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Evaluating a school-based intervention for STD/AIDS prevention in Peru

C F Cáceres1, A M Rosasco, J S Mandel

  • 1Institute for Population Studies, Universidad Cayetano Heredia, Lima, Peru.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|November 1, 1994
PubMed
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A short school-based program significantly improved adolescent knowledge, attitudes, and intentions regarding sexual health and HIV/AIDS prevention in Lima. The effective, low-cost intervention offers a model for reaching youth with vital sexual education.

Area of Science:

  • Public Health
  • Adolescent Health
  • Sexuality Education

Background:

  • Adolescents in Latin America face rising HIV/STD risks.
  • There is a need for effective, shorter sexual education programs for older adolescents.
  • Existing programs may not adequately reach all age groups.

Purpose of the Study:

  • To evaluate a short, school-based STD/AIDS prevention program.
  • To assess the program's impact on knowledge, attitudes, and intended behavior.
  • To determine the program's effectiveness among secondary students in Lima.

Main Methods:

  • A quasi-experimental design involving 1213 students from 14 schools.
  • Intervention group received a seven-week program; control group did not.
  • Program focused on empowerment, knowledge, attitudes, skills, and prevention intentions.

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Main Results:

  • Significant improvements in knowledge about sexuality and AIDS.
  • Positive shifts in attitudes towards contraception and reduced machismo/discrimination.
  • Enhanced self-efficacy and prevention-oriented behavioral intentions in the intervention group.

Conclusions:

  • The program is effective, acceptable, and low-cost ($3 per student).
  • It provides a viable option for adolescents unable to attend longer sex education programs.
  • The model is potentially applicable in Peru and other regions.