Motivating Positive Condom Use Intentions among High School Students Through Teacher-Student Led HIV/AIDS Education Program in a Rural District of Ghana

Awolu Adam; Hadi Danawi

doi:doi:10.11648/j.cajph.20160201.15

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Motivating Positive Condom Use Intentions among High School Students Through Teacher-Student Led HIV/AIDS Education Program in a Rural District of Ghana

Awolu Adam, Hadi Danawi

Published in Central African Journal of Public Health (Volume 2, Issue 1)

Received: 8 August 2016 Accepted: 12 September 2016 Published: 14 October 2016

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Abstract

HIV/AIDS continuous to impact young adults globally despite the gains achieved globally in infection and mortality reductions but the impact is greatest on youth in sub-Sahara Africa (SSA). Rural youth in developing countries of SSA countries are equally impacted by HIV/AIDS and the major ways of preventing continuous infection and spread have been to information and encourage consistent condom use. What is least studied as initial step in the prevention of HIV infection globally and especially among rural youth in Ghana is condom use intention. The objective of this study was to evaluate the effectiveness of a culturally appropriate HIV/AIDS prevention intervention to motivate positive condom use intention with future sexual partners among high school students in a rural district of Ghana. Two hundred and fourteen (214) students of both sexes from a rural High School in the Nanumba District of Ghana were randomly selected into a two-week HIV/AIDS education intervention. Pre and post intervention survey was conducted to evaluate the impact of the intervention on condom use intentions of the students with their future sexual partners. Descriptive statistics, Chi square test (X²) of significance, and binary logistic regression were used to analyze data. Statistical package for social sciences (SPSS) was used to conduct the analysis at 95% confidence level. Results showed that condom use intentions positively changed following participation in the HIV/AIDS education intervention. A Pearson X² test revealed that the percentage change in condom use intentions from baseline to follow-up was statistically significant (X² (2) = 18, p<0.001). Results of binary logistic regression showed that perception of severity of HIV/AIDS was the strongest predictor of intention to use condoms with sexual partners followed by gender where being a male over a female significantly predicted intention to use condom with sexual partners. Knowledge of HIV/AIDS, perception of HIV infection vulnerability and self-efficacy for condom use had no association with intention to use condoms. Findings from the study show that culturally appropriate HIV/AIDS education programs can positively impact safer sexual intentions and behaviors in the continuous fight against HIV/AIDS in rural settings.

Published in	Central African Journal of Public Health (Volume 2, Issue 1)
DOI	10.11648/j.cajph.20160201.15
Page(s)	28-34
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Condom Use Intention, Rural Youth, Ghana, HIV/AIDS

References

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[4]	Lamptey, P. R., Johnson, J. L., & Khan, M., 2006. The global challenge of HIV and AIDS. Population Bulletin, 61, 1, 28.
[5]	GSS, GHS, and I. C. F. Macro. "Ghana demographic and health survey 2014." Accra, Ghana: Ghana Statistical Service, Ghana Health Service, and ICF Macro 2015.
[6]	Ghana AIDS Commission. Country AIDS response progress report-Ghana. 2015. Retrieved 8/26/16 from http://www.unaids.org/sites/default/files/country/documents//file,94605,ru..pdf
[7]	Ghana Health Service. Ghana AIDS control programme: 2011 HIV sentinel survey report. Ministry of Health, Ghana 2012a.
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[9]	Holmes CB, Blandford JM, Sangrujee N, Stewart SR, DuBois A, Smith TR, Martin JC, Gavaghan A, Ryan CA, Goosby EP. PEPFAR’s past and future efforts to cut costs, improve efficiency, and increase the impact of global HIV programs. Health Affairs. 2012 Jul 1; 31(7): 1553-60.
[10]	Beyeza-Kashesya J, Kaharuza F, Ekström AM, Neema S, Kulane A, Mirembe F. To use or not to use a condom: a prospective cohort study comparing contraceptive practices among HIV-infected and HIV-negative youth in Uganda. BMC infectious diseases. 2011 May 23; 11(1):1.
[11]	Dessie Y, Gerbaba M, Bedru A, Davey G. Risky sexual practices and related factors among ART attendees in Addis Ababa Public Hospitals, Ethiopia: a cross-sectional study. BMC Public Health. 2011 Jun 1; 11(1): 1.
[12]	Ozakinci, Gozde, and John A. Weinman. "Determinants of condom use intentions and behavior among Turkish youth: A theoretically based investigation." Journal of HIV/AIDS prevention in children & youth 7.1 2006: 73-95.
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[15]	Raosoft, Inc. Sample size calculator. Accessed 6/23/2015 from http://www.raosoft.com/samplesize.html
[16]	Yoo H, Lee SH, Kwon BE, Chung S, Kim S. HIV/AIDS knowledge, attitudes, related behaviors, and sources of information among Korean adolescents. Journal of School Health. 2005 Dec 1;75(10): 393-9.
[17]	Casey SE, Larsen MM, McGinn T, Sartie M, Dauda M, Lahai P. Changes in HIV/AIDS/STI knowledge, attitudes, and behaviours among the youth in Port Loko, Sierra Leone. Global public health. 2006 Oct 1; 1(3): 249-63.
[18]	Trepka MJ, Kim S, Pekovic V, Zamor P, Velez E, Gabaroni MV. High-risk sexual behavior among students of a minority-serving university in a community with a high HIV/AIDS prevalence. Journal of American College Health. 2008 Jul 1; 57(1): 77-84.
[19]	Cort, Malcolm A., and Naomi N. Modeste. "Attitudes toward condom use among high school and university students in Zimbabwe." International quarterly of community health education 26.1. 2006: 61-72.
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APA Style

Awolu Adam, Hadi Danawi. (2016). Motivating Positive Condom Use Intentions among High School Students Through Teacher-Student Led HIV/AIDS Education Program in a Rural District of Ghana. Central African Journal of Public Health, 2(1), 28-34. https://doi.org/10.11648/j.cajph.20160201.15

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ACS Style

Awolu Adam; Hadi Danawi. Motivating Positive Condom Use Intentions among High School Students Through Teacher-Student Led HIV/AIDS Education Program in a Rural District of Ghana. Cent. Afr. J. Public Health 2016, 2(1), 28-34. doi: 10.11648/j.cajph.20160201.15

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AMA Style

Awolu Adam, Hadi Danawi. Motivating Positive Condom Use Intentions among High School Students Through Teacher-Student Led HIV/AIDS Education Program in a Rural District of Ghana. Cent Afr J Public Health. 2016;2(1):28-34. doi: 10.11648/j.cajph.20160201.15

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@article{10.11648/j.cajph.20160201.15,
  author = {Awolu Adam and Hadi Danawi},
  title = {Motivating Positive Condom Use Intentions among High School Students Through Teacher-Student Led HIV/AIDS Education Program in a Rural District of Ghana},
  journal = {Central African Journal of Public Health},
  volume = {2},
  number = {1},
  pages = {28-34},
  doi = {10.11648/j.cajph.20160201.15},
  url = {https://doi.org/10.11648/j.cajph.20160201.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20160201.15},
  abstract = {HIV/AIDS continuous to impact young adults globally despite the gains achieved globally in infection and mortality reductions but the impact is greatest on youth in sub-Sahara Africa (SSA). Rural youth in developing countries of SSA countries are equally impacted by HIV/AIDS and the major ways of preventing continuous infection and spread have been to information and encourage consistent condom use. What is least studied as initial step in the prevention of HIV infection globally and especially among rural youth in Ghana is condom use intention. The objective of this study was to evaluate the effectiveness of a culturally appropriate HIV/AIDS prevention intervention to motivate positive condom use intention with future sexual partners among high school students in a rural district of Ghana. Two hundred and fourteen (214) students of both sexes from a rural High School in the Nanumba District of Ghana were randomly selected into a two-week HIV/AIDS education intervention. Pre and post intervention survey was conducted to evaluate the impact of the intervention on condom use intentions of the students with their future sexual partners. Descriptive statistics, Chi square test (X2) of significance, and binary logistic regression were used to analyze data. Statistical package for social sciences (SPSS) was used to conduct the analysis at 95% confidence level. Results showed that condom use intentions positively changed following participation in the HIV/AIDS education intervention. A Pearson X2 test revealed that the percentage change in condom use intentions from baseline to follow-up was statistically significant (X2 (2) = 18, p<0.001). Results of binary logistic regression showed that perception of severity of HIV/AIDS was the strongest predictor of intention to use condoms with sexual partners followed by gender where being a male over a female significantly predicted intention to use condom with sexual partners. Knowledge of HIV/AIDS, perception of HIV infection vulnerability and self-efficacy for condom use had no association with intention to use condoms. Findings from the study show that culturally appropriate HIV/AIDS education programs can positively impact safer sexual intentions and behaviors in the continuous fight against HIV/AIDS in rural settings.},
 year = {2016}
}

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TY  - JOUR
T1  - Motivating Positive Condom Use Intentions among High School Students Through Teacher-Student Led HIV/AIDS Education Program in a Rural District of Ghana
AU  - Awolu Adam
AU  - Hadi Danawi
Y1  - 2016/10/14
PY  - 2016
N1  - https://doi.org/10.11648/j.cajph.20160201.15
DO  - 10.11648/j.cajph.20160201.15
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 28
EP  - 34
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20160201.15
AB  - HIV/AIDS continuous to impact young adults globally despite the gains achieved globally in infection and mortality reductions but the impact is greatest on youth in sub-Sahara Africa (SSA). Rural youth in developing countries of SSA countries are equally impacted by HIV/AIDS and the major ways of preventing continuous infection and spread have been to information and encourage consistent condom use. What is least studied as initial step in the prevention of HIV infection globally and especially among rural youth in Ghana is condom use intention. The objective of this study was to evaluate the effectiveness of a culturally appropriate HIV/AIDS prevention intervention to motivate positive condom use intention with future sexual partners among high school students in a rural district of Ghana. Two hundred and fourteen (214) students of both sexes from a rural High School in the Nanumba District of Ghana were randomly selected into a two-week HIV/AIDS education intervention. Pre and post intervention survey was conducted to evaluate the impact of the intervention on condom use intentions of the students with their future sexual partners. Descriptive statistics, Chi square test (X2) of significance, and binary logistic regression were used to analyze data. Statistical package for social sciences (SPSS) was used to conduct the analysis at 95% confidence level. Results showed that condom use intentions positively changed following participation in the HIV/AIDS education intervention. A Pearson X2 test revealed that the percentage change in condom use intentions from baseline to follow-up was statistically significant (X2 (2) = 18, p<0.001). Results of binary logistic regression showed that perception of severity of HIV/AIDS was the strongest predictor of intention to use condoms with sexual partners followed by gender where being a male over a female significantly predicted intention to use condom with sexual partners. Knowledge of HIV/AIDS, perception of HIV infection vulnerability and self-efficacy for condom use had no association with intention to use condoms. Findings from the study show that culturally appropriate HIV/AIDS education programs can positively impact safer sexual intentions and behaviors in the continuous fight against HIV/AIDS in rural settings.
VL  - 2
IS  - 1
ER  -

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Author Information

Awolu Adam

Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Ho-Ghana
Hadi Danawi

College of Health Sciences, Walden University, Washington Ave South, Minneapolis, MN, USA

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Awolu Adam, Hadi Danawi. (2016). Motivating Positive Condom Use Intentions among High School Students Through Teacher-Student Led HIV/AIDS Education Program in a Rural District of Ghana. Central African Journal of Public Health, 2(1), 28-34. https://doi.org/10.11648/j.cajph.20160201.15

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ACS Style

Awolu Adam; Hadi Danawi. Motivating Positive Condom Use Intentions among High School Students Through Teacher-Student Led HIV/AIDS Education Program in a Rural District of Ghana. Cent. Afr. J. Public Health 2016, 2(1), 28-34. doi: 10.11648/j.cajph.20160201.15

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AMA Style

Awolu Adam, Hadi Danawi. Motivating Positive Condom Use Intentions among High School Students Through Teacher-Student Led HIV/AIDS Education Program in a Rural District of Ghana. Cent Afr J Public Health. 2016;2(1):28-34. doi: 10.11648/j.cajph.20160201.15

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@article{10.11648/j.cajph.20160201.15,
  author = {Awolu Adam and Hadi Danawi},
  title = {Motivating Positive Condom Use Intentions among High School Students Through Teacher-Student Led HIV/AIDS Education Program in a Rural District of Ghana},
  journal = {Central African Journal of Public Health},
  volume = {2},
  number = {1},
  pages = {28-34},
  doi = {10.11648/j.cajph.20160201.15},
  url = {https://doi.org/10.11648/j.cajph.20160201.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20160201.15},
  abstract = {HIV/AIDS continuous to impact young adults globally despite the gains achieved globally in infection and mortality reductions but the impact is greatest on youth in sub-Sahara Africa (SSA). Rural youth in developing countries of SSA countries are equally impacted by HIV/AIDS and the major ways of preventing continuous infection and spread have been to information and encourage consistent condom use. What is least studied as initial step in the prevention of HIV infection globally and especially among rural youth in Ghana is condom use intention. The objective of this study was to evaluate the effectiveness of a culturally appropriate HIV/AIDS prevention intervention to motivate positive condom use intention with future sexual partners among high school students in a rural district of Ghana. Two hundred and fourteen (214) students of both sexes from a rural High School in the Nanumba District of Ghana were randomly selected into a two-week HIV/AIDS education intervention. Pre and post intervention survey was conducted to evaluate the impact of the intervention on condom use intentions of the students with their future sexual partners. Descriptive statistics, Chi square test (X2) of significance, and binary logistic regression were used to analyze data. Statistical package for social sciences (SPSS) was used to conduct the analysis at 95% confidence level. Results showed that condom use intentions positively changed following participation in the HIV/AIDS education intervention. A Pearson X2 test revealed that the percentage change in condom use intentions from baseline to follow-up was statistically significant (X2 (2) = 18, p<0.001). Results of binary logistic regression showed that perception of severity of HIV/AIDS was the strongest predictor of intention to use condoms with sexual partners followed by gender where being a male over a female significantly predicted intention to use condom with sexual partners. Knowledge of HIV/AIDS, perception of HIV infection vulnerability and self-efficacy for condom use had no association with intention to use condoms. Findings from the study show that culturally appropriate HIV/AIDS education programs can positively impact safer sexual intentions and behaviors in the continuous fight against HIV/AIDS in rural settings.},
 year = {2016}
}

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TY  - JOUR
T1  - Motivating Positive Condom Use Intentions among High School Students Through Teacher-Student Led HIV/AIDS Education Program in a Rural District of Ghana
AU  - Awolu Adam
AU  - Hadi Danawi
Y1  - 2016/10/14
PY  - 2016
N1  - https://doi.org/10.11648/j.cajph.20160201.15
DO  - 10.11648/j.cajph.20160201.15
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 28
EP  - 34
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20160201.15
AB  - HIV/AIDS continuous to impact young adults globally despite the gains achieved globally in infection and mortality reductions but the impact is greatest on youth in sub-Sahara Africa (SSA). Rural youth in developing countries of SSA countries are equally impacted by HIV/AIDS and the major ways of preventing continuous infection and spread have been to information and encourage consistent condom use. What is least studied as initial step in the prevention of HIV infection globally and especially among rural youth in Ghana is condom use intention. The objective of this study was to evaluate the effectiveness of a culturally appropriate HIV/AIDS prevention intervention to motivate positive condom use intention with future sexual partners among high school students in a rural district of Ghana. Two hundred and fourteen (214) students of both sexes from a rural High School in the Nanumba District of Ghana were randomly selected into a two-week HIV/AIDS education intervention. Pre and post intervention survey was conducted to evaluate the impact of the intervention on condom use intentions of the students with their future sexual partners. Descriptive statistics, Chi square test (X2) of significance, and binary logistic regression were used to analyze data. Statistical package for social sciences (SPSS) was used to conduct the analysis at 95% confidence level. Results showed that condom use intentions positively changed following participation in the HIV/AIDS education intervention. A Pearson X2 test revealed that the percentage change in condom use intentions from baseline to follow-up was statistically significant (X2 (2) = 18, p<0.001). Results of binary logistic regression showed that perception of severity of HIV/AIDS was the strongest predictor of intention to use condoms with sexual partners followed by gender where being a male over a female significantly predicted intention to use condom with sexual partners. Knowledge of HIV/AIDS, perception of HIV infection vulnerability and self-efficacy for condom use had no association with intention to use condoms. Findings from the study show that culturally appropriate HIV/AIDS education programs can positively impact safer sexual intentions and behaviors in the continuous fight against HIV/AIDS in rural settings.
VL  - 2
IS  - 1
ER  -

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