Young Deadly Free: impact evaluation of a sexual health youth peer education program in remote Australian communities

Sexual Health ◽  
2020 ◽  
Vol 17 (5) ◽  
pp. 397
Author(s):  
Roanna Lobo ◽  
Belinda D'Costa ◽  
Linda Forbes ◽  
James Ward

Background Aboriginal and Torres Strait Islander people in remote and very remote communities in Australia experience high rates of sexually transmissible infections (STIs), 4- to 29-fold the rates reported for non-Aboriginal people living in remote areas. Young people aged 16–29 years are particularly vulnerable to STIs. The Young Deadly Free (YDF) sexual health youth peer education program was implemented in 15 remote or very remote communities in four Australian jurisdictions in an effort to address endemic STI rates in these communities. The present study sought to evaluate the effect of YDF for Aboriginal young people. Methods: Young people (n = 128) participated in youth peer educator training to deliver peer education sessions on sexual health topics to other young people in their communities. Pre and post surveys were used to examine changes in STI knowledge, attitudes and behavioural intentions of the young people attending the peer education sessions. GHRANITE software extracted deidentified STI testing data for young people attending 13 community health services. Results: Young people (n = 426) attended peer education sessions delivered by trained youth peer educators. Pre and post surveys were completed by 174 and 172 young people respectively (median age 20 years). Gains were reported in STI knowledge, intentions to test (χ2 = 10.58, d.f. = 4, n = 142, P < 0.001) and number of STI tests (50.8% increase from baseline). Feelings of shame associated with STI testing remained high (39.5% post survey). Conclusions: Peer education can enhance the sexual health literacy of young Aboriginal people residing in remote communities. The extent to which knowledge gains result in behaviours that prevent STI transmission requires further evaluation. Normalising STI testing among Aboriginal young people would help reduce feelings of shame.


Sexual Health ◽  
2020 ◽  
Vol 17 (6) ◽  
pp. 547
Author(s):  
Roanna Lobo ◽  
Belinda D'Costa ◽  
Linda Forbes ◽  
James Ward

Background:Aboriginal and Torres Strait Islander people in remote and very remote communities in Australia experience high rates of sexually transmissible infections (STIs), 4- to 29-fold the rates reported for non-Aboriginal people living in remote areas. Young people aged 16–29 years are particularly vulnerable to STIs. The Young Deadly Free (YDF) sexual health youth peer education program was implemented in 15 remote or very remote communities in four Australian jurisdictions in an effort to address endemic STI rates in these communities. The present study sought to evaluate the effect of YDF for Aboriginal young people. Methods: Young people (n = 128) participated in youth peer educator training to deliver peer education sessions on sexual health topics to other young people in their communities. Pre and post surveys were used to examine changes in STI knowledge, attitudes and behavioural intentions of the young people attending the peer education sessions. GHRANITE software extracted deidentified STI testing data for young people attending 13 community health services. Results: Young people (n = 426) attended peer education sessions delivered by trained youth peer educators. Pre and post surveys were completed by 174 and 172 young people respectively (median age 20 years). Gains were reported in STI knowledge, intentions to test (χ2 = 10.58, d.f. = 4, n = 142, P Conclusions: Peer education can enhance the sexual health literacy of young Aboriginal people residing in remote communities. The extent to which knowledge gains result in behaviours that prevent STI transmission requires further evaluation. Normalising STI testing among Aboriginal young people would help reduce feelings of shame.





Author(s):  
Figen Şengün İnan ◽  
Neslihan Günüşen ◽  
Sevecen Çelik İnce ◽  
Zekiye Çetinkaya Duman


2004 ◽  
Vol 10 (2) ◽  
pp. 151-173 ◽  
Author(s):  
Deborah P. Scott ◽  
Amy Jo Harzke ◽  
Michael B. Mizwa ◽  
Michael Pugh ◽  
Michael W. Ross


1991 ◽  
Vol 12 (6) ◽  
pp. 434-442 ◽  
Author(s):  
Gail B. Slap ◽  
Susan L. Plotkin ◽  
Najma Khalid ◽  
Deborah F. Michelman ◽  
Christine M. Forke


2020 ◽  
Vol 31 (1) ◽  
pp. 16-28
Author(s):  
Stephen Bell ◽  
Peter Aggleton ◽  
Andrew Lockyer ◽  
Tellisa Ferguson ◽  
Walbira Murray ◽  
...  

In a context of ongoing colonization and dispossession in Australia, many Aboriginal people live with experiences of health research that is done “on” rather than “with” or “by” them. Recognizing the agency of young people and contributing to Aboriginal self-determination and community control of research, we used a peer research methodology involving Aboriginal young people as researchers, advisors, and participants in a qualitative sexual health study in one remote setting in the Northern Territory, Australia. We document the methodology, while critically reflecting on its benefits and limitations as a decolonizing method. Findings confirm the importance of enabling Aboriginal young people to play a central role in research with other young people about their own sexual health. Future priorities include developing more enduring forms of coinvestigation with Aboriginal young people beyond data collection during single studies, and support for young researchers to gain formal qualifications to enhance future employability.



Sexual Health ◽  
2020 ◽  
Vol 17 (2) ◽  
pp. 198
Author(s):  
Colin Watson ◽  
Kirsty Smith ◽  
Ahmed Latif ◽  
Wendy Armstrong ◽  
James Ward ◽  
...  

Rates of sexually transmissible infections (STIs) in remote central Australian Aboriginal communities have been persistently high for over two decades, yet risk factors for STIs in these communities are not well understood. This qualitative study explored behavioural and contextual risk factors for STIs in young Aboriginal people in central Australia. The study identified that casual relationships between young people are common and that there is a strong association between travel, alcohol and casual sex, highlighting the ongoing need for comprehensive sexual health programs that are tailored to the specific social, cultural and interpersonal circumstances of young people in this setting.



2005 ◽  
Vol 32 (1) ◽  
pp. 57-68 ◽  
Author(s):  
Donald E. Morisky ◽  
Chrystene Nguyen ◽  
Alfonso Ang ◽  
Teodora V. Tiglao

This study assesses the results of a 2-year community-based peer education program aimed at increasing HIV/AIDS knowledge, attitudes toward condoms, and condom use behavior among taxicab and tricycle drivers in the Philippines. Pretest, posttest, and follow-up data were collected throughout the educational intervention program. The results of the repeated measures analysis of variance (ANOVA) indicate a significant change on knowledge about HIV/AIDS from baseline to posttest and from posttest to follow-up ( F= 449.27, df= 2, p< .001). There was also a significant change on attitudes about condom use from baseline to posttest and from posttest to follow-up ( F= 425.19, df= 2, p= 0.001), and a significant effect on condom use behavior with commercial sex workers from baseline to posttest and follow-up ( F= 428.31, df= 2, p= .001). The peer-mediated intervention was found to be an effective means of HIV/AIDS prevention among taxi and tricycle drivers in the Philippines.



Sexual Health ◽  
2013 ◽  
Vol 10 (6) ◽  
pp. 553 ◽  
Author(s):  
Richard Oliver de Visser ◽  
Nancy O'Neill

Background To counter the disproportionate impact of sexually transmissible infections (STIs) among young people and encourage higher levels of STI testing, it is necessary to identify the factors that influence STI testing. Methods: A mixed-methods study incorporating a cross-sectional quantitative survey and qualitative analysis of individual interviews was conducted in England. Some 275 university students aged 17–25 years completed an online questionnaire. Interviews were conducted with a purposively selected sample of eight men and women. Results: Multivariate analysis of quantitative data revealed that injunctive norms (i.e. a desire to comply with others’ wishes for testing), descriptive norms (i.e. perceptions of others’ behaviour) and shame related to STIs predicted past testing behaviour. Intention to undergo testing was predicted by greater perceived susceptibility, past testing, stronger injunctive norms and greater willingness to disclose sexual histories. Qualitative analysis of interview data confirmed the importance of perceived susceptibility, normative beliefs, stigma and shame, and perceived ease of testing. Conclusions: To increase STI testing among young people, there is a need to promote pro-testing norms, address low perceived susceptibility and make testing easier.



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