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Traditional Balinese youth groups as a venue for prevention of AIDS and other sexually transmitted diseases.
AIDS. 1997 Sep; 11 Suppl 1:S111-9.AIDS

Abstract

OBJECTIVES

Our aims were to assess the feasibility of conducting peer-led educational interventions against AIDS and other sexually transmitted diseases (STDs) through traditional Balinese youth groups and to gather information on sexual risk-taking and its correlates among Balinese youth.

DESIGN

A cross-sectional survey was conducted, with follow-up questionnaires for pilot intervention participants.

SUBJECTS AND METHODS

A self-administered questionnaire was given to 375 subjects (aged 16-25 years) from 12 youth groups representing four main resort areas in Bali. Post-intervention data were collected from 97 of these subjects who had taken part in pilot educational programs. Focus groups supplemented survey data in evaluating the intervention and understanding risk behaviors.

RESULTS

In a cross-sectional survey, one-quarter of males and few females reported sexual activity; subsequent focus groups suggested under-reporting by females. While knowledge and worries about HIV/AIDS were high, only 10% of sexually active males and no females reported consistent condom use. The mean age of first sexual intercourse was highly correlated with first alcohol consumption (P = 0.0003). Peer educators from selected youth groups planned and implemented interventions for their own groups. Post-intervention data indicated significant increases in communication about sexual issues with friends and parents. Condom attitudes became less negative and efficacy increased. Participants reported this as a first experience with peer-led health education, preferred interactive activities to adult-led lectures and recommended follow-up educational sessions.

CONCLUSIONS

Peer educators from traditional youth groups can plan and conduct prevention programs for HIV/STDs that are well-received by their group memberships. Using such venues may be an efficient way to reach a wide range of pre-sexual Balinese youth, as well as those already at risk for HIV/STD due to unprotected sex, alcohol consumption and multiple sexual partners.

Authors+Show Affiliations

Udayana University AIDS Working Group and Citra Usadha Indonesia Foundation, Bali, Indonesia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9376094

Citation

Merati, T P., et al. "Traditional Balinese Youth Groups as a Venue for Prevention of AIDS and Other Sexually Transmitted Diseases." AIDS (London, England), vol. 11 Suppl 1, 1997, pp. S111-9.
Merati TP, Ekstrand ML, Hudes ES, et al. Traditional Balinese youth groups as a venue for prevention of AIDS and other sexually transmitted diseases. AIDS. 1997;11 Suppl 1:S111-9.
Merati, T. P., Ekstrand, M. L., Hudes, E. S., Suarmiartha, E., & Mandel, J. S. (1997). Traditional Balinese youth groups as a venue for prevention of AIDS and other sexually transmitted diseases. AIDS (London, England), 11 Suppl 1, S111-9.
Merati TP, et al. Traditional Balinese Youth Groups as a Venue for Prevention of AIDS and Other Sexually Transmitted Diseases. AIDS. 1997;11 Suppl 1:S111-9. PubMed PMID: 9376094.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Traditional Balinese youth groups as a venue for prevention of AIDS and other sexually transmitted diseases. AU - Merati,T P, AU - Ekstrand,M L, AU - Hudes,E S, AU - Suarmiartha,E, AU - Mandel,J S, PY - 1997/10/31/pubmed PY - 1997/10/31/medline PY - 1997/10/31/entrez KW - Acquired Immunodeficiency Syndrome--prevention and control KW - Adolescents KW - Age Factors KW - Asia KW - Behavior KW - Communication KW - Cross Sectional Analysis KW - Demographic Factors KW - Developing Countries KW - Diseases KW - Group Meetings KW - Hiv Infections--prevention and control KW - Iec KW - Indonesia KW - Infections KW - Knowledge Sources KW - Organization And Administration KW - Peer Groups KW - Pilot Projects KW - Population KW - Population Characteristics KW - Program Activities KW - Programs KW - Reproductive Tract Infections KW - Research Methodology KW - Research Report KW - Risk Behavior KW - Sexually Transmitted Diseases--prevention and control KW - Southeastern Asia KW - Studies KW - Viral Diseases KW - Youth SP - S111 EP - 9 JF - AIDS (London, England) JO - AIDS VL - 11 Suppl 1 N2 - OBJECTIVES: Our aims were to assess the feasibility of conducting peer-led educational interventions against AIDS and other sexually transmitted diseases (STDs) through traditional Balinese youth groups and to gather information on sexual risk-taking and its correlates among Balinese youth. DESIGN: A cross-sectional survey was conducted, with follow-up questionnaires for pilot intervention participants. SUBJECTS AND METHODS: A self-administered questionnaire was given to 375 subjects (aged 16-25 years) from 12 youth groups representing four main resort areas in Bali. Post-intervention data were collected from 97 of these subjects who had taken part in pilot educational programs. Focus groups supplemented survey data in evaluating the intervention and understanding risk behaviors. RESULTS: In a cross-sectional survey, one-quarter of males and few females reported sexual activity; subsequent focus groups suggested under-reporting by females. While knowledge and worries about HIV/AIDS were high, only 10% of sexually active males and no females reported consistent condom use. The mean age of first sexual intercourse was highly correlated with first alcohol consumption (P = 0.0003). Peer educators from selected youth groups planned and implemented interventions for their own groups. Post-intervention data indicated significant increases in communication about sexual issues with friends and parents. Condom attitudes became less negative and efficacy increased. Participants reported this as a first experience with peer-led health education, preferred interactive activities to adult-led lectures and recommended follow-up educational sessions. CONCLUSIONS: Peer educators from traditional youth groups can plan and conduct prevention programs for HIV/STDs that are well-received by their group memberships. Using such venues may be an efficient way to reach a wide range of pre-sexual Balinese youth, as well as those already at risk for HIV/STD due to unprotected sex, alcohol consumption and multiple sexual partners. SN - 0269-9370 UR - https://www.unboundmedicine.com/medline/citation/9376094/Traditional_Balinese_youth_groups_as_a_venue_for_prevention_of_AIDS_and_other_sexually_transmitted_diseases_ L2 - http://www.diseaseinfosearch.org/result/279 DB - PRIME DP - Unbound Medicine ER -