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Effectiveness of a peer-led HIV/AIDS education program on HIV-related health literacy of jailed adolescents in Tunis, Tunisia

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Abstract

Aim

The aim of this study was to evaluate the effectiveness of a peer-led HIV/AIDS education program in improving HIV-related health literacy, knowledge, risk perception, preventive self-efficacy and behavioral intention of jailed adolescents.

Subject and methods

A quasi-experimental study design with pre- and post-intervention measurement was conducted at a juvenile detention center in Tunis, Tunisia. One hundred two adolescents out of 112 answered the validated questionnaires at both baseline and follow-up. The intervention consisted of two sections: a 45-min lecture and a 30-min promotional video. The data on HIV-related health literacy, knowledge, risk perception, preventive self-efficacy and behavioral intention were collected up to 30 days prior to the start of the intervention, November 2017, and 30 days following the end of the intervention period, February 2018.

Results

When changes over time, from baseline to follow-up, were compared between the intervention and comparison groups, differences were found for HIV-related health literacy (p = 0.029), knowledge (p = 0.031), risk perception (p = 0.043), preventive self-efficacy (p = 0.031) and behavioral intention (p = 0.019).

Conclusion

The peer-led HIV/AIDS education program contributes to the development of HIV-related health literacy of jailed adolescents. It is possible to elaborate aspects of HIV-related health literacy in a non-formal education setting.

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Acknowledgements

We sincerely thank the head and staff of the juvenile detention center in Tunis, Tunisia, for permitting this research as well as all peer educators who participated in the program evaluation.

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Correspondence to Mohsen Naserirad.

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Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Ethics Committee of Tunis El Manar University, Tunis, Tunisia, and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent, voluntary participation, was directly acquired from each participant.

Conflict of interest

No potential conflict of interest was reported by the authors.

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Naserirad, M., Ayari, F., Hamdini, A. et al. Effectiveness of a peer-led HIV/AIDS education program on HIV-related health literacy of jailed adolescents in Tunis, Tunisia. J Public Health (Berl.) 27, 425–433 (2019). https://doi.org/10.1007/s10389-018-0975-8

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  • DOI: https://doi.org/10.1007/s10389-018-0975-8

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