دورية أكاديمية
أعرض في EDS

Condom use increased after a peer group intervention implemented by community volunteers in Malawi.

التفاصيل البيبلوغرافية
العنوان: Condom use increased after a peer group intervention implemented by community volunteers in Malawi.
المؤلفون: Norr KF; College of Nursing, University of Illinois Chicago, 845 S Damen Ave, Chicago, IL, 60612, USA. knorr@uic.edu., Banda CK; Malawi Liverpool Wellcome Clinical Research Program, P.O Box 30096, Chichiri, Blantyre 3, Malawi., Chang C; School of Public Health, University of Illinois Chicago, 1603 W Taylor St, Chicago, IL, 60612, USA., Krishna S; School of Public Health, University of Illinois Chicago, 1603 W Taylor St, Chicago, IL, 60612, USA., Kumbani LC; Kamuzu University of Health Sciences, P/Bag 360, Chichiri, Blantyre 3, Malawi., Liu L; School of Public Health, University of Illinois Chicago, 1603 W Taylor St, Chicago, IL, 60612, USA., McCreary LL; College of Nursing, University of Illinois Chicago, 845 S Damen Ave, Chicago, IL, 60612, USA., Patil CL; School of Nursing, University of Michigan, 400 N. Ingalls St, Ann Arbor, MI, 48109, USA.
المصدر: BMC public health [BMC Public Health] 2024 Jun 03; Vol. 24 (1), pp. 1483. Date of Electronic Publication: 2024 Jun 03.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Condoms*/statistics & numerical data , Peer Group* , HIV Infections*/prevention & control , Volunteers*/psychology , Safe Sex*, Humans ; Malawi ; Male ; Female ; Adult ; Young Adult ; Adolescent ; Program Evaluation ; Rural Population ; Middle Aged ; Health Promotion/methods
مستخلص: Background: HIV prevention remains a global priority, especially in sub-Saharan Africa. Our research team previously developed an evidence-based peer group program for HIV prevention called Mzake ndi Mzake (Friend to Friend). A community-engaged collaboration adapted the program for community ownership and implementation. Here we report whether this HIV prevention program, implemented by community volunteers, increased condom use among sexually active individuals in rural Malawi.
Methods: Three communities sequentially rolled out the program. Effectiveness was evaluated using a stepped wedge design. Repeated surveys 11-13 months apart were conducted between 2016 and 2019. At Time 1, no community had offered the intervention. At Time 2, the first community had offered the intervention and two had not (control group). At Time 3, two communities had offered the intervention and one had not (control group). We used two condom use indicators; condom use frequency in the last 2 months (N = 771) and condom use at last sex (N = 880). The analytical sample included all sexually active persons answering that question at one or more time points. Mixed-effects cumulative logit and Generalized Estimating Equation (GEE) models were used to model the two condom indicators over time, controlling for demographic factors, UNAIDS HIV knowledge, safer sex self-efficacy and partner communication.
Results: This peer group intervention implemented by trained community volunteers increased both condom use indicators at Times 2 and 3. In the final adjusted models with non-significant factors removed, condom use in the last two months increased for the intervention group vs. control group [Time 2: Adjusted Odds Ratio (AOR) = 1.59 (1.15, 2.21); Time 3: AOR 2.01 (1.23, 3.30)]. Similarly, condom use at last sex increased for the intervention group vs. control group [Time 2: AOR = 1.48 (1.08, 2.03); Time 3: AOR 1.81 (1.13, 2.90)]. Other significant predictors of greater condom use were also described. Although the intervention increased UNAIDS HIV knowledge, knowledge did not predict condom use.
Conclusions: In this community-engaged implementation study, an evidence-based peer group program for HIV prevention increased condom use when delivered by trained community volunteers. Community ownership and program delivery by trained volunteers offer an innovative and cost-effective strategy to address ongoing HIV prevention needs without overburdening healthcare systems in sub-Saharan Africa.
Trial Registration: Clinical Trials.gov NCT02765659 Registered May 6, 2016.
(© 2024. The Author(s).)
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معلومات مُعتمدة: NR015409 National Institutes of Health, National Institute for Nursing Research; NR015409 National Institutes of Health, National Institute for Nursing Research; NR015409 National Institutes of Health, National Institute for Nursing Research; NR015409 National Institutes of Health, National Institute for Nursing Research; NR015409 National Institutes of Health, National Institute for Nursing Research; NR015409 National Institutes of Health, National Institute for Nursing Research; NR015409 National Institutes of Health, National Institute for Nursing Research; NR015409 National Institutes of Health, National Institute for Nursing Research
فهرسة مساهمة: Keywords: Community volunteers; Community-engaged peer groups; Condom use; HIV prevention; Implementation science; Malawi; Peer groups
سلسلة جزيئية: ClinicalTrials.gov NCT02765659
تواريخ الأحداث: Date Created: 20240603 Date Completed: 20240603 Latest Revision: 20240607
رمز التحديث: 20240607
مُعرف محوري في PubMed: PMC11145788
DOI: 10.1186/s12889-024-18991-z
PMID: 38831266
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2458
DOI:10.1186/s12889-024-18991-z