title: 'Let Us Protect Our Future' a culturally congruent evidenced-based HIV/STD risk-reduction intervention for young South African adolescents.
abstract: One of the worst HIV/AIDS epidemics in the world is occurring in South Africa, where heterosexual exposure is the main mode of HIV transmission. Young people 15-24 years of age, particularly women, account for a large share of new infections. Accordingly, there is an urgent need for behavior-change interventions to reduce the incidence of HIV among adolescents in South Africa. However, there are few such interventions with proven efficacy for South African adolescents, especially young adolescents. A recent cluster-randomized controlled trial of the 'Let Us Protect Our Future!' HIV/STD risk-reduction intervention for Grade 6 South African adolescents (mean age = 12.4 years) found significant decreases in self-reported sexual risk behaviors compared with a control intervention. This article describes the intervention, the use of the social cognitive theory and the reasoned action approach to develop the intervention, how formative research informed its development and the acceptability of the intervention. Challenges in designing and implementing HIV/STD risk-reduction interventions for young adolescents in sub-Saharan Africa are discussed.
authors: School of Nursing, University of Pennsylvania, 418 Curie Boulevard, Department of Psychiatry, Perelman School of Medicine, and Center for Health Behavior and Communication Research, University of Pennsylvania, 3535 Market Street, Suite 520, Philadelphia, Department of Anthropology, Haverford College, Haverford, PA 19041, USA, College of Health Professions and Social Work, Temple University, Philadelphia, PA 19122, USA and National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
authors: L S
authors: LS
authors: Jemmott
authors: J B
authors: JB
authors: Jemmott
authors: Z
authors: Z
authors: Ngwane
authors: L
authors: L
authors: Icard
authors: A
authors: A
authors: O'Leary
authors: L
authors: L
authors: Gueits
authors: B
authors: B
authors: Brawner
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D002648:Child; D054521:Cultural Competency; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D012309:Risk-Taking; D021841:Safe Sex; D012736:Sex Education / Q000458:organization & administration*; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D013019:South Africa / Q000453:epidemiology
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