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HIV prevention through sport: The case of the Mathare Youth Sport Association in Kenya

dc.contributor.authorDelva W.
dc.contributor.authorMichielsen K.
dc.contributor.authorMeulders B.
dc.contributor.authorGroeninck S.
dc.contributor.authorWasonga E.
dc.contributor.authorAjwang P.
dc.contributor.authorTemmerman M.
dc.contributor.authorVanreusel B.
dc.date.accessioned2011-05-15T15:58:48Z
dc.date.available2011-05-15T15:58:48Z
dc.date.issued2010
dc.identifier.citationAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
dc.identifier.citation22
dc.identifier.citation8
dc.identifier.issn9540121
dc.identifier.other10.1080/09540121003758606
dc.identifier.urihttp://hdl.handle.net/10019.1/10852
dc.description.abstractSport has become a popular tool for HIV prevention, based on claims that it can foster life skills that are necessary to translate knowledge, attitudes and behavioural intentions into actual behaviour. Empirical evidence of the effectiveness of sport-based HIV prevention programmes is, however, sorely lacking. We therefore conducted a cross-sectional survey assessing sexual behaviour and the determinants thereof among 454 youth of the Mathare Youth Sport Association (MYSA) in Kenya and a control group of 318 non-MYSA members. Multiple (ordinal) logistic regression models were applied to measure the association between MYSA membership and attitudes, subjective norms and self-efficacy related to condom use as well as sexual experience, age at sexual debut, condom use, history of concurrent relationships and number of partners in the last year. MYSA members were more likely to use condoms during the first sex act (odds ratio (OR)=2.10; 95% CI: 1.10-3.99). Consistent condom use with the current/last partner was 23.2% (36/155) among MYSA members vs. 17.2% (17/99) among the control group. Even after adjusting for media exposure - a factor associated with both MYSA membership and higher frequency of condom use - MYSA members were still found to use condoms more frequently with their current/last partner (adjusted OR=1.64; 95% CI: 1.01-2.68). Nevertheless, levels of condom use remain disturbingly low. More rigorous evaluations of sport programmes for HIV prevention are needed. When possible, programmes should be preceded by baseline assessments, trends in risk behaviour of the intervention group should be compared with those of a control group, and protocols for data collection and analysis should include measuring of and adjusting for potentially confounding factors. © 2010 Taylor & Francis.
dc.subjectadolescent
dc.subjectage distribution
dc.subjectattitude to sexuality
dc.subjectconceptual framework
dc.subjectcondom
dc.subjectconference paper
dc.subjectcontrolled study
dc.subjectfemale
dc.subjecthealth program
dc.subjecthuman
dc.subjectHuman immunodeficiency virus infection
dc.subjectKenya
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectpersonal experience
dc.subjectpriority journal
dc.subjectself concept
dc.subjectsexual behavior
dc.subjectsexuality
dc.subjectsports medicine
dc.subjectTheory of Planned Behavior
dc.subjectAdolescent
dc.subjectAge Factors
dc.subjectChild
dc.subjectCondoms
dc.subjectFemale
dc.subjectHealth Knowledge, Attitudes, Practice
dc.subjectHIV Infections
dc.subjectHumans
dc.subjectKenya
dc.subjectMale
dc.subjectRegression Analysis
dc.subjectSelf Efficacy
dc.subjectSexual Behavior
dc.subjectSports
dc.subjectYoung Adult
dc.titleHIV prevention through sport: The case of the Mathare Youth Sport Association in Kenya
dc.typeConference Paper
dc.description.versionConference Paper


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