Authors:

Alex Author

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About Paper:

Introduction: Within Sub-Saharan Africa, adolescents are disproportionately affected by HIV infection and unintended pregnancy. This review examines commonalities amongst interventions to better understand dual protection strategies' used to address this complex issue. Objectives: The purpose was to conduct a systematic review of studies examining intervention outcomes on condom and dual protection use within Sub-Saharan adolescents and youth. Methods: Included study criteria: a) published between 2000 and 2023; b) report quantitative data on dual protection interventions with the goal to enhance prevention of unintended pregnancy and sexually transmitted infections including HIV; c) located in Sub-Saharan Africa; d) consider dual protection a single method that provides protection against STI/HIV and unintended pregnancy, or a combination of methods. Overviews of treatment models, case studies, and qualitative studies were excluded. Utilized studies focused on adolescents and youth. The review included 23 peer-reviewed journal articles. Results: A majority (61%) of studies examined effects of intervention by comparing baseline and post- intervention self-reports regarding condom self-efficacy and/or condom use. Intervention curriculum often discussed attitudes regarding condom use and HIV prevention. Studies often reported change in attitudes and knowledge but none or little in behavior. Limited reporting regarding impact of demographics on findings. Conclusions: As most studies focused primarily on condom use as dual protection, a majority of the studies reported an increase in self-reported condom self-efficacy but limited change in risky behaviors for pregnancy and/or HIV infection. Due to self-reporting and small populations, generalizability is limited, prompting for further research to examine possible methods of intervention.

Source:

Purdue University / 2023

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No topics listed

Co-authors:

Alex Author