Peer-led interventions to reduce HIV risk of youth: A review

Maticka‐Tyndale, Eleanor; Barnett, Jessica Penwell

doi:10.1016/j.evalprogplan.2009.07.001

Cited by 124 publications

(93 citation statements)

References 24 publications

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“…To date, peer‐based programmes have been employed to target substance use, sexual risk behaviour, HIV prevention and psychosocial wellbeing among young people 19, 20, 21, 22, 23, 24, 25, and there is promising evidence from existing intervention models 19, 22, 26. Earlier systematic reviews suggested that there was evidence that peer interventions could change behaviour, as well as improve knowledge 18, 27, 28.…”

Section: Introductionmentioning

confidence: 99%

Peer‐led interventions to prevent tobacco, alcohol and/or drug use among young people aged 11–21 years: a systematic review and meta‐analysis

et al. 2016

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Background and AimsPeer‐led interventions may offer a beneficial approach in preventing substance use, but their impact has not yet been quantified. We conducted a systematic review to investigate and quantify the effect of peer‐led interventions that sought to prevent tobacco, alcohol and/or drug use among young people aged 11–21 years.MethodsMedline, EMBASE, PsycINFO, CINAHL, ERIC and the Cochrane Library were searched from inception to July 2015 without language restriction. We included randomized controlled trials only. Screening and data extraction were conducted in duplicate and data from eligible studies were pooled in a random effects meta‐analysis.ResultsWe identified 17 eligible studies, approximately half of which were school‐based studies targeting tobacco use among adolescents. Ten studies targeting tobacco use could be pooled, representing 13 706 young people in 220 schools. Meta‐analysis demonstrated that the odds of smoking were lower among those receiving the peer‐led intervention compared with control [odds ratio (OR) = 0.78, 95% confidence interval (CI) = 0.62–0.99, P = 0.040]. There was evidence of heterogeneity (I 2 = 41%, χ2 15.17, P = 0.086). Pooling of six studies representing 1699 individuals in 66 schools demonstrated that peer‐led interventions were also associated with benefit in relation to alcohol use (OR = 0.80, 95% CI = 0.65–0.99, P = 0.036), while three studies (n = 976 students in 38 schools) suggested an association with lower odds of cannabis use (OR = 0.70, 0.50–0.97, P = 0.034). No studies were found that targeted other illicit drug use.ConclusionsPeer interventions may be effective in preventing tobacco, alcohol and possibly cannabis use among adolescents, although the evidence base is limited overall, and is characterized mainly by small studies of low quality.

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Section: Introductionmentioning

confidence: 99%

Peer‐led interventions to prevent tobacco, alcohol and/or drug use among young people aged 11–21 years: a systematic review and meta‐analysis

et al. 2016

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“…Peer programs recruit and train a core group of youth to serve as role models and sources of information for their peers. Maticka-Tindale et al [43] in their review study stated that establishing trust and reaching the targeted participants was critical for the success of the reproductive health interventions.…”

Section: Discussionmentioning

confidence: 98%

Apprentices’ Knowledges and Attitudes about Sexually Transmitted Disease

et al. 2011

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The aim of this study is to determine the knowledge and attitudes of apprentices about sexually transmitted diseases (STDs). Apprentices are the students who are not able to continue their formal education after primary education in Turkey. This descriptive and cross sectional study was conducted at the ''Apprenticeship Training School'' in Antalya during February 2007. 1,186 of the 1,500 apprentice students, who were registered at the Apprenticeship Training School, agreed to participate in the study. Participants completed a questionnaire in the classroom which was aimed at determining the level of their knowledge and attitudes about STDs. Percentages and chi square analysis were used in data analysis. 60.9% of the participants recognized at least one of the STDs' names. The most familiar STD was AIDS (67.4%). 83.6% of the participants did not know about the symptoms of STDs. Only 23.4% of participants reported at least one of the possible contraction of STDs of the STDs and 28.1% indicated that they had knowledge about the protection methods against STDs. 51.4% of the apprentices' believed that healthy looking persons could also be infectious and most of the STDs were curable (47.6%). Age, gender, the field of apprenticeship and being educated about STDs emerged as the important demographic characteristics on being acquainted with the symptoms, as well as transmission of and protection from the STDs. Results show that STDs' names and the contraction of and protection from the STDs were known better by the male participants, participants from the field of the personal hygiene education and apprentices whom had prior education about STDs. Results emphasize the need to strengthen the apprentices' STD education on all aspects, including their attitudes and safe sexual practices.

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“…Their visibility within the community (through the wearing of clothes printed with their letters, performances at clubs and staging of community health fairs) suggests that some of their more active members could potentially be recruited to serve as community-based popular opinion leaders, an intervention approach that has been extensively used to educate populations about their risk for HIV and STIs. 28,29 The popular opinion leader approach uses ethnographic research to identify particularly well liked and influential individuals within the community to receive training in how to deliver effective behavioural change messages to friends during everyday conversations. 30 Lesbian families of choice, by contrast, play a more private role in which intimate, caring relationships are central; as such, intervention approaches based on the natural helper or lay health advisor model could be particularly effective in making use of participants' desire to support and protect fellow family members from negative sexual health outcomes.…”

Section: Discussionmentioning

confidence: 99%

Families of choice and noncollegiate sororities and fraternities among lesbian and bisexual African-American women in a southern community: implications for sexual and reproductive health research

et al. 2014

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Abstract. Background: Self-identified lesbian and bisexual African-American women living in the southern United States are a relatively hidden subpopulation within the lesbian, gay, bisexual and transgender (LGBT) community. Existing research suggests that African-American lesbian and bisexual women are at high risk for sexually transmissible infections (STIs), but the sexual and reproductive health needs of this population are just beginning to be understood. Methods: We conducted four focus groups and five individual interviews with 24 lesbian and bisexual African-American women living in the Jackson, Mississippi, metropolitan area, recruited through the local STI clinic and through word of mouth. We aimed to characterise the role of two types of social organisations (lesbian families and noncollegiate lesbian sororities and fraternities) among the local LGBT community, and their influence on the sexual health of their members. Results: Both types of social organisations serve positive functions for their members. Lesbian families provide support and stability; this appears beneficial for younger individuals, who may lack support from biological families. Lesbian sororities and fraternities are visible due to their emphasis on community service, and offer a strong sense of solidarity and belonging. In both organisation types, discussions about sex were common, although members acknowledged a lack of information regarding safer sex among lesbian and bisexual women. Conclusions: Existing social organisations within the LGBT community, such as lesbian families and lesbian sororities and fraternities, should be incorporated into community-based popular opinion leader or lay heath advisor interventions in an effort to meet the sexual and reproductive health needs of marginalised populations.Additional keywords: focus group discussion, marginalised populations, Mississippi, support, United States, women who have sex with women.

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Peer-led interventions to reduce HIV risk of youth: A review

Cited by 124 publications

References 24 publications

Peer‐led interventions to prevent tobacco, alcohol and/or drug use among young people aged 11–21 years: a systematic review and meta‐analysis

Peer‐led interventions to prevent tobacco, alcohol and/or drug use among young people aged 11–21 years: a systematic review and meta‐analysis

Apprentices’ Knowledges and Attitudes about Sexually Transmitted Disease

Families of choice and noncollegiate sororities and fraternities among lesbian and bisexual African-American women in a southern community: implications for sexual and reproductive health research

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