Deportes para la Vida: An Evaluation of an HIV/AIDS Prevention And Life Skills Intervention in the Dominican Republic Open Access

Lodin, Daud (2014)

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Background: The NGO Dominican Republic Education and Mentoring (DREAM) Project runs Deportes Para La Vita (DPV), a program that uses sports activities to teach sexual health to its students. An evaluation study was conducted of this program between May and August of 2013.

Methods: Our study design was intervention-control, surveying students (10-26 years of age) that had (intervention) and had not (control) participated in DPV in the last year. Thirteen survey events were conducted along the north coast using United Nations General Assembly Special Session (UNGASS) HIV knowledge and Centers for Disease Control And Prevention (CDC) sexual health practices questions. Correct responses to all five UNGASS knowledge questions and sexual health practices were compared between intervention and control groups. Multivariate logistic regression analyses controlled for sex, religion, age, language spoken, ethnicity, and region.

Results: A total of 132 survey were completed - 70 intervention and 62 control. Sixty-one percent of the intervention group and 80% of the control group were less than 19 years of age. Thirty-nine percent of the intervention group correctly answered all knowledge questions, compared to only 10% of the control group (p<0.001). No control participant under the age of 19 answered all questions correctly. No significant findings were made in the practices analyses. The adjusted odds ratio for HIV knowledge by intervention participants was 3.3 (95% CI = 1.1, 9.8; p=0.036).

Conclusion: This evaluation shows that participants of DPV demonstrate a higher level of HIV knowledge and shows some evidence of positive sexual behavioral changes. DPV serves as a strong tool for sexual health education within the country and succeeds as a worthy method of health risk communication.

Table of Contents

Chapter I - Background/Literature Review 1-11

Chapter II - Manuscript 12-32

Title Page 12

Abstract 13-14

Introduction 15-17

Methods 17-20

Results 20-22

Discussion 22-26

Table 1 27

Table 2 28

Table 3 29

Table 4 30

Figure 1 31

Chapter III - Summary/Public Health Implications 32-40

References 41-48

Appendix (Instruments and Code) 49-65

KAP Pre-Survey 49

KAP Survey 50-51

Consent Form for Adults 52-54

Consent Form for Parents and Guardians 55-57

Assent Form for Minors 58-59

SAS Code 60-65

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