1. Effectiveness of a multi-country workplace intervention in sub-Saharan Africa.
- Author
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Richter, Kerry, Phillips, StevenC., McInnis, AmyM., and Rice, DeboraA.
- Subjects
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HIV prevention , *BEHAVIOR modification , *CONDOMS , *CONFIDENCE intervals , *EPIDEMIOLOGY , *EVALUATION of medical care , *PEER counseling , *PROBABILITY theory , *QUESTIONNAIRES , *SURVEYS , *WORK environment , *DATA analysis , *HARM reduction , *HEALTH literacy , *DESCRIPTIVE statistics - Abstract
This paper examines whether a multi-country workplace peer education HIV prevention program is effective in influencing knowledge, attitudes and behavior in a highly educated and technically skilled workforce. Self-administered surveys were used to measure change among N=993 male and female workers exposed to a comprehensive and culturally-appropriate program. Most knowledge indicators and all attitude indicators showed significant improvement between baseline and post-intervention. The odds ratio was 2.48 for reporting confidence in using condoms correctly after exposure to the program compared with the baseline survey. The results on changes in practice were mixed; while respondents were more likely to report being tested for HIV post-intervention, they were also more likely to self-report risky behavior. The findings suggest that peer education prevention programs in the workplace may create a climate of open discussion about sexual issues that increases self-reporting of risk behavior. Reinforcement of the messages contained in the program is therefore extremely important for influencing future behavior change. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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