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Document 0298
DOCN M9650298
TI Results of a model AIDS prevention program for high school students in
the Philippines.
DT 9605
AU Aplasca MR; Siegel D; Mandel JS; Santana-Arciaga RT; Paul J; Hudes ES;
Monzon OT; Hearst N; Research Institute for Tropical Medicine,
Department of Health,; Alabang, Muntinlupa, Metro Manila, Philippines.
SO AIDS. 1995 Jul;9 Suppl 1:S7-13. Unique Identifier : AIDSLINE
MED/96085738
AB OBJECTIVES: To describe the sexual practices of high school students; to
describe the process of development of a school-based AIDS prevention
program; and to evaluate the effect of this program on students'
AIDS-related knowledge, attitudes and AIDS-preventive behaviors.
SUBJECTS AND METHODS: A cluster-randomized, controlled trial with
pretest/post-test evaluation was conducted in four demographically
similar public high schools in a semi-urban district of Metro Manila,
the Philippines. Of 845 high school students who participated in the
baseline survey, 804 (95%) completed a postintervention questionnaire.
INTERVENTION: An AIDS prevention program was developed by public high
school teachers together with local AIDS experts, social scientists and
health educators. The teacher-led AIDS program was designed to provide
students with accurate information about AIDS, particularly in
dispelling misconceptions about casual contagion, to foster positive
attitudes towards people with AIDS and to develop skills aimed at
clarifying values and assessing intended behavior. RESULTS: At baseline,
11% of students (20% of males and 4% of females) reported ever having
had sexual intercourse (mean age 14 years). Among these, condom use was
low (24%). After implementation of the AIDS prevention program,
statistically significant effects favoring the intervention group were
observed in knowledge and attitudes towards people with AIDS. While
there was no statistically significant overall effect on intended
preventive behavior, the program appeared to delay the students'
intended onset of sexual activity. CONCLUSIONS: A sizable number of
Filipino high school students are sexually active but condom use is low.
School-based AIDS prevention programs can be developed and implemented
in developing countries with the assistance of school personnel to
address sexual issues. Our program was successful in increasing
AIDS-related knowledge and improving attitudes towards people with AIDS.
Supplementation with other preventive activities may be needed to
achieve lasting changes in students' risk-taking behavior.
DE Acquired Immunodeficiency Syndrome/*PREVENTION & CONTROL/ TRANSMISSION
Adolescence Cluster Analysis Condoms Curriculum *Developing
Countries Female *Health Education Human Knowledge, Attitudes,
Practice Male *Models, Educational Philippines Sex Behavior Social
Values Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. Urban
Population CLINICAL TRIAL JOURNAL ARTICLE RANDOMIZED CONTROLLED TRIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).