Skip to main content
Erschienen in: Environmental Health and Preventive Medicine 6/2011

01.11.2011 | Regular Article

HIV prevention through extended education encompassing students, parents, and teachers in Japan

verfasst von: Miyuki Nagamatsu, Takeshi Sato, Aki Nakagawa, Hisako Saito

Erschienen in: Environmental Health and Preventive Medicine | Ausgabe 6/2011

Einloggen, um Zugang zu erhalten

Abstract

Objectives

We developed an extended HIV prevention program for students, parents, and school teachers, and then evaluated its effectiveness.

Methods

The participants were 490 students, aged 13–14 years, attending four public junior high schools in Saga Prefecture, Japan. They were divided into two groups: control and intervention. All the students received group education by health professionals. In the control group, students received only two group education sessions given by health professionals. In the intervention group, there were three intervention components: parent education, teacher education, and student individual counseling by health professionals. Before and 3 months after the intervention, participants underwent evaluation of their frequency of communication about AIDS with parents or teachers, their knowledge of HIV/AIDS, and attitudes to sexual intercourse, self-esteem, and high-risk behavior.

Results

A total of 135 students (80 boys and 55 girls) from the intervention group and 236 students (115 boys and 121 girls) from the control group participated in the evaluation 3 months after intervention. Adolescents in the intervention group showed more positive changes than those in the control group from baseline to follow-up. Intervention had a significant impact on the frequency of communication about AIDS with teachers (p = 0.027) and HIV/AIDS knowledge among females (p = 0.023), and intervention also had a significant impact on refusal of sexual activity by males (p = 0.045).

Conclusions

These findings suggest that effective prevention of HIV might be achieved by an expanded education program for students and teachers such as that described, and individual counseling that takes into consideration the sexual differences of Japanese adolescents.
Literatur
2.
Zurück zum Zitat Japanese Association for Sex Education. National white paper of the youth: Survey of Japanese young sexual behavior 2005. Plenum Press Tokyo; 2007 (article in Japanese). Japanese Association for Sex Education. National white paper of the youth: Survey of Japanese young sexual behavior 2005. Plenum Press Tokyo; 2007 (article in Japanese).
3.
Zurück zum Zitat Meschke LL, Bartholomae S, Zentall SR. Adolescent sexuality and parent–adolescent processes: promoting healthy teenage choices. J Adolesc Health. 2002;31:264–79.PubMedCrossRef Meschke LL, Bartholomae S, Zentall SR. Adolescent sexuality and parent–adolescent processes: promoting healthy teenage choices. J Adolesc Health. 2002;31:264–79.PubMedCrossRef
4.
Zurück zum Zitat Nagamatsu M, Ozaki I, Takedomi Y, Sato T. Literature review on programs about HIV and sexuality for parents of adolescents. J AIDS Res. 2007;9:158–66 (article in Japanese). Nagamatsu M, Ozaki I, Takedomi Y, Sato T. Literature review on programs about HIV and sexuality for parents of adolescents. J AIDS Res. 2007;9:158–66 (article in Japanese).
5.
Zurück zum Zitat Nagamatsu M, Saito H, Sato T. Factors associated with gender differences in parent–adolescent relationships that delay first intercourse in Japan. J Sch Health. 2008;78:601–6.PubMedCrossRef Nagamatsu M, Saito H, Sato T. Factors associated with gender differences in parent–adolescent relationships that delay first intercourse in Japan. J Sch Health. 2008;78:601–6.PubMedCrossRef
6.
Zurück zum Zitat Inoue M, Nishihira T, Kakazu I. A study of high school students’ sexual behavior and its influencing factors. Adolescentology. 2005;22:495–503 (article in Japanese). Inoue M, Nishihira T, Kakazu I. A study of high school students’ sexual behavior and its influencing factors. Adolescentology. 2005;22:495–503 (article in Japanese).
7.
Zurück zum Zitat Saito M, Inokuchi I, Takamura H, Hiraoka T, Murase K, Kimura Y, Horikuchi M. The sexual education at adolescence and its preferable role. Adolescentology. 2009;27:351–60. Saito M, Inokuchi I, Takamura H, Hiraoka T, Murase K, Kimura Y, Horikuchi M. The sexual education at adolescence and its preferable role. Adolescentology. 2009;27:351–60.
8.
Zurück zum Zitat Tanomura Y. Has the turning point in sexual education come?: From the point of view of sexual education. Adolescentology. 2006;24:26–9 (article in Japanese). Tanomura Y. Has the turning point in sexual education come?: From the point of view of sexual education. Adolescentology. 2006;24:26–9 (article in Japanese).
9.
Zurück zum Zitat Iwamuro S. Has the turning point in sexual education come?: From the point of view of community health. Adolescentology. 2006;24:35–9 (article in Japanese). Iwamuro S. Has the turning point in sexual education come?: From the point of view of community health. Adolescentology. 2006;24:35–9 (article in Japanese).
10.
Zurück zum Zitat Hasuo Y. Necessity of sex education and promotive activities for oral contraception. Obstet Gynecol Ther. 2009;99:639–42 (article in Japanese). Hasuo Y. Necessity of sex education and promotive activities for oral contraception. Obstet Gynecol Ther. 2009;99:639–42 (article in Japanese).
11.
Zurück zum Zitat Wright MT. Beyond risk factors: trends in European sex research. J Psychol Hum Sex. 1998;10:7–18.CrossRef Wright MT. Beyond risk factors: trends in European sex research. J Psychol Hum Sex. 1998;10:7–18.CrossRef
12.
Zurück zum Zitat Magnussen L, Ehiri JE, Ejere HO, Jolly PE. Interventions to prevent HIV among adolescents in less developed countries: are they effective? Int J Adolesc Med Health. 2004;16:303–23.PubMedCrossRef Magnussen L, Ehiri JE, Ejere HO, Jolly PE. Interventions to prevent HIV among adolescents in less developed countries: are they effective? Int J Adolesc Med Health. 2004;16:303–23.PubMedCrossRef
13.
Zurück zum Zitat Ingram BL, Flannery D, Elkavich A, Rotheram-Borus JM. Common processes in evidence-based adolescent HIV prevention programs. AIDS Behav. 2008;12:374–83.PubMedCrossRef Ingram BL, Flannery D, Elkavich A, Rotheram-Borus JM. Common processes in evidence-based adolescent HIV prevention programs. AIDS Behav. 2008;12:374–83.PubMedCrossRef
14.
Zurück zum Zitat Coyle K, Basen-Engquist K, Kirby D, Parcel G, Banspach S, Collins J, et al. Safer choices: reducing teen pregnancy, HIV, and STDs. Public Health Rep. 2001;116:82–93.PubMedCrossRef Coyle K, Basen-Engquist K, Kirby D, Parcel G, Banspach S, Collins J, et al. Safer choices: reducing teen pregnancy, HIV, and STDs. Public Health Rep. 2001;116:82–93.PubMedCrossRef
15.
Zurück zum Zitat Jemmott JB, Jemmott LS, Fong GT. Reductions in HIV risk-associated sexual behaviors among black male adolescents: effects of an AIDS prevention intervention. Am J Public Health. 1992;82(3):372–7.PubMedCrossRef Jemmott JB, Jemmott LS, Fong GT. Reductions in HIV risk-associated sexual behaviors among black male adolescents: effects of an AIDS prevention intervention. Am J Public Health. 1992;82(3):372–7.PubMedCrossRef
16.
Zurück zum Zitat Rotheram-Borus MJ, Song J, Gwadz M, Lee MB, Van Rossem R, Koopman C. Reductions in HIV risk among runaway youth. Prev Sci. 2003;4(3):173–87.PubMedCrossRef Rotheram-Borus MJ, Song J, Gwadz M, Lee MB, Van Rossem R, Koopman C. Reductions in HIV risk among runaway youth. Prev Sci. 2003;4(3):173–87.PubMedCrossRef
17.
Zurück zum Zitat St.Lawrence JS, Brasfield TL, Jefferson KW, Alleyne E, O’Bannon RE, Shirley A. Cognitive-behavioral intervention to reduce African American adolescents’ risk for HIV infection. J Consult Clin Psychol. 1995;63(2):221–37.PubMedCrossRef St.Lawrence JS, Brasfield TL, Jefferson KW, Alleyne E, O’Bannon RE, Shirley A. Cognitive-behavioral intervention to reduce African American adolescents’ risk for HIV infection. J Consult Clin Psychol. 1995;63(2):221–37.PubMedCrossRef
18.
Zurück zum Zitat Stanton BF, Li X, Ricardo I, Galbraith J, Feigelman S, Kaljee L. A randomized, controlled effectiveness trial of an AIDS prevention program for low-income African-American youths. Arch Pediatr Adolesc Med. 1996;150(4):363–72.PubMed Stanton BF, Li X, Ricardo I, Galbraith J, Feigelman S, Kaljee L. A randomized, controlled effectiveness trial of an AIDS prevention program for low-income African-American youths. Arch Pediatr Adolesc Med. 1996;150(4):363–72.PubMed
19.
Zurück zum Zitat Salazar LF, Crosby RA, Diclemente RJ, Wingood GM, Lescano CM, Brown LK. Self-esteem and theoretical mediators of safer sex among African American female adolescents: implication for sexual risk reduction interventions. Health Educ Behav. 2005;32:413–27.PubMedCrossRef Salazar LF, Crosby RA, Diclemente RJ, Wingood GM, Lescano CM, Brown LK. Self-esteem and theoretical mediators of safer sex among African American female adolescents: implication for sexual risk reduction interventions. Health Educ Behav. 2005;32:413–27.PubMedCrossRef
20.
Zurück zum Zitat Denny G, Young M. An evaluation of an abstinence-only education curriculum: an 18-month follow-up. J Sch Health. 2006;76:414–22.PubMedCrossRef Denny G, Young M. An evaluation of an abstinence-only education curriculum: an 18-month follow-up. J Sch Health. 2006;76:414–22.PubMedCrossRef
21.
Zurück zum Zitat Kurata M. Relation between self-affirmation and the existence of confidants for high school and university students. Adolescentology. 2008;26(2):257–60 (article in Japanese). Kurata M. Relation between self-affirmation and the existence of confidants for high school and university students. Adolescentology. 2008;26(2):257–60 (article in Japanese).
22.
Zurück zum Zitat Kodama T. New public health approach for HIV/AIDS. J AIDS Res. 2010;12:18–27 (article in Japanese). Kodama T. New public health approach for HIV/AIDS. J AIDS Res. 2010;12:18–27 (article in Japanese).
23.
Zurück zum Zitat Kelly JA, St Lawrence JS, Hood HV, Brasfield TL. An objective test of AIDS risk behavior knowledge: scale development, validation, and norms. J Behav Ther and Exp Psychiatry. 1989;20:227–34.CrossRef Kelly JA, St Lawrence JS, Hood HV, Brasfield TL. An objective test of AIDS risk behavior knowledge: scale development, validation, and norms. J Behav Ther and Exp Psychiatry. 1989;20:227–34.CrossRef
24.
Zurück zum Zitat Matsumoto J, Takeda B. Comparative study on self-efficacy on preventive behavior toward HIV infection by different intervention approaches. Adolescentology. 2003;21:379–87. Matsumoto J, Takeda B. Comparative study on self-efficacy on preventive behavior toward HIV infection by different intervention approaches. Adolescentology. 2003;21:379–87.
25.
Zurück zum Zitat Rosenberg M. Society and adolescent self-image. Princeton: Princeton University, New Jersey Publication; 1965. Rosenberg M. Society and adolescent self-image. Princeton: Princeton University, New Jersey Publication; 1965.
26.
Zurück zum Zitat Hoshino A. Psychology of emotion and education. Child Psychol. 1970;24(1264–1283):1445–77 (article in Japanese). Hoshino A. Psychology of emotion and education. Child Psychol. 1970;24(1264–1283):1445–77 (article in Japanese).
27.
Zurück zum Zitat Kawabata T, Ishikawa T, Katsuno S, Nishioka N, Nozu Y, Shimai S, et al. Sexual behavior and related factors among junior and senior high school students: focusing on psychosocial variables including self-esteem. Japan J Sch Health. 2007;49:335–47 (article in Japanese). Kawabata T, Ishikawa T, Katsuno S, Nishioka N, Nozu Y, Shimai S, et al. Sexual behavior and related factors among junior and senior high school students: focusing on psychosocial variables including self-esteem. Japan J Sch Health. 2007;49:335–47 (article in Japanese).
28.
Zurück zum Zitat Kirby DB, Baumler E, Coyle KK, Basen-Engquist K, Parcel GS, Harrist R, et al. The ‘Safer Choices’ intervention: its impact on the sexual behaviors of different subgroups of high school students. J Adolesc Health. 2004;35:442–52.PubMed Kirby DB, Baumler E, Coyle KK, Basen-Engquist K, Parcel GS, Harrist R, et al. The ‘Safer Choices’ intervention: its impact on the sexual behaviors of different subgroups of high school students. J Adolesc Health. 2004;35:442–52.PubMed
29.
Zurück zum Zitat Flay BR, Graumlich S, Segawa E, Burns JL, Holliday MY. Effects of 2 prevention programs on high-risk behaviors among African American youth,a randomized trial. Arch Pediatr Adolesc Med. 2004;158:377–84.PubMedCrossRef Flay BR, Graumlich S, Segawa E, Burns JL, Holliday MY. Effects of 2 prevention programs on high-risk behaviors among African American youth,a randomized trial. Arch Pediatr Adolesc Med. 2004;158:377–84.PubMedCrossRef
30.
Zurück zum Zitat Tomiko M. Effects of sexual education for junior high school students accompanied by life-skill training on knowledge, attitude and behavior. Adolescentology. 2007;25:436–44 (article in Japanese). Tomiko M. Effects of sexual education for junior high school students accompanied by life-skill training on knowledge, attitude and behavior. Adolescentology. 2007;25:436–44 (article in Japanese).
31.
Zurück zum Zitat Larsson I, Svedin CG. Sexual experiences in childhood: young adults’ recollections. Arch Sex Behav. 2002;31:263–73.PubMedCrossRef Larsson I, Svedin CG. Sexual experiences in childhood: young adults’ recollections. Arch Sex Behav. 2002;31:263–73.PubMedCrossRef
32.
Zurück zum Zitat Papadopoulos NG, Stamboulides P, Triantafillou T. The psychosexual development and behavior of university students: a nationwide survey in Greece. J Psychol Human Sex. 2000;11:93–110.CrossRef Papadopoulos NG, Stamboulides P, Triantafillou T. The psychosexual development and behavior of university students: a nationwide survey in Greece. J Psychol Human Sex. 2000;11:93–110.CrossRef
33.
Zurück zum Zitat Hashimoto M, Maeda H, Ishida T, Takamura H. Evaluating program and education tools for reproductive health education used with the peer counseling method in Japanese adolescents. Adolescentology. 2007;25:321–8 (article in Japanese). Hashimoto M, Maeda H, Ishida T, Takamura H. Evaluating program and education tools for reproductive health education used with the peer counseling method in Japanese adolescents. Adolescentology. 2007;25:321–8 (article in Japanese).
34.
Zurück zum Zitat Takedomi Y, Ozaki I, Yamada S, Hamano K, Inoue E, Sano M, et al. A survey of sex education of students by their parents. Jpn Soc AIDS Res. 2003;5:76–81 (article in Japanese). Takedomi Y, Ozaki I, Yamada S, Hamano K, Inoue E, Sano M, et al. A survey of sex education of students by their parents. Jpn Soc AIDS Res. 2003;5:76–81 (article in Japanese).
35.
Zurück zum Zitat Hiraoka T. A survey on the awareness of sex and sexual education among junior high school students and their parents, high school students, and junior college students. Adolescentology. 2005;23:161–70 (article in Japanese). Hiraoka T. A survey on the awareness of sex and sexual education among junior high school students and their parents, high school students, and junior college students. Adolescentology. 2005;23:161–70 (article in Japanese).
Metadaten
Titel
HIV prevention through extended education encompassing students, parents, and teachers in Japan
verfasst von
Miyuki Nagamatsu
Takeshi Sato
Aki Nakagawa
Hisako Saito
Publikationsdatum
01.11.2011
Verlag
Springer Japan
Erschienen in
Environmental Health and Preventive Medicine / Ausgabe 6/2011
Print ISSN: 1342-078X
Elektronische ISSN: 1347-4715
DOI
https://doi.org/10.1007/s12199-010-0205-7

Weitere Artikel der Ausgabe 6/2011

Environmental Health and Preventive Medicine 6/2011 Zur Ausgabe