Effectiveness of a peer-led HIV/AIDS education program on HIV-related health literacy of jailed adolescents in Tunis, Tunisia

Naserirad, Mohsen; Ayari, Ferihane; Hamdini, Ayoub; Hadiji, Karine

doi:10.1007/s10389-018-0975-8

Cited by 5 publications

(9 citation statements)

References 23 publications

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“…The extent to which an adolescent feels connected to and supported by their peers is a critical component of well-being and assessment of self-worth (Van Den Berg et al, 2013). Particularly for out-of-school AGYW, or those without access to formal educational settings, peer group clubs are a feasible way of providing social support, as well as improving health literacy (Naserirad et al, 2019).…”

Section: The 'Group' Based Modelmentioning

confidence: 99%

“…In the peer-group club environment, adolescents and young people can provide each other with positive role modelling, trust, comfort, and familiarity (Sun et al, 2018). Peer group discussion and debate over sexual, relationship and gender norms, are useful mechanisms for positive behaviour change, role patterning healthy social norms, and challenging peer norms that promote high-risk behaviours (Campbell & MacPhail, 2002;Naserirad et al, 2019;Visser, 2007).…”

Section: Positive Role Modellingmentioning

confidence: 99%

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“In this place we have found sisterhood”: perceptions of how participating in a peer-group club intervention benefited South African adolescent girls and young women

Duby

Verwoerd

Appollis

et al. 2021

International Journal of Adolescence and Youth

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A combination sexual and reproductive health (SRH) intervention for adolescent girls and young women (AGYW), implemented in South Africa 2016-2019, included facilitated peer-group clubs designed to build AGYW self-esteem, foster supportive peer networks, and provide SRH education. We conducted qualitative in-depth interviews and focus group discussions with AGYW who had participated in peer-group clubs, club facilitators, teachers and intervention implementers. Perceived benefits of participation in peer-group clubs included increased peer support, self-esteem, and gender empowerment, access to safe spaces, improved ability to access emotional support, and positive role modelling, which in turn contributed to improved well-being and mental health. Findings show that peer-group club interventions can be successful in promoting self-esteem, well-being and perceived social support amongst AGYW in South Africa. Given the protective role that social support and mental health have on positive SRH outcomes for AGYW, it is critical that combination interventions incorporate relevant and effective components.

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Section: The 'Group' Based Modelmentioning

confidence: 99%

Section: Positive Role Modellingmentioning

confidence: 99%

“In this place we have found sisterhood”: perceptions of how participating in a peer-group club intervention benefited South African adolescent girls and young women

Duby

Verwoerd

Appollis

et al. 2021

International Journal of Adolescence and Youth

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“…Research methods also varied. Twenty-seven percent of articles reported findings from quasi-experimental studies (n = 13) [ 54 , 57 , 58 , 64 , 67 , 70 , 72 , 74 , 77 , 80 , 81 , 84 , 86 ], 23% (n = 11) from systematic reviews [ 62 , 63 , 68 , 69 , 75 , 83 , 95 , 96 , 98 – 100 ], 19% (n = 9) from randomized control trials [ 55 , 59 , 61 , 73 , 76 , 87 – 90 ], and 15% (n = 7) from prospective or longitudinal studies [ 56 , 60 , 65 , 78 , 79 , 92 , 93 ].…”

Section: Resultsmentioning

confidence: 99%

“…A range of community-led approaches were described in the 48 articles we reviewed. Nearly half (48%, n = 23) described peer-led education or prevention interventions [ 54 , 55 , 57 – 62 , 64 – 66 , 70 , 74 , 79 , 80 , 82 , 83 , 85 – 88 , 91 , 96 ], of these more than half (n = 12) were focused on students or youth. Approaches in reviewed articles also include community-led testing, care, and treatment (n = 8) [ 56 , 63 , 67 , 69 , 73 , 94 , 97 , 98 ], community mobilization, advocacy, monitoring, and human rights programs (n = 5) [ 53 , 75 , 78 , 93 , 100 ], community support groups, clubs, and mentors (n = 4) [ 71 , 76 , 89 , 95 ], adherence programs (n = 4) [ 72 , 77 , 90 , 99 ], community empowerment (n = 3) [ 68 , 81 , 84 ], and drop-in centres (n = 1) [ 92 ].…”

Section: Resultsmentioning

confidence: 99%

“…Outcomes studied also varied. At the individual level, more than half of studies (58%, n = 28) reported improved prevention outcomes, i.e., condom use, sexual risk, self-efficacy, attitudes, and intentions [ 53 – 55 , 57 – 62 , 64 , 66 , 70 , 71 , 74 , 79 – 88 , 91 , 93 , 96 , 100 ]. There were 8 studies that reported improved HIV treatment adherence [ 89 , 90 , 95 , 99 ] and viral load or viral suppression [ 56 , 72 , 76 , 77 ].…”

Section: Resultsmentioning

confidence: 99%

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Peer- and community-led responses to HIV: A scoping review

Ayala

Sprague

Merwe³

et al. 2021

PLoS ONE

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Introduction In June 2021, United Nations (UN) Member States committed to ambitious targets for scaling up community-led responses by 2025 toward meeting the goals of ending the AIDS epidemic by 2030. These targets build on UN Member States 2016 commitments to ensure that 30% of HIV testing and treatment programmes are community-led by 2030. At its current pace, the world is not likely to meet these nor other global HIV targets, as evidenced by current epidemiologic trends. The COVID-19 pandemic threatens to further slow momentum made to date. The purpose of this paper is to review available evidence on the comparative advantages of community-led HIV responses that can better inform policy making towards getting the world back on track. Methods We conducted a scoping review to gather available evidence on peer- and community-led HIV responses. Using UNAIDS’ definition of ‘community-led’ and following PRISMA guidelines, we searched peer-reviewed literature published from January 1982 through September 2020. We limited our search to articles reporting findings from randomized controlled trials as well as from quasi-experimental, prospective, pre/post-test evaluation, and cross-sectional study designs. The overall goals of this scoping review were to gather available evidence on community-led responses and their impact on HIV outcomes, and to identify key concepts that can be used to quickly inform policy, practice, and research. Findings Our initial search yielded 279 records. After screening for relevance and conducting cross-validation, 48 articles were selected. Most studies took place in the global south (n = 27) and a third (n = 17) involved youth. Sixty-five percent of articles (n = 31) described the comparative advantage of peer- and community-led direct services, e.g., prevention and education (n = 23) testing, care, and treatment programs (n = 8). We identified more than 40 beneficial outcomes linked to a range of peer- and community-led HIV activities. They include improved HIV-related knowledge, attitudes, intentions, self-efficacy, risk behaviours, risk appraisals, health literacy, adherence, and viral suppression. Ten studies reported improvements in HIV service access, quality, linkage, utilization, and retention resulting from peer- or community-led programs or initiatives. Three studies reported structural level changes, including positive influences on clinic wait times, treatment stockouts, service coverage, and exclusionary practices. Conclusions and recommendations Findings from our scoping review underscore the comparative advantage of peer- and community-led HIV responses. Specifically, the evidence from the published literature leads us to recommend, where possible, that prevention programs, especially those intended for people living with and disproportionately affected by HIV, be peer- and community-led. In addition, treatment services should strive to integrate specific peer- and community-led components informed by differentiated care models. Future research is needed and should focus on generating additional quantitative evidence on cost effectiveness and on the synergistic effects of bundling two or more peer- and community-led interventions.

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Health literacy among adolescents and young adults in the Eastern Mediterranean region: a scoping review

et al. 2023

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ObjectivesFor adolescents and young adults, most health literacy research has been conducted in Western countries, but few studies have been conducted in the Eastern Mediterranean region (EMR). This review aimed to explore the existing health literacy research in the EMR in addition to the levels of health literacy and its associated factors among adolescents and young adults.MethodsThe search, conducted using the PubMed/MEDLINE, EBSCOhost/CINAHL plus, Web of Science and J-STAGE databases, was initially performed on 16 June 2022 and later updated on 1 October 2022. Studies that targeted 10–25 years old persons, conducted in any of the EMR countries and that used the health literacy concept and/or described its levels or predictors were included in the review. Content analysis was used for data extraction and analysis. Data related to the study methods, participants, outcome variables and health literacy were extracted.ResultsThe review included 82 studies, most of which were conducted in Iran and Turkey and adopted a cross-sectional design. Half of the studies showed that more than half of adolescents and young adults had low or moderate health literacy. Nine studies applied university-based or school-based health education interventions to improve health literacy, which was also predicted by demographic and socioeconomic factors and internet usage. Little attention was paid to assessing the health literacy of vulnerable people, such as refugees and those with a disability and exposed to violence. Finally, various health literacy topics were investigated, including nutrition, non-communicable diseases, media and depression.ConclusionHealth literacy levels were low-to-moderate in adolescents and young adults in the EMR. To promote health literacy, it is recommended to use school-based health education and attempt to reach adolescents and young adults through social media platforms. More attention should be paid to refugees, people with disabilities and those exposed to violence.

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Effectiveness of a peer-led HIV/AIDS education program on HIV-related health literacy of jailed adolescents in Tunis, Tunisia

Cited by 5 publications

References 23 publications

“In this place we have found sisterhood”: perceptions of how participating in a peer-group club intervention benefited South African adolescent girls and young women

“In this place we have found sisterhood”: perceptions of how participating in a peer-group club intervention benefited South African adolescent girls and young women

Peer- and community-led responses to HIV: A scoping review

Health literacy among adolescents and young adults in the Eastern Mediterranean region: a scoping review

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