Mediation Analysis of a Theory-Based Culture and Age-Appropriate HIV/STI Prevention

Tsheko, G.N.; Koyabe, Bramwell; Gabaitiri, Lesego; Molebatsi, Kesaobaka; Chilisa, Bagele; Major, Thenjiwe Emily; Losike-Sedimo, Nonofo; Jemmott, John B.; Jemmott, Loretta Sweet

doi:10.1007/s11121-021-01306-8

“…10 Furthermore, current health education interventions significantly enhanced participants' intentions to change behavior, which is consistent with the findings of a study conducted in Iran, demonstrating higher improvements in behavioral intention after educational interventions. 11 A significant relationship was observed between attitude, perceived behavioral control, and intention to change behavior both before and after the intervention. Positive attitudes were associated with stronger intentions, highlighting the role of attitudes in driving behavioral change.…”

Section: Discussionmentioning

confidence: 92%

“… 10 Furthermore, current health education interventions significantly enhanced participants’ intentions to change behavior, which is consistent with the findings of a study conducted in Iran, demonstrating higher improvements in behavioral intention after educational interventions. 11 …”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Social Media-Based Intervention in Intention Change of Adolescents for Promoting Sexual Health Behavior in Western Terai of Nepal

Bhandari,

Dhital,

Khatri

et al. 2024

J Res Health Sci

0

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Background: Sexually transmitted infections (STIs) in adolescents are among the major public health challenges that have to be prevented in time. Traditional education falls short of reach; social media offers accessible ways. However, there is no research on such an issue in Nepal. Accordingly, this study was conducted to assess the effectiveness of a social media-based health education intervention in changing the intention of promoting sexual health among adolescents in Nepal. Study Design: A quasi-experimental study. Methods: A total of 160 adolescent students aged 14–19 years old from four purposively selected schools were evenly divided into intervention and non-intervention groups. Sampling and data collection were performed between May and June 2023. Data were collected through self-administered questionnaires for pretest and posttest evaluation. The intervention was delivered and followed up through a Facebook Messenger group. The obtained data were managed and analyzed using SPSS 21, with a significance level of 5%. Results: Social media-based health education interventions played a significant role in promoting the sexual health behavior of adolescents. The adolescents’ knowledge and attitude scores on STIs increased from 2.33 to 4.62 and from 21.87 to 26.30. In addition, their scores on subjective norms, perceived behavioral control, and intentions in promoting sexual behavior increased from 13.93 to 17.59, from 19.96 to 25.40, and from 13.07 to 18.06, respectively, which were statistically significant. Conclusion: The utilization of social media platforms such as Facebook Messenger groups is an effective medium for delivering health educational messages. Hence, increasing social media-based health education is a cost-effective intervention for promoting the health and sexual behaviors of adolescents.

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“…However, the results of this study suggest that the proportion of participants who received voluntary HIV counseling and testing was only 8.49%, suggesting that some male college students continued to have unsafe and high-risk behaviors when they had a high level of HIV/AIDS knowledge, open sexual attitudes, and high-risk awareness. Studies have shown that increasing the population's HIV/AIDS awareness and promoting the consistency of "knowledge" and "behavior" are important means to protect susceptible populations [21,22], suggesting that consistency of knowledge, belief, and behavior should be emphasized in future HIV/AIDS health education.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Commercial Sex Behavior among Male College Students Who Engaged in Temporary Heterosexual Behavior in Zhejiang Province, China

Yang

¹

,

Chen

²

,

Ma

³

et al. 2022

BioMed Research International

9

0

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Objective. This study explored the characteristics and associated factors of commercial sex behavior among male college students who engaged in temporary heterosexual behaviors in Zhejiang Province, China. Methods. The participants were male college students with temporary heterosexual behaviors. We developed an online questionnaire to collect information on demographic characteristics, sexual attitudes, sexual behaviors, and HIV/AIDS interventions through stratified cluster sampling. Chi-square ( χ 2 ) tests were performed for the different groups of participants. The occurrence of commercial sex behavior among participants was taken as the dependent variable, and logistic regression was used to analyze the factors associated with the participants’ commercial sex behavior. Results. This study investigated the temporary heterosexual behavior of 424 male college students. Among them were 112 students who reported commercial sex behavior (26.42%), whose average age was 20.25 ± 1.27 years, and whose household registration of Zhejiang Province accounted for 63.39%. The results of the multivariate logistic regression analysis indicated that acceptance of commercial sex behavior (Adjusted (a) OR = 3.53 , 95% CI = 1.94 ~6.40) and feeling at risk of contracting HIV ( aOR = 6.44 , 95% CI = 2.98 ~13.94), seeking temporary sexual partners through the Internet ( aOR = 2.58 , 95% CI = 1.27 ~5.25), consistently using condoms during sex ( aOR = 0.34 , 95% CI = 0.16 ~0.70), or using condoms sometimes/frequently during sex ( aOR = 0.30 , 95% CI = 0.13 ~0.68) were independent factors associated with male college students with temporary heterosexual behavior engaging in commercial sex behavior. Conclusion. Open sexual attitudes, seeking temporary sexual partners through the Internet, high awareness of HIV infection risk, and low condom use are associated factors for male college students engaging in commercial sex behavior. For college students’ HIV/AIDS prevention and education interventions, it is necessary to strengthen the prevention of network influence, increase peer education, increase teacher participation in education, enhance college students’ risk awareness, advocate for the use of condoms, and promote HIV/AIDS prevention and treatment.

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“…The CONNECT 2 Wellness Intervention was guided by Social Cognitive Theory (Bandura, 1989; El-Bassel, Gilbert, et al, 2011), which has been applied to other wellness and health promotion interventions (“Eban health promotion intervention: conceptual basis and procedures,” 2008; El-Bassel et al, 2016; El-Bassel, Gilbert, et al, 2011; El-Bassel, Gilbert, Terlikbayeva, et al, 2014; El-Bassel, Jemmott, et al, 2010; El-Bassel, Jemmott, et al, 2011; Heeren et al, 2018; Jemmott et al, 2011, 2019, 2021; Martinez et al, 2017; Tsheko et al, 2021). The components of the wellness promotion intervention focused on (1) maintaining a healthy diet; (2) promoting physical fitness in daily routines; (3) promoting age-appropriate recommendations for screening for common diseases such as cancers, heart disease, and diabetes; (4) improving access to healthcare services by identifying and addressing service barriers; and (5) learning stress-reduction exercises (see Table 2).…”

Section: Methodsmentioning

confidence: 99%

Leveraging Randomized Controlled Trial Design: HIV and Wellness Interventions with Marginalized Populations

Goddard-Eckrich

¹

,

Thomas

²

,

Gilbert

³

et al. 2022

Research on Social Work Practice

2

0

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Treatment as usual has historically been used as control arms for randomized controlled trials (RCTs), but utilizing wellness interventions as active comparison conditions can advance the evidence base of such interventions while increasing access to health promotion content. We use the results from the CONNECT 2 RCT's wellness intervention control arm as a case example of active comparison conditions that can control for dosage or attentional effects in future research. We summarized existing studies on wellness control HIV RCT interventions, introduced CONNECT 2, and discussed recruitment, randomization, and the intervention. Overall, Wellness Promotion participants were more likely to engage in physical activity, eat healthier, and do more vigorous exercise when compared with HIV Risk Reduction. CONNECT 2 Wellness intervention results solidify why wellness interventions can play an important role in treatment guidelines. Developing and implementing this model can be a more ethical, equitable, and holistic approach among underserved communities.

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Mediation Analysis of a Theory-Based Culture and Age-Appropriate HIV/STI Prevention

Cited by 4 publications

References 28 publications

Effectiveness of Social Media-Based Intervention in Intention Change of Adolescents for Promoting Sexual Health Behavior in Western Terai of Nepal

Effectiveness of Social Media-Based Intervention in Intention Change of Adolescents for Promoting Sexual Health Behavior in Western Terai of Nepal

Factors Associated with Commercial Sex Behavior among Male College Students Who Engaged in Temporary Heterosexual Behavior in Zhejiang Province, China

Leveraging Randomized Controlled Trial Design: HIV and Wellness Interventions with Marginalized Populations

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