Interim outcomes for a community-based program to prevent perinatal HIV transmission.
AIDS Educ Prev
; 7(3): 210-20, 1995 Jun.
Article
in En
| MEDLINE
| ID: mdl-7646945
ABSTRACT
The AIDS Prevention for Pediatric Life Enrichment (APPLE) project is a community-based program to prevent perinatal HIV infection by preventing infection in women. One project component tested a primary prevention model developed from principles of cognitive social learning theory which used street outreach and community-targeted small media materials to increase the use of condoms. Formative research was used to explore community perceptions about HIV/AIDS and to design media materials. Program evaluation employed a two-community, time series, quasi-experimental design. Annual street surveys samples individuals in areas where they were likely to encounter outreach workers. Baseline surveys found substantial pre-programmatic behavior change. After two years considerable APPLE name recognition (40%), contact with media materials (63%), and contact with outreach workers (36%) were found and norms reflecting social acceptability of condoms were more positive among women in the intervention community. Condom use at last sexual encounter rose in both communities but was significantly higher in the intervention community. Condom use also was higher among women who reported exposure to either small media or small media plus street outreach. Other self-reported HIV-prevention behaviors did not show change in the initial period.
Key words
Age Factors; Americas; Barrier Methods; Blacks--women; Communication; Condom; Contraception; Contraceptive Methods; Cultural Background; Demographic Factors; Developed Countries; Diseases; Education; Ethnic Groups; Family Planning; Health Education; Hiv Infections--prevention and control; Infant; Maryland; Mass Media; North America; Northern America; Organization And Administration; Population; Population Characteristics; Printed Media; Program Evaluation; Programs; Progress Report; Research Methodology; Sampling Studies; Studies; Surveys; United States; Viral Diseases; Youth
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pregnancy Complications, Infectious
/
Prenatal Care
/
Urban Population
/
Black or African American
/
HIV Infections
/
Patient Education as Topic
Type of study:
Etiology_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Newborn
/
Pregnancy
Country/Region as subject:
America do norte
Language:
En
Journal:
AIDS Educ Prev
Journal subject:
EDUCACAO
/
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
Year:
1995
Document type:
Article
Affiliation country: