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Participation and diffusion effects of a peer-intervention for HIV prevention among adults in rural Malawi

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  • Crittenden, Kathleen S.
  • Kaponda, Chrissie P.N.
  • Jere, Diana L.
  • McCreary, Linda L.
  • Norr, Kathleen F.

Abstract

This paper examines whether a peer group intervention that reduced self-reported risky behaviors for rural adults in Malawi also had impacts on non-participants in the same communities. We randomly assigned two districts to the intervention and control conditions, and conducted surveys at baseline and 18 months post-intervention using unmatched independent random samples of intervention and control communities in 2003–2006. The six-session peer group intervention was offered to same-gender groups by trained volunteers. In this analysis, we divided the post-intervention sample into three exposure groups: 243 participants and 170 non-participants from the intervention district (total n = 415) and 413 control individuals.

Suggested Citation

  • Crittenden, Kathleen S. & Kaponda, Chrissie P.N. & Jere, Diana L. & McCreary, Linda L. & Norr, Kathleen F., 2015. "Participation and diffusion effects of a peer-intervention for HIV prevention among adults in rural Malawi," Social Science & Medicine, Elsevier, vol. 133(C), pages 136-144.
    • Handle: RePEc:eee:socmed:v:133:y:2015:i:c:p:136-144
    DOI: 10.1016/j.socscimed.2015.03.055
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    References listed on IDEAS

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    1. Kelly, J.A. & St. Lawrence, J.S. & Stevenson, L.Y. & Hauth, A.C. & Kalichman, S.C. & Diaz, Y.E. & Brasfield, T.L. & Koob, J.J. & Morgan, M.G., 1992. "Community AIDS/HIV risk reduction: The effects of endorsements by popular people in three cities," American Journal of Public Health, American Public Health Association, vol. 82(11), pages 1483-1489.
    2. Kelly, J.A. & St. Lawrence, J.S. & Diaz, Y.E. & Stevenson, L.Y. & Hauth, A.C. & Brasfield, T.L. & Kalichman, S.C. & Smith, J.E. & Andrew, M.E., 1991. "HIV risk behavior reduction following intervention with key opinion leaders of population: An experimental analysis," American Journal of Public Health, American Public Health Association, vol. 81(2), pages 168-171.
    3. Bandura, Albert, 1990. "Perceived self-efficacy in the exercise of control over AIDS infection," Evaluation and Program Planning, Elsevier, vol. 13(1), pages 9-17, January.
    4. St Lawrence, J.S. & Brasfield, T.L. & Diaz, Y.E. & Jefferson, K.W. & Reynolds, M.T. & Leonard, M.O., 1994. "Three-year follow-up of an HIV risk-reduction intervention that used popular peers," American Journal of Public Health, American Public Health Association, vol. 84(12), pages 2027-2028.
    5. Sikkema, K.J. & Kelly, J.A. & Winett, R.A. & Solomon, L.J. & Cargill, V.A. & Roffman, R.A. & McAuliffe, T.L. & Heckman, T.G. & Anderson, E.A. & Wagstaff, D.A. & Norman, A.D. & Perry, M.J. & Crumble, D, 2000. "Outcomes of a randomized community-level HIV prevention intervention for women living in 18 low-income housing developments," American Journal of Public Health, American Public Health Association, vol. 90(1), pages 57-63.
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    2. Chinonyelum Nwosu & Kenneth D. Ward, 2022. "Comment on Alharbi et al. Adoption of Health Mobile Apps during the COVID-19 Lockdown: A Health Belief Model Approach. Int. J. Environ. Res. Public Health 2022, 19 , 4179," IJERPH, MDPI, vol. 19(24), pages 1-2, December.

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