TY - JOUR
T1 - Effects of PREPARE, a Multi-component, School-Based HIV and Intimate Partner Violence (IPV) Prevention Programme on Adolescent Sexual Risk Behaviour and IPV: Cluster Randomised Controlled Trial
AU - Mathews, Catherine
AU - Eggers, Matthijs
AU - Townsend, Loraine
AU - Aaro, Leif E.
AU - de Vries, Petrus J.
AU - Mason-Jones, Amanda J.
AU - De Koker, Petra
AU - Appollis, Tracy McClinton
AU - Mtshizana, Yolisa
AU - Koech, Joy
AU - Wubs, Annegreet
AU - De Vries, Hein
PY - 2016/9
Y1 - 2016/9
N2 - Young South Africans, especially women, are at high risk of HIV. We evaluated the effects of PREPARE, a multi-component, school-based HIV prevention intervention to delay sexual debut, increase condom use and decrease intimate partner violence (IPV) among young adolescents. We conducted a cluster RCT among Grade eights in 42 high schools. The intervention comprised education sessions, a school health service and a school sexual violence prevention programme. Participants completed questionnaires at baseline, 6 and 12 months. Regression was undertaken to provide ORs or coefficients adjusted for clustering. Of 6244 sampled adolescents, 55.3 % participated. At 12 months there were no differences between intervention and control arms in sexual risk behaviours. Participants in the intervention arm were less likely to report IPV victimisation (35.1 vs. 40.9 %; OR 0.77, 95 % CI 0.61-0.99; t(40) = 2.14) suggesting the intervention shaped intimate partnerships into safer ones, potentially lowering the risk for HIV.
AB - Young South Africans, especially women, are at high risk of HIV. We evaluated the effects of PREPARE, a multi-component, school-based HIV prevention intervention to delay sexual debut, increase condom use and decrease intimate partner violence (IPV) among young adolescents. We conducted a cluster RCT among Grade eights in 42 high schools. The intervention comprised education sessions, a school health service and a school sexual violence prevention programme. Participants completed questionnaires at baseline, 6 and 12 months. Regression was undertaken to provide ORs or coefficients adjusted for clustering. Of 6244 sampled adolescents, 55.3 % participated. At 12 months there were no differences between intervention and control arms in sexual risk behaviours. Participants in the intervention arm were less likely to report IPV victimisation (35.1 vs. 40.9 %; OR 0.77, 95 % CI 0.61-0.99; t(40) = 2.14) suggesting the intervention shaped intimate partnerships into safer ones, potentially lowering the risk for HIV.
KW - Adolescents
KW - HIV prevention
KW - Intimate partner violence
KW - Sexual risk behaviour
KW - Randomised controlled trial
U2 - 10.1007/s10461-016-1410-1
DO - 10.1007/s10461-016-1410-1
M3 - Article
C2 - 27142057
SN - 1090-7165
VL - 20
SP - 1821
EP - 1840
JO - Aids and Behavior
JF - Aids and Behavior
IS - 9
ER -