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

Catherine Mathews; Matthijs Eggers; Loraine Townsend; Leif E. Aaro; Petrus J. de Vries; Amanda J. Mason-Jones; Petra De Koker; Tracy McClinton Appollis; Yolisa Mtshizana; Joy Koech; Annegreet Wubs; Hein De Vries

doi:10.1007/s10461-016-1410-1

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

Catherine Mathews^*, Matthijs Eggers, Loraine Townsend, Leif E. Aaro, Petrus J. de Vries, Amanda J. Mason-Jones, Petra De Koker, Tracy McClinton Appollis, Yolisa Mtshizana, Joy Koech, Annegreet Wubs, Hein De Vries

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

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.

Original language	English
Pages (from-to)	1821-1840
Journal	Aids and Behavior
Volume	20
Issue number	9
DOIs	https://doi.org/10.1007/s10461-016-1410-1
Publication status	Published - Sept 2016

Keywords

Adolescents
HIV prevention
Intimate partner violence
Sexual risk behaviour
Randomised controlled trial

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Mathews, C., Eggers, M., Townsend, L., Aaro, L. E., de Vries, P. J., Mason-Jones, A. J., De Koker, P., Appollis, T. M., Mtshizana, Y., Koech, J., Wubs, A., & De Vries, H. (2016). 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. Aids and Behavior, 20(9), 1821-1840. https://doi.org/10.1007/s10461-016-1410-1

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title = "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",

abstract = "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.",

keywords = "Adolescents, HIV prevention, Intimate partner violence, Sexual risk behaviour, Randomised controlled trial",

author = "Catherine Mathews and Matthijs Eggers and Loraine Townsend and Aaro, {Leif E.} and {de Vries}, {Petrus J.} and Mason-Jones, {Amanda J.} and {De Koker}, Petra and Appollis, {Tracy McClinton} and Yolisa Mtshizana and Joy Koech and Annegreet Wubs and {De Vries}, Hein",

year = "2016",

month = sep,

doi = "10.1007/s10461-016-1410-1",

language = "English",

volume = "20",

pages = "1821--1840",

journal = "Aids and Behavior",

issn = "1090-7165",

publisher = "Springer New York",

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Mathews, C, Eggers, M, Townsend, L, Aaro, LE, de Vries, PJ, Mason-Jones, AJ, De Koker, P, Appollis, TM, Mtshizana, Y, Koech, J, Wubs, A & De Vries, H 2016, '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', Aids and Behavior, vol. 20, no. 9, pp. 1821-1840. https://doi.org/10.1007/s10461-016-1410-1

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. / Mathews, Catherine; Eggers, Matthijs; Townsend, Loraine et al.
In: Aids and Behavior, Vol. 20, No. 9, 09.2016, p. 1821-1840.

Research output: Contribution to journal › Article › Academic › peer-review

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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

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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.

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KW - Intimate partner violence

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KW - Randomised controlled trial

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SN - 1090-7165

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SP - 1821

EP - 1840

JO - Aids and Behavior

JF - Aids and Behavior

IS - 9

ER -

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

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Keywords

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