Clinical Epidemiology and Global Health, Volume 6, September 2018,
Objective: Foreign-origin street children are vulnerable to HIV/AIDS mainly due to poverty, violence, early sexual activity and poor access to health care services. This study aimed to highlight the effectiveness of peer education intervention to reduce HIV-risky behavior among street children with Afghan nationality. Methods: Sixty-one street children were stratified by sex and then randomly allocated to either an intervention or control group by assigning each participant computerized random numbers. The intervention provided peer education services, focused on mode of disease transmission, prevention approaches and awareness of HIV/AIDS services by peers. Results: At least 80% of participants in the intervention and control groups completed the study period, respectively. At the end of the study, statistically significant increase of knowledge and attitude improvement as well as a decreased tendency to do risky sexual intercourse among the intervention subjects was shown. Moreover, there was a time intervention interaction for knowledge and attitude improvements followed by intervention (interaction p value = 0.001), while it was not significant for risky sexual behavior (interaction p value = 0.44). Conclusion: Peer education was an effective and easy-to-apply educational method that increased knowledge and improved attitudes about HIV/AIDS among foreign-origin street children, while it was less efficient with regard to long-term reduction in risky sexual behavior.
Acquired Immune Deficiency Syndrome; Adolescent; Adolescent Sexual Behavior; Afghan; Article; Attitude To Health; Behavior Change; Child; Child Behavior; Controlled Study; Feasibility Study; Female; Group Therapy; HIV/AIDS; Health Education; Health Service; Homeless Youth; Human; Immigrant; Knowledge; Major Clinical Study; Male; Peer Education; Priority Journal; Randomized Controlled Trial; Risk Assessment; Risk Reduction; Sexual Intercourse; Street Children; Therapy Effect; Asia