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Results of a model AIDS prevention program for high school students in the Philippines.
AIDS 1995; 9 Suppl 1:S7-13AIDS

Abstract

OBJECTIVES

To describe the sexual practices of high school students; to describe the process of development of a school-based AIDS prevention program; and to evaluate the effect of this program on students' AIDS-related knowledge, attitudes and AIDS-preventive behaviors.

SUBJECTS AND METHODS

A cluster-randomized, controlled trial with pretest/post-test evaluation was conducted in four demographically similar public high schools in a semi-urban district of Metro Manila, the Philippines. Of 845 high school students who participated in the baseline survey, 804 (95%) completed a postintervention questionnaire.

INTERVENTION

An AIDS prevention program was developed by public high school teachers together with local AIDS experts, social scientists and health educators. The teacher-led AIDS program was designed to provide students with accurate information about AIDS, particularly in dispelling misconceptions about casual contagion, to foster positive attitudes towards people with AIDS and to develop skills aimed at clarifying values and assessing intended behavior.

RESULTS

At baseline, 11% of students (20% of males and 4% of females) reported ever having had sexual intercourse (mean age 14 years). Among these, condom use was low (24%). After implementation of the AIDS prevention program, statistically significant effects favoring the intervention group were observed in knowledge and attitudes towards people with AIDS. While there was no statistically significant overall effect on intended preventive behavior, the program appeared to delay the students' intended onset of sexual activity.

CONCLUSIONS

A sizable number of Filipino high school students are sexually active but condom use is low. School-based AIDS prevention programs can be developed and implemented in developing countries with the assistance of school personnel to address sexual issues. Our program was successful in increasing AIDS-related knowledge and improving attitudes towards people with AIDS. Supplementation with other preventive activities may be needed to achieve lasting changes in students' risk-taking behavior.

Authors+Show Affiliations

Research Institute for Tropical Medicine, Department of Health, Alabang, Muntinlupa, Metro Manila, Philippines.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

8562004

Citation

Aplasca, M R., et al. "Results of a Model AIDS Prevention Program for High School Students in the Philippines." AIDS (London, England), vol. 9 Suppl 1, 1995, pp. S7-13.
Aplasca MR, Siegel D, Mandel JS, et al. Results of a model AIDS prevention program for high school students in the Philippines. AIDS. 1995;9 Suppl 1:S7-13.
Aplasca, M. R., Siegel, D., Mandel, J. S., Santana-Arciaga, R. T., Paul, J., Hudes, E. S., ... Hearst, N. (1995). Results of a model AIDS prevention program for high school students in the Philippines. AIDS (London, England), 9 Suppl 1, pp. S7-13.
Aplasca MR, et al. Results of a Model AIDS Prevention Program for High School Students in the Philippines. AIDS. 1995;9 Suppl 1:S7-13. PubMed PMID: 8562004.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Results of a model AIDS prevention program for high school students in the Philippines. AU - Aplasca,M R, AU - Siegel,D, AU - Mandel,J S, AU - Santana-Arciaga,R T, AU - Paul,J, AU - Hudes,E S, AU - Monzon,O T, AU - Hearst,N, PY - 1995/7/1/pubmed PY - 1995/7/1/medline PY - 1995/7/1/entrez KW - Acquired Immunodeficiency Syndrome--prevention and control KW - Adolescents KW - Age Factors KW - Asia KW - Barrier Methods KW - Behavior KW - Condom KW - Contraception KW - Contraceptive Methods KW - Demographic Factors KW - Developing Countries KW - Diseases KW - Education KW - Family Planning KW - First Intercourse KW - Hiv Infections KW - Kap Surveys KW - Knowledge KW - Organization And Administration KW - Philippines KW - Population KW - Population Characteristics KW - Pre-post Tests KW - Premarital Sex Behavior KW - Program Evaluation KW - Programs KW - Research Methodology KW - Risk Reduction Behavior KW - Sampling Studies KW - Schools KW - Secondary Schools KW - Sex Behavior KW - Southeastern Asia KW - Students KW - Studies KW - Surveys KW - Viral Diseases KW - Youth SP - S7 EP - 13 JF - AIDS (London, England) JO - AIDS VL - 9 Suppl 1 N2 - OBJECTIVES: To describe the sexual practices of high school students; to describe the process of development of a school-based AIDS prevention program; and to evaluate the effect of this program on students' AIDS-related knowledge, attitudes and AIDS-preventive behaviors. SUBJECTS AND METHODS: A cluster-randomized, controlled trial with pretest/post-test evaluation was conducted in four demographically similar public high schools in a semi-urban district of Metro Manila, the Philippines. Of 845 high school students who participated in the baseline survey, 804 (95%) completed a postintervention questionnaire. INTERVENTION: An AIDS prevention program was developed by public high school teachers together with local AIDS experts, social scientists and health educators. The teacher-led AIDS program was designed to provide students with accurate information about AIDS, particularly in dispelling misconceptions about casual contagion, to foster positive attitudes towards people with AIDS and to develop skills aimed at clarifying values and assessing intended behavior. RESULTS: At baseline, 11% of students (20% of males and 4% of females) reported ever having had sexual intercourse (mean age 14 years). Among these, condom use was low (24%). After implementation of the AIDS prevention program, statistically significant effects favoring the intervention group were observed in knowledge and attitudes towards people with AIDS. While there was no statistically significant overall effect on intended preventive behavior, the program appeared to delay the students' intended onset of sexual activity. CONCLUSIONS: A sizable number of Filipino high school students are sexually active but condom use is low. School-based AIDS prevention programs can be developed and implemented in developing countries with the assistance of school personnel to address sexual issues. Our program was successful in increasing AIDS-related knowledge and improving attitudes towards people with AIDS. Supplementation with other preventive activities may be needed to achieve lasting changes in students' risk-taking behavior. SN - 0269-9370 UR - https://www.unboundmedicine.com/medline/citation/8562004/Results_of_a_model_AIDS_prevention_program_for_high_school_students_in_the_Philippines_ L2 - http://www.diseaseinfosearch.org/result/279 DB - PRIME DP - Unbound Medicine ER -