The 131st Annual Meeting (November 15-19, 2003) of APHA

The 131st Annual Meeting (November 15-19, 2003) of APHA

3350.0: Monday, November 17, 2003 - 5:30 PM

Abstract #67524

But will they use it?: Impact on condom use of an HIV/AIDS education intervention for public high school students in Morelos, Mexico

Dilys Walker, MD1, Pilar Torres2, Juan Pablo Gutierrez Reyes, MPH2, and Stefano Bertozzi, MD, PhD2. (1) Centro de Investigación de Salud Poblacional, Instituto Nacional de Salud Publica, Avenida Universidad 655, Cuernavaca, Mexico, 52 777 311 3783,, (2) Division of Health Economics and Policy, Instituto Nacional de Salud Publica, Avenida Universidad 655, Cuernavaca, Mexico

Objective: To measure the impact of an HIV/AIDS/ sexuality curriculum on condom use among first-year high school students. Materials and methods: A prospective, randomized, controlled evaluation of a 32 hour 16 week curriculum that followed the UNAIDS curriculum guidelines. Forty schools were randomized (30 intervention, 10 controls). Prior to the intervention, in January 2002, we applied 11,192 questionnaires about sexual experience and condom use at most recent intercourse. Six months later, following the course, we applied 9,399 follow up questionnaires. Using a fixed-effects regression model to correct for intra-school correlation, we estimated the impact of the intervention on condom use. Results: At baseline, 14% of the controls and 17% of the intervention group reported having had sexual relations. Of these, 52% and 50% respectively reported using a condom at last sexual relation. At six months follow up, controlling for school-level characteristics, more of the intervention group had used a condom at last relation (OR 1.32, 95%CI 1.02-1.70). Although a rarer event, the intervention group was also more likely to have used a condom at first intercourse (OR1.24, 95%CI 1.00-1.55). Conclusions: The results show a positive and significant impact on condom use among students following the intervention even after only six months. The data suggest that a school based intervention aimed at 15-16 year old public high school students can affect positive changes in risk behavior. Longer-term follow-up will enable evaluation of whether other factors, such as changes in social norms, further enhance effectiveness over time.

Learning Objectives:

Keywords: Condom Use, School-Based Programs

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

HIV Care and Prevention: Latin American and the Caribbean

The 131st Annual Meeting (November 15-19, 2003) of APHA