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[ Recorded presentation ] Recorded presentation

Impact of a care and support intervention on HIV risk perceptions and sexual behavior of young people in rural Zambia

Katie Schenk, MA, MSc1, Eka Esu-Williams, PhD1, Joseph Motsepe1, Moses Zulu2, Amos Kasongo1, and Scott Geibel, MPH1. (1) Horizons/Population Council, 4301 Connecticut Ave NW, Suite 280, Washington, DC 20008, (202) 237-9400, kschenk@pcdc.org, (2) Mantumbusa Community Anti-AIDS Club, c/o Horizons Program/Population Council, 4301 Connecticut Ave NW, Suite 280, Washington, DC 20008

Background Effective strategies are required to enable youth to determine their HIV infection risk and to practice protective behaviors.

Methods Study partners aimed to determine whether involving Zambian youth in care activities would change their HIV risk perceptions and behaviors. Researchers conducted pre-post surveys among youth members of anti-AIDS clubs, to compare a standard HIV prevention training program with an enhanced program supporting youth to provide home-based care to people living with HIV (PLHA).

Results Involving young people in providing care to PLHA was not associated with significant change in their reported sexual activity. Among sexually experienced youth receiving enhanced training, ever-use of condoms increased significantly: from 61 to 81% of males, and from 66% to 81% of females (p<0.05). No significant changes in condom use were detected among youth receiving the standard training.

Risk perceptions of males and females in both groups became more reflective of their reported sexual behavior. For example, among males receiving the standard training, those incorrectly perceiving themselves not at risk decreased from 30% to 3%, and for males in the enhanced training group, it declined from 16% to 7%.

Conclusions Involvement in care and support activities may have had an impact on condom use, but did not affect youths’ sexual activity nor make a difference with regard to the accuracy of their HIV risk perception. Instead, the prevention training that both groups received may have contributed to more accurate risk perception.

Learning Objectives:

  • At the conclusion of the session, the participant (learner) in this session will be able to

    Keywords: Youth, Risk Behavior

    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.

    [ Recorded presentation ] Recorded presentation

    From Prevention to Care: HIV/AIDS Issues in High Prevalence Countries

    The 132nd Annual Meeting (November 6-10, 2004) of APHA