condition. Participants provided self-report of their HIV/AIDS-related knowledge and sexual behaviors at baseline, 3 and 6 months after completing the intervention. The results indicate that the motivational skills-building intervention did not improve participants' knowledge of HIV/AIDS any better than did the HIV education control condition at each assessment period, but it significantly increased condom use among women in this group by 53.6% at 3-month follow-up. HIV preventive behaviors among women in the motivational skills-building intervention group improved significantly, being 2 and 3 times more, compared to women in the HIV education control group at 3-month and 6-month follow-up assessments. The intervention also significantly improved behavioral intentions of participants as well as reduced alcohol use before sex by 25%, after 3 months; and number of sexual partners by 12% after 6 months. Women in the intervention group were five times more likely than women in HIV education control group to suggest that their new male partners use condom. These findings indicate that a videotape-based, HIV prevention intervention is a feasible and effective approach to HIV prevention among female military personnel from sub-Saharan Africa.
DOI: 10.1016/j.socscimed.2010.10.012
PubMed: 21106284
Affiliations:
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Le document en format XML
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<term>Adult</term>
<term>Condoms (utilization)</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>HIV Infections (prevention & control)</term>
<term>Health Education (methods)</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Humans</term>
<term>Military Personnel (education)</term>
<term>Motivation</term>
<term>Nigeria</term>
<term>Program Evaluation</term>
<term>Risk Reduction Behavior</term>
<term>Sexual Behavior</term>
<term>Videotape Recording</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Comportement de réduction des risques</term>
<term>Comportement sexuel</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Enregistrement sur bande vidéo</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infections à VIH ()</term>
<term>Jeune adulte</term>
<term>Motivation</term>
<term>Nigeria</term>
<term>Personnel militaire (enseignement et éducation)</term>
<term>Préservatifs masculins (utilisation)</term>
<term>Éducation pour la santé ()</term>
<term>Études de faisabilité</term>
<term>Études de suivi</term>
<term>Évaluation de programme</term>
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<term>Adult</term>
<term>Feasibility Studies</term>
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<term>Follow-Up Studies</term>
<term>Health Knowledge, Attitudes, Practice</term>
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<term>Risk Reduction Behavior</term>
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<term>Connaissances, attitudes et pratiques en santé</term>
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<front><div type="abstract" xml:lang="en">Anecdotal evidence suggests that the HIV/AIDS prevalence rates in several African armed forces are high, with gender inequality rendering female military personnel more vulnerable to the disease. The objective of this study was to replicate a successful videotape-based HIV prevention intervention among Nigerian female military personnel in an effort to establish the cross-cultural stability, feasibility and cost-effectiveness of this approach in resource-limited countries. Enlisted women (N346) were recruited from two cantonments in Southwestern Nigeria and randomly assigned to either (a) a 5-session video-based, small group, cognitive-behavioral, HIV prevention intervention, or (b) a 5-session, video-based, contact-matched, HIV education control condition. Participants provided self-report of their HIV/AIDS-related knowledge and sexual behaviors at baseline, 3 and 6 months after completing the intervention. The results indicate that the motivational skills-building intervention did not improve participants' knowledge of HIV/AIDS any better than did the HIV education control condition at each assessment period, but it significantly increased condom use among women in this group by 53.6% at 3-month follow-up. HIV preventive behaviors among women in the motivational skills-building intervention group improved significantly, being 2 and 3 times more, compared to women in the HIV education control group at 3-month and 6-month follow-up assessments. The intervention also significantly improved behavioral intentions of participants as well as reduced alcohol use before sex by 25%, after 3 months; and number of sexual partners by 12% after 6 months. Women in the intervention group were five times more likely than women in HIV education control group to suggest that their new male partners use condom. These findings indicate that a videotape-based, HIV prevention intervention is a feasible and effective approach to HIV prevention among female military personnel from sub-Saharan Africa.</div>
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<name sortKey="Kalichman, Seth C" sort="Kalichman, Seth C" uniqKey="Kalichman S" first="Seth C" last="Kalichman">Seth C. Kalichman</name>
<name sortKey="Mgbere, Osaro" sort="Mgbere, Osaro" uniqKey="Mgbere O" first="Osaro" last="Mgbere">Osaro Mgbere</name>
<name sortKey="Monjok, Emmanuel" sort="Monjok, Emmanuel" uniqKey="Monjok E" first="Emmanuel" last="Monjok">Emmanuel Monjok</name>
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<country name="États-Unis"><region name="Texas"><name sortKey="Essien, E James" sort="Essien, E James" uniqKey="Essien E" first="E James" last="Essien">E James Essien</name>
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