Central African Journal of Public Health

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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

Received: 08 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.

DOI 10.11648/j.cajph.20160201.15
Published in Central African Journal of Public Health (Volume 2, Issue 1, October 2016)
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), 2024. Published by Science Publishing Group

Keywords

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

References
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[2] WHO. Global observatory data: HIV/AIDS. 2016. Retrieved 8/25/16 from http://www.who.int/gho/hiv/epidemic_status/en/
[3] United Nations Programme on HIV/AIDS. 2016. Global AIDS update. Accessed 8/26/16 from http://www.who.int/hiv/pub/arv/global-AIDS-update-2016_en.pdf
[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.
[8] UNICEF. Africa's Orphaned and Vulnerable Generations: Children Affected by AIDS. Unicef, 2006.
[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.
[13] Sengendo, James, and Emmanuel K. Sekatawa. A cultural approach to HIV/AIDS prevention and care. UNESCO, 1999.
[14] Aggleton P, Clarke D, Crewe M, Kippax S, Parker R, Yankah E. Educating about HIV: prevention, impact mitigation and care. AIDS. 2012 Jun 19; 26(10): 1215-22.
[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.
[20] Zak-Place, Jennifer, and Marilyn Stern. "Health belief factors and dispositional optimism as predictors of STD and HIV preventive behavior." Journal of American College Health 52.5. 2004: 229-236.
[21] Bazargan M, Stein JA, Bazargan‐Hejazi S, Hindman DW. Using the Information‐Motivation Behavioral Model to Predict Sexual Behavior Among Underserved Minority Youth. Journal of School Health. 2010 Jun 1; 80(6): 287-95.
[22] Zellner, Sara L. "Condom use and the accuracy of AIDS knowledge in Cote d'Ivoire." International family planning perspectives 2003: 41-47.
Author Information
  • Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Ho-Ghana

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

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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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    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://download.sciencepg.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
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