The effectiveness of peer education interventions on HIV- and HBV-preventive behaviours in women with substance-related disorders: a cluster randomised control trial
Open accessAbstract
Introduction: Substance-related disorders (SRDs) have become a problematic phenomenon in many countries, including Iran.Risky sexual behaviours are highly prevalent among people with SRDs.This study aimed to evaluate the effectiveness of a peer education program on preventive behaviours related to human immunodeficiency virus (HIV) and hepatitis B virus (HBV) in women with SRDs.Material and methods: One hundred eligible female drug abusers from 10 drop-in centres located in Tehran were entered into the study using convenience sampling.The intervention included six training sessions.Sessions were held in small groups and conducted by peer educators.The primary topics discussed were problem-solving skills, and HIV/HBV disease-related information including testing, transmission, and prevention.All participants completed demographic and sexual function questionnaires prior to, one-, and three-months post-intervention. Results:The results showed a significant decrease in the percentage of drug (96.00%,75.55%, 73.52%, p = 0.001) and alcohol use (32.00%, 13.33%, 2.90%, p = 0.000) prior to sexual intercourse in the intervention group.Additionally, the number of sex acts under the influence of drugs and alcohol decreased significantly (p < 0.001).The number of sexual partners (p < 0.000) significantly declined, but total drug use indicated no change.We found increases in the percentage of women who reported having had a recent HIV test (p < 0.001) and in condom use (p < 0.001), but the control group showed no significant difference.Conclusions: Based on current results, peer education programs can have a positive effect on high-risk sexual behaviours related to HIV and HBV in women with substance-related disorders.The potential influence of peers in health interventions should be given greater consideration.
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About half (8 of 17) of the health promotion and education interventions were found to have positive results.
“About half (8 of 17) of the health promotion and education interventions were found to have positive results [25,26,38,39,54,56,57,65,66,84].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [25]
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- Authors
- Ahmadi, S., Jamshidimanesh, M., Zafarghandi, M. B. S., & Ranjbar, H.
- Affiliations
- Iran University of Medical Sciences (IR)
- Corresponding author
- Jamshidimanesh, Mansoureh
- Venue
- HIV & AIDS Review
- Publisher
- Termedia Sp. z.o.o.
- Published
- 2019-09-06
- Volume
- 18
- Issue
- 3
- Pages
- 183-192
- ISSN
- 1730-1270 (ISSN-L)
- 1732-2707
- OpenAlex
- W2985158494
- Cited by
- 7
- References
- 54
- Citations by year
- 2026: 1 · 2024: 3 · 2022: 1 · 2021: 2
- FWCI
- 0.57
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- HIV & AIDS Review (publishedVersion, cc-by-nc-sa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Iran University of Medical Sciences
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- peer education, HIV prevention, substance-related disorders, women, drug abuse, alcohol consumption, sexual risk behavior, condom use, HIV testing, sexual partners, problem-solving skills, drop-in centers
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