Effects of PREPARE, a Multi-component, School-Based HIV and Intimate Partner Violence (IPV) Prevention Programme on Adolescent Sexual Risk Behaviour and IPV: Cluster Randomised Controlled Trial.

Journal: AIDS and behavior

Volume: 20

Issue: 9

Year of Publication: 2017

Affiliated Institutions:  Health Systems Research Unit, South African Medical Research Council, P.O. Box , Tygerberg, Cape Town, , South Africa. cathy.mathews@mrc.ac.za. Department of Health Promotion, Caphri Research Institute, Maastricht University, Maastricht, The Netherlands. Health Systems Research Unit, South African Medical Research Council, P.O. Box , Tygerberg, Cape Town, , South Africa. Department of Health Promotion and Development, University of Bergen, Bergen, Norway. Adolescent Health Research Unit, Division of Child & Adolescent Psychiatry, University of Cape Town, Cape Town, South Africa.

Abstract summary 

Young South Africans, especially women, are at high risk of HIV. We evaluated the effects of PREPARE, a multi-component, school-based HIV prevention intervention to delay sexual debut, increase condom use and decrease intimate partner violence (IPV) among young adolescents. We conducted a cluster RCT among Grade eights in 42 high schools. The intervention comprised education sessions, a school health service and a school sexual violence prevention programme. Participants completed questionnaires at baseline, 6 and 12 months. Regression was undertaken to provide ORs or coefficients adjusted for clustering. Of 6244 sampled adolescents, 55.3 % participated. At 12 months there were no differences between intervention and control arms in sexual risk behaviours. Participants in the intervention arm were less likely to report IPV victimisation (35.1 vs. 40.9 %; OR 0.77, 95 % CI 0.61-0.99; t(40) = 2.14) suggesting the intervention shaped intimate partnerships into safer ones, potentially lowering the risk for HIV.

Authors & Co-authors:  Mathews Catherine C Eggers Sander M SM Townsend Loraine L Aarø Leif E LE de Vries Petrus J PJ Mason-Jones Amanda J AJ De Koker Petra P McClinton Appollis Tracy T Mtshizana Yolisa Y Koech Joy J Wubs Annegreet A De Vries Hein H

Study Outcome 

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Statistics
Citations :  Dick B, Ferguson BJ. Health for the world’s adolescents: a second chance in the second decade. J Adolesc Health. 2015;56:3–6. doi: 10.1016/j.jadohealth.2014.10.260.
Authors :  12
Identifiers
Doi : 10.1007/s10461-016-1410-1
SSN : 1573-3254
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Adolescents;HIV prevention;Intimate partner violence;Randomised controlled trial;Sexual risk behaviour
Study Design
Case Control Trial,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
United States