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Piloting an evidence-based intervention for HIV prevention among street youth in Eldoret, Kenya

Author

Listed:
  • L. Embleton

    (University of Toronto)

  • E. Ruggiero

    (University of Toronto)

  • C. H. Logie

    (University of Toronto)

  • D. Ayuku

    (Moi University
    Academic Model Providing Access to Healthcare)

  • P. Braitstein

    (University of Toronto
    Academic Model Providing Access to Healthcare
    Moi University)

Abstract

Objectives This study presents findings from piloting an adapted evidence-based intervention, Stepping Stones and Creating Futures, to change street-connected young people’s HIV knowledge, condom-use self-efficacy, and sexual practices. Methods Eighty street-connected young people participated in a pre- and post-test mixed methods design in Eldoret, Kenya. The primary outcome of interest was HIV knowledge. Secondary outcomes included condom-use self-efficacy and sexual practices. Multiple linear regression models for change scores with adjustment for socio-demographic variables were fitted. Qualitative and quantitative findings are presented together, where integration confirms, expands on, or uncovers discordant findings. Results Participants had a significant increase in HIV knowledge from pre- to post-intervention. The median HIV knowledge score pre-intervention was 11 (IQR 8–13) and post-intervention 14 (IQR 12–16). Attendance was significantly associated with HIV knowledge change scores. Qualitatively participants reported increased HIV and condom-use knowledge and improved condom-use self-efficacy and health-seeking practices. Conclusions Our findings support the potential for further testing with a rigorous study design to investigate how best to tailor the intervention, particularly by gender, and increase the overall effectiveness of the program.

Suggested Citation

  • L. Embleton & E. Ruggiero & C. H. Logie & D. Ayuku & P. Braitstein, 0. "Piloting an evidence-based intervention for HIV prevention among street youth in Eldoret, Kenya," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 0, pages 1-11.
    • Handle: RePEc:spr:ijphth:v::y::i::d:10.1007_s00038-020-01349-8
    DOI: 10.1007/s00038-020-01349-8
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    References listed on IDEAS

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    1. Laura Bernardi, 2002. "Determinants of individual AIDS risk perception: knowledge, behavioural control, and social influence," MPIDR Working Papers WP-2002-029, Max Planck Institute for Demographic Research, Rostock, Germany.
    2. Tenkorang, Eric Y. & Maticka-Tyndale, Eleanor, 2014. "Assessing young people's perceptions of HIV risks in Nyanza, Kenya: Are school and community level factors relevant?," Social Science & Medicine, Elsevier, vol. 116(C), pages 93-101.
    3. Kaime-Atterhog, Wanjiku & Lindmark, Gunilla & Persson, Lars-Ake & Ahlberg, Beth Maina, 2007. "Burning "Centre Bolt": Experiences of sexually transmitted infections and health care seeking behaviour described by street boys in Urban Kenya," Children and Youth Services Review, Elsevier, vol. 29(5), pages 600-617, May.
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