One of the worst HIV/AIDS epidemics in the world is occurring in South Africa, where heterosexual exposure is the main mode of HIV transmission. Young people 15-24 years of age, particularly women, account for a large share of new infections. Accordingly, there is an urgent need for behavior-change interventions to reduce the incidence of HIV among adolescents in South Africa. However, there are few such interventions with proven efficacy for South African adolescents, especially young adolescents. A recent cluster-randomized controlled trial of the 'Let Us Protect Our Future!' HIV/STD risk-reduction intervention for Grade 6 South African adolescents (mean age = 12.4 years) found significant decreases in self-reported sexual risk behaviors compared with a control intervention. This article describes the intervention, the use of the social cognitive theory and the reasoned action approach to develop the intervention, how formative research informed its development and the acceptability of the intervention. Challenges in designing and implementing HIV/STD risk-reduction interventions for young adolescents in sub-Saharan Africa are discussed.

译文

世界上最严重的艾滋病毒/艾滋病流行病之一发生在南非,那里的异性接触是艾滋病毒传播的主要方式。15-24岁的年轻人,特别是妇女,在新感染中占很大比例。因此,迫切需要改变行为的干预措施,以减少南非青少年中艾滋病毒的发病率。然而,很少有这样的干预措施对南非青少年,尤其是青少年有效。最近对 “让我们保护我们的未来!” 进行的聚类随机对照试验。南非6年级青少年 (平均年龄 = 12.4岁) 的HIV/STD降低风险干预发现,与对照干预相比,自我报告的性风险行为显着降低。本文介绍了干预,使用社会认知理论和合理的行动方法来发展干预,形成性研究如何为干预的发展提供信息以及干预的可接受性。讨论了在撒哈拉以南非洲为青少年设计和实施减少艾滋病毒/性病风险干预措施的挑战。

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