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dc.contributor.authorSani, AS
dc.contributor.authorAbraham, C
dc.contributor.authorDenford, S
dc.contributor.authorBall, S
dc.date.accessioned2017-03-17T13:56:28Z
dc.date.accessioned2018-04-05T10:15:19Z
dc.date.issued2016-10-10
dc.description.abstractBACKGROUND: School-based sexual health education has the potential to provide an inclusive and comprehensive approach to promoting sexual health among young people. We reviewed evaluations of school-based sexual health education interventions in sub-Saharan Africa to assess effectiveness in reducing sexually transmitted infections and promoting condom use. METHODS: We searched ten electronic databases, hand-searched key journals, and reference lists of included articles for potential studies. Data were extracted on outcomes, intervention characteristics, methods and study characteristics indicative of methodological quality. Where possible, data were synthesized using random effect meta-analysis. Intervention features found predominantly in effective interventions were noted. RESULTS: The initial search retrieved 21634 potentially relevant citations. Of these, 51 papers reporting on 31 interventions were included. No evaluation reported statistically significant effects on the incidence or prevalence of Human Immunodeficiency Virus and Herpes Simplex Virus 2 infections. However, intervention participants reported statistically significant greater condom use in both randomised controlled trials and non-randomised trials for short (less than 6 months) follow-up periods (OR = 1.62, 95 % CI = 1.03-2.55 and OR = 2.88, 95 % CI = 1.41-5.90 respectively). For intermediate (6-10 months) and long-term (more than 10 months) follow-up periods, the effect was statistically significant (OR = 1.40, 95 % CI = 1.16-1.68) and marginally significant (OR = 1.22, 95 % CI = 0.99-1.50) among the randomised trials respectively. Only 12 of the 31 interventions reported implementation details, out of which seven reported on fidelity. CONCLUSION: School-based sexual health education has the potential to promote condom use among young people in sub-Saharan Africa. However, further work is needed to develop and evaluate interventions that have measurable effects on sexually transmitted infections.en_GB
dc.description.sponsorshipThis work presents independent research funded by the UK National Institute for Health Research (NIHR), School for Public Health research and the NIHR Collaboration for Leadership in Applied Health Research and Care of the South West Peninsula (PenCLAHRC). The views expressed in this paper are those of the authors and not necessarily those of NIHR, the University of Exeter or the UK Department of Health.en_GB
dc.identifier.citationVol. 16, article 1069en_GB
dc.identifier.doi10.1186/s12889-016-3715-4
dc.identifier.urihttp://hdl.handle.net/10871/32321
dc.language.isoenen_GB
dc.publisherBioMed Centralen_GB
dc.relation.replaceshttp://hdl.handle.net/10871/26667
dc.relation.replaces10871/26667
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pubmed/27724886en_GB
dc.rightsOpen Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_GB
dc.subjectHIV/STI preventionen_GB
dc.subjectSchool-based sexual health educationen_GB
dc.subjectSub-Saharan Africaen_GB
dc.subjectSystematic reviewen_GB
dc.titleSchool-based sexual health education interventions to prevent STI/HIV in sub-Saharan Africa: a systematic review and meta-analysisen_GB
dc.typeArticleen_GB
dc.date.available2017-03-17T13:56:28Z
dc.date.available2018-04-05T10:15:19Z
exeter.place-of-publicationEnglanden_GB
dc.descriptionThis is the final version of the article. Available from BioMed Central via the DOI in this record.en_GB
dc.identifier.journalBMC Public Healthen_GB


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