Feasibility of using soccer and job training to prevent drug abuse and HIV
Open accessAbstract
Many young, South African men use alcohol and drugs and have multiple partners, but avoid health care settings-the primary site for delivery of HIV intervention activities. To identify the feasibility of engaging men in HIV testing and reducing substance use with soccer and vocational training programs. In two Cape Town neighborhoods, all unemployed men aged 18-25 years were recruited and randomized by neighborhood to: (1) an immediate intervention condition with access to a soccer program, random rapid diagnostic tests (RDT) for alcohol and drug use, and an opportunity to enter a vocational training program (n = 72); or (2) a delayed control condition (n = 70). Young men were assessed at baseline and 6 months later by an independent team. Almost all young men in the two neighborhoods participated (98 %); 85 % attended at least one practice (M = 42.3, SD = 34.4); 71 % typically attended practice. Access to job training was provided to the 35 young men with the most on-time arrivals at practice, drug-free RDT, and no red cards for violence. The percentage of young men agreeing to complete RDT at soccer increased significantly over time; RDTs with evidence of alcohol and drug use decreased over time. At the pre-post assessments, the frequency of substance use decreased; and employment and income increased in the immediate condition compared to the delayed condition. HIV testing rates, health care contacts, sexual behaviors, HIV knowledge, condom use and attitudes towards women were similar over time. Alternative engagement strategies are critical pathways to prevent HIV among young men. This feasibility study shows that soccer and job training offer such an alternative, and suggest that a more robust evaluation of this intervention strategy be pursued.
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Of studies that examined vigorous-intensity interventions, a considerable proportion found positive outcomes on depression symptoms.
“Of the studies that examined vigorous-intensity interventions, a considerable proportion found positive outcomes on depression symptoms,35 50 51 stress43 and mood states,61 but not for anxiety.50”
From Physical activity and exercise in youth mental health promotion: a scoping review (2020) · cites this paper as [51]
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- Authors
- Rotheram-Borus, M. J., Tomlinson, M., Durkin, A., Baird, K., DeCelles, J., & Swendeman, D.
- Affiliations
- Stellenbosch University (ZA)
- University of California, Los Angeles (US)
- Venue
- AIDS and Behavior
- Published
- 2016-02-02
- Volume
- 20
- Issue
- 9
- Pages
- 1841-1850
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC4970963
- OpenAlex
- W2256902392
- Cited by
- 35
- References
- 54
- Citations by year
- 2024: 3 · 2023: 6 · 2022: 2 · 2021: 2 · 2020: 4 · 2019: 6 · 2018: 9 · 2017: 3
- FWCI
- 5.59
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Mental Health (P30 MH58107)
- National Institute on Drug Abuse (R34 DA030311)
- UCLA Center for AIDS Research (5P30AI028697)
- National Center for Advancing Translational Sciences (UL1TR000124)
- William T. Grant Foundation
- National Research Foundation
- National Institute on Alcohol Abuse and Alcoholism (R24 AA022919)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- HIV prevention, substance use prevention, soccer, vocational education, job training, young men, HIV testing, rapid diagnostic tests, substance use, employment, alcohol consumption, South Africa, Cape Town
- MeSH terms
- Adolescent, Adult, Employment, Feasibility Studies, Female, Humans, Male, Mass Screening, Sexual Behavior, Sex Education, Sexual Partners, Soccer, South Africa, Violence, Vocational Education, HIV Infections, Substance-Related Disorders, Safe Sex, Black People, Young Adult
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