Differences among male/female adolescents participating in a school-based teenage education program (STEP) focusing on HIV prevention in India Journal Article

Authors: Chhabra, R.; Springer, C.; Rapkin, B.; Merchant, Y.
Article Title: Differences among male/female adolescents participating in a school-based teenage education program (STEP) focusing on HIV prevention in India
Abstract: Introduction: With the rising threat of HIV in India, youth are an important group to reach for prevention education. This pilot study tested the efficacy of STEP (School-based Teenage Education Program focusing on HIV Prevention) for school children. Method: This pilot study randomized 25 schools in Mumbai to receive STEP (N=1846). We trained forty two undergraduates from local colleges to deliver the (six- session) program over a six-week period to eighth graders (age 13-15 years). Outcome measures collected at six weeks were HIV knowledge, attitudes toward abstinence/condom use, peer pressure, and confidence in dealing with risky social situations. A repeated measures analysis of variance was conducted with pretest and posttest scores with knowledge, beliefs, attitudes, and confidence as the within-group measures and gender as the between-group measure. Results: Both boys and girls significantly improved on knowledge, attitudes, and beliefs regarding HIV/AIDS and in their confidence level in dealing with risky behavior. However girls increased more on knowledge (P<.05), agreement with abstinence (P<.05), and agreement with condom use (P<.001). Girls had significantly less need to follow peers (P<.05), better understanding of precautions against HIV (P<.001), and a higher confidence level in dealing with risky social situations (P<.05). Conclusions: Overall, girls benefited more from the STEP intervention than boys. The literature documents strong gender disparities in HIV/AIDS knowledge, information sources, and consequences of sex for youth in India. However, more work is needed to define and document the reasons for the differences.
Keywords: adolescent; adult; controlled study; major clinical study; clinical trial; comparative study; human immunodeficiency virus infection; outcome assessment; organization and management; controlled clinical trial; randomized controlled trial; attitude to health; groups by age; interviews as topic; statistical significance; training; pilot study; pilot projects; scoring system; health belief; interview; sex difference; acquired immune deficiency syndrome; india; health knowledge, attitudes, practice; social aspect; gender; analysis of variance; hiv infections; education program; hiv; health education; knowledge; adolescence; abstinence; prevention; school health service; high risk behavior; gender differences; college; condom; peer pressure; pretest posttest design; school health services
Journal Title: Ethnicity & Disease
Volume: 18
Issue: 2 Suppl. 2
ISSN: 1049-510X
Publisher: Int Soc Hypertension Blacks Ishib  
Date Published: 2008-01-01
Start Page: S2-123
End Page: S2-127
Language: English
PUBMED: 18646333
PROVIDER: scopus
Notes: --- - "Cited By (since 1996): 3" - "Export Date: 17 November 2011" - "CODEN: ETDIE" - "Source: Scopus"