Cited by 24Adolescent Sexual and Reproductive HealthHIV/AIDS Research and InterventionsReproductive Health and Contraception

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Effects of HealthWise South Africa on Condom Use Self-efficacy

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Abstract

The present study examines the impact of the HealthWise South Africa prevention intervention on condom use self-efficacy. Students from the Cape Town area were assessed at the beginning and end of each school year, beginning in the 8th grade and ending in the 11th. The intervention was delivered in 12 lessons during the 8th grade and 6 lessons during the 9th grade. Using three-level multiphase mixed-effects models, we found that HealthWise had a statistically significant positive effect on condom use self-efficacy, although effects differed for boys and girls. HealthWise had an effect during the first phase of the intervention (8th grade) for girls and during the second phase (9th grade) for boys. We speculate that the gender differences occur because the 8th grade lessons of the intervention taught skills such as discussion, decision making, and negotiation, which may be more salient to girls, and a 9th grade lesson explicitly focused on condom use within the context of sexual relationships, which may have been more salient to boys.

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Metadata

Authors
Coffman, D. L., Smith, E. A., Flisher, A. J., & Caldwell, L. L.
Affiliations
  • Pennsylvania State University (US)
  • University of Cape Town (ZA)
Corresponding author
Coffman, Donna L.
Venue
Prevention Science
Published
2011-01-27
Volume
12
Issue
2
Pages
162-172
ISSN
  • 1389-4986 (ISSN-L)
  • 1573-6695
OpenAlex
W2102084577
Cited by
24
References
33
Citations by year
2025: 1 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 2 · 2013: 1 · 2012: 2
FWCI
2.97
Type
journal article
Language
en
Open access
Locations
  • Prevention Science (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Drug Abuse (R01 DA01749, P50-DA-10075, R03DA026543, P50DA010075, R01DA029084, T32DA017629)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
Keywords
condom use self-efficacy, HIV prevention interventions, school-based prevention, adolescents, gender differences, decision-making, sex education
MeSH terms
Female, Humans, Male, Models, Psychological, South Africa, Condoms, Self Efficacy

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