The effectiveness of a peer-led HIV/AIDS and STI health education intervention for prison inmates in South Africa.
This article reports on the effectiveness of the first systematically developed health education intervention for the reduction of risky sexual behavior among soon-to-be-released prisoners in South Africa. Data from three out of four prisons are eligible for data analysis including 263 inmates. Using a nested experimental design, short-term evaluation while inmates were still in prison demonstrate that experimental groups showed higher knowledge of sexually transmitted infections and had a more positive intention to reduce risky behavior than the control group in two out of three prisons. Long-term assessment 3 to 6 months after release from prison indicates that experimental groups were more positive about sexual communication, self-efficacy, and intention. Groups educated by an HIV-negative educator perform marginally better than those in groups with an HIV-positive peer educator. It is argued that peer-led health education programs may be effective in reducing risky behavior amongst soon-to-be-released inmates.
Sifunda
Sibusiso
S
Health Promotion R & D Group, Medical Research Council, Tygerberg, Cape Town, South Africa. sibusiso.sifunda@mrc.ac.za
Reddy
Priscilla S
PS
Braithwaite
Ronald
R
Stephens
Torrence
T
Bhengu
Sibusisiwe
S
Ruiter
Rob A C
RA
van den Borne
Bart
B
D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D015658:HIV Infections / Q000517:prevention & control*; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010379:Peer Group; D011329:Prisoners; D040242:Risk Reduction Behavior; D015231:Sexually Transmitted Diseases, Bacterial / Q000517:prevention & control*; D013019:South Africa; D047568:Unsafe Sex; D055815:Young Adult