Volume 2, Issue 3 (Autumn 2015)
J Educ Community Health 2015, 2(3): 19-27 |
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1- Student Research Committee, School of Public Health and Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran.
2- Senior Expert in Director General Office of Health, Tehran Municipality, Tehran, Iran.
3- Department of Nursing, Islamic Azad University, Marand Branch, Marand, Iran.
4- Senior Expert in Director General Office of Health, Tehran Municipality, Tehran, Iran. , moradi20294@yahoo.com
2- Senior Expert in Director General Office of Health, Tehran Municipality, Tehran, Iran.
3- Department of Nursing, Islamic Azad University, Marand Branch, Marand, Iran.
4- Senior Expert in Director General Office of Health, Tehran Municipality, Tehran, Iran. , moradi20294@yahoo.com
Abstract: (8721 Views)
Background and Objectives: AIDS is a health problem worldwide, especially in developing countries. Therefore, the aim of this study was the survey of the effectiveness of educational intervention based on peer education on knowledge, attitude and behavioral intention related to HIV/AIDS in high school female students in region 14 of Tehran, Iran.
Materials and Methods: In this quasi-experimental study, 330 female students were selected by multistage random sampling from 18 schools. For data collection, a reliable and valid questionnaire was used. Before the intervention, pretest were taken from both intervention and control groups and required information about knowledge, attitude and behavioral intention about HIV preventive behaviors were obtained for the design and implementation of intervention. Then, the educational intervention was implemented and after three months, the questionnaires were completed again to measure the impact of intervention. SPSS 21 statistical software and statistical tests of independent t, paired t, chi-squared, Pearson’s correlation and linear regression analysis were used for data analysis. The level of significance was considered P < 0.05.
Results: After the training, significant changes in the mean scores of knowledge, attitude and behavior was observed in the intervention group (P < 0.001). Age with attitude and behavioral intention with knowledge and attitude had direct significant correlations. Knowledge and attitude were able to predict 41% of changes in behavioral intention.
Conclusions: The findings of current study showed that the use of peer education can be effective in educational interventions to increase knowledge and to improve attitude and behavioral intention about HIV preventive behaviors.
References
1. Norr KF, Ferrer L, Cianelli R, Crittenden KS, Irarrazabal L, Cabieses B, et al. Peer group intervention for HIV prevention among health workers in Chile. J Assoc Nurses AIDS Care. 2012;23(1):73-86. DOI: 10.1016/j.jana.2011.02.001 PMID: 21497113
2. Malekzadeh Kebria R, Shabani F, Emadi H, Vala F, Nasrollahpour Shirvani S. [Evaluation of the Awareness of Marriage Candidates about AIDS in Babol]. J Health Res Commu. 2015;1(1):20-7.
3. Pakfetrat A, Shahabinejad H. [A study on general knowledge of the patients referring to Mashhad dental school about AIDS]. J Mashhad Dent Sch. 2004;28(3,4):141-50.
4. Saba HF, Kouyoumjian SP, Mumtaz GR, Abu-Raddad LJ. Characterising the progress in HIV/AIDS research in the Middle East and North Africa. Sex Transm Infect. 2013;89 Suppl 3:iii5-9. DOI: 10.1136/sextrans-2012-050888 PMID: 23596206
5. Enah C, Moneyham L, Vance DE, Childs G. Digital gaming for HIV prevention with young adolescents. J Assoc Nurses AIDS Care. 2013;24(1):71-80. DOI: 10.1016/j.jana.2012.03.005 PMID: 22871481
6. Health Mo. HIV/AIDS statistics. Center for Disease Management: Ministry of Health, 2010.
7. Organization WH. HIV/AIDS: data and statistics. Accessed online at http://www who int/hiv/data/en/on December. 2008;21:2009.
8. Control CfD. HIV/AIDS Surveillance Report in Islamic Republic of Iran. Iran Ministry of Health and Medical Education: Office of the Deputy for Public Health, 2012.
9. Haghdoost A, Mostafavi E, Mirzazadeh A, Navadeh S, Feizzadeh A, Fahimfar N. [Modeling of HIV/AIDS in Iran up to 2014]. J AIDS HIV Res. 2011;3(12):231-9.
10. Mogarehi M, Shokranian N. [Knowledge and attitude of student nurses towards AIDS]. Iran J Nurs. 2003;16(34):19-24.
11. Rooney G. Psychology in patients with HIV/AIDS and psychiatry services in world. J WHO. 2005;6(1-2):192-8.
12. DiClemente RJ, Wingood GM, Harrington KF, Lang DL, Davies SL, Hook EW, 3rd, et al. Efficacy of an HIV prevention intervention for African American adolescent girls: a randomized controlled trial. JAMA. 2004;292(2):171-9. DOI: 10.1001/jama.292.2.171 PMID: 15249566
13. Fowler MG, Melnick SL, Mathieson BJ. Women and Hiv. Obstetrics and Gynecology Clinics of North America. 1997;24(4):705-29. DOI: 10.1016/s0889-8545(05)70340-5
14. Rotheram-Borus MJ. Adolescents living safely: AIDS awareness, attitudes, and actions: HIV Center for Clinical and Behavioral Studies; 2002.
15. Kiragu K. Youth and HIV/AIDS: Can we avoid catastrophe? Population Reports Series L: Issues in World Health. 2001(12):40.
16. Yeganeh B. [Epidemiology of AIDS in world and Iran]. ministry of health, non-communicable disease central department, 2009.
17. Molla M, Astrom AN, Berhane Y. Applicability of the theory of planned behavior to intended and self-reported condom use in a rural Ethiopian population. AIDS Care. 2007;19(3):425-31. DOI: 10.1080/09540120600722692 PMID: 17453579
18. Akaberian S, Bahreini M. [A comparison between the effects of training performed by teachers and by health staff on the knowledge of high school students about AIDS in Bushehr]. Iran ISMJ. 2005;7(2):147- 53.
19. Sharifzadeh G, Moodi M, Zendehdel A. [Study of health education effect on knowledge and attitude of high school female students regarding AIDS in Birjand during 2007]. J Birjand Univ Med Sci. 2010;17(1):42-9.
20. Abdulraheem IS, Fawole OI. Young People's Sexual Risk Behaviors in Nigeria. Journal of Adolescent Research. 2009;24(4):505-27. DOI: 10.1177/0743558409337405
21. Gallant M, Maticka-Tyndale E. School-based HIV prevention programmes for African youth. Social Science & Medicine. 2004;58(7):1337-51. DOI: 10.1016/s0277-9536(03)00331-9
22. Noori Sistani M, Merghati Khoi E. [The impact of peer-based educational approaches on girls' physical practice of pubertal health]. Arak Med Univ J. 2010;12(4):129-35.
23. Medley A, Kennedy C, O'Reilly K, Sweat M. Effectiveness of Peer Education Interventions for HIV Prevention in Developing Countries: A Systematic Review and Meta-Analysis. AIDS Education and Prevention. 2009;21(3):181-206. DOI: 10.1521/aeap.2009.21.3.181
24. Henning JM, Weidner TG, Marty MC. Peer assisted learning in clinical education: Literature review. Athletic Training Education Journal. 2008;3(3):84-90.
25. Aghamolaei S, Rahmani T, Zare M, Ghanbarnejad A. [Effect of Peer Education on safety Behaviors among Workers of renovation of structures and machines shop in Bandar Abbas Oil Refinery Company]. Iran J Health Education Health Promotion. 2014;1(4):45-56.
26. Shams M, Solyman ekhtiari Y, Prnyani. [Basic skills in the field of health behavior modification]. Mehr matin. 1392.
27. Morisky DE, Stein JA, Chiao C, Ksobiech K, Malow R. Impact of a social influence intervention on condom use and sexually transmitted infections among establishment-based female sex workers in the Philippines: A multilevel analysis. Health Psychology. 2006;25(5):595-603. DOI: 10.1037/0278-6133.25.5.595
28. Basu I, Jana S, Rotheram-Borus MJ, Swendeman D, Lee S-J, Newman P, et al. HIV Prevention Among Sex Workers in India. JAIDS Journal of Acquired Immune Deficiency Syndromes. 2004;36(3):845-52. DOI: 10.1097/00126334-200407010-00012
29. Alizadeh Sivaki H, Zareban I, Rajhshani F, Shahrakipour M, Hasanzadeh M, Razavishmaei N. [The effect of peer education on AIDS preventive behaviors based on the theory of planned behavior in male students of high school second year in Zahedan]. J Q Horizon. 2013;18(5):233-40.
30. Ghaffari M, Jamali R, Rakhshanderou3 S, Eslami A. [Effect of educational program on HIV/AIDS-related knowledge, attitude, and behavioral intentions of male high school’s students in Bavanat (Fars province): An interventional research]. J Health in The Field. 2013;1(1):6-12.
31. Khodakaramy B, Bakhat R. [Studying the effect of education on knowledge and view of senior students in Tehran high schools about AIDS]. Nasim Danesh. 2005;14(1):12-5.
32. Ashrafinia F, Janani L, Khajeh Kazemi R, Dastoorpour M. [The Relationship between fear of AIDS with childbearing age women knowledge and attitude toward AIDS]. Razi J Med Scie. 2014;20(117):76-84.
33. Pakpour Hajiagha A, Mohammadi Zeidi I, Mohammadi Zeidi B. [The Impact of Health Education Based on Theory of Planned Behavior on the Prevention of AIDS among Adolescents]. Iran J Nurs. 2012;25(78):1-13.
34. Magnussen L, Ehiri JE, Ejere HO, Jolly PE. Interventions to prevent HIV/AIDS among adolescents in less developed countries: are they effective? Int J Adolesc Med Health. 2004;16(4):303-23. PMID: 15712969
35. Huang H, Ye X, Cai Y, Shen L, Xu G, Shi R, et al. Study on peer-led school-based HIV/AIDS prevention among youths in a medium-sized city in China. Int J STD AIDS. 2008;19(5):342-6. DOI: 10.1258/ijsa.2007.007208 PMID: 18482967
36. Cai Y, Hong H, Shi R, Ye X, Xu G, Li S, et al. Long-term follow-up study on peer-led school-based HIV/AIDS prevention among youths in Shanghai. International Journal of STD & AIDS. 2008;19(12):848-50. DOI: 10.1258/ijsa.2008.008129
37. Malekpour F, Mohammadin Y, Malekpour A, Salimi S, Sarkari A. [Study of relationship between personality, attitudes to safety and risky behavior among motorcycle drivers in Tehran city]. J health safety work. 2012;2(2):61-8.
38. Saber F, Shanazi H, Sharifrad G. [The survey of Theory of planned behavior constructs regarding girl student’s physical activity in Naein payame Noor University in 2012]. J Health Syst Res. 2013;9(9):1014-21.
39. Nadrian H, Rahaee Z, Mazloomy Mahmoodabad SS, Bahrevar V, KHajeh Z, Najafi S, et al. Effects of educational intervention on promoting skin cancer preventive behaviors and its predisposing factors among female students in Yazd city: An application of some PRECEDE Model constructs. Razi Journal of Medical Sciences. 2014;21(126):55-64.
40. Green LW, Kreuter MW. Health program planning: An educational and ecological approach. 2005.