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Health Education Training Embedded in a Microfinance Platform Associated with Safer Sexual Behavior in Haitian Women.
Rosenberg, Molly; Jules, Reginal; Luetke, Maya; Kianersi, Sina; Nelson, Erik; Jean-Louis, Florence.
Afiliação
  • Rosenberg M; Department of Epidemiology and Biostatistics, Indiana University School of Public Health, 1025 E. 7th Street, Bloomington, IN, 47405, USA. rosenmol@indiana.edu.
  • Jules R; Fonkoze Foundation, Port-au-Prince, Haiti.
  • Luetke M; Department of Epidemiology and Biostatistics, Indiana University School of Public Health, 1025 E. 7th Street, Bloomington, IN, 47405, USA.
  • Kianersi S; Department of Epidemiology and Biostatistics, Indiana University School of Public Health, 1025 E. 7th Street, Bloomington, IN, 47405, USA.
  • Nelson E; Department of Epidemiology and Biostatistics, Indiana University School of Public Health, 1025 E. 7th Street, Bloomington, IN, 47405, USA.
  • Jean-Louis F; Fonkoze Foundation, Port-au-Prince, Haiti.
AIDS Behav ; 23(9): 2375-2385, 2019 Sep.
Article em En | MEDLINE | ID: mdl-30997651
Sexual health education interventions have generally yielded modest impact, but may be more successful when integrated into programs designed to alleviate poverty and empower women. Between December 2017 and February 2018, we interviewed 304 Haitian female microfinance clients, 75 of whom had received health education training delivered within their regular meetings. Participants reported six key sexual health outcomes. We used log-binomial models to estimate the association between health education training and each outcome, and tested for interaction by age and literacy status. Women with health education training reported more condom use with unfaithful partners [PR (95% CI) 1.78 (1.04, 3.02)], more HIV testing [PR (95% CI) 1.56 (1.28, 1.90)], and fewer STI symptoms [PR (95% CI) 0.37 (0.19, 0.73)], compared to women with no training. Some of the associations were stronger among older women [e.g. HIV testing: PR (95% CI) 2.09 (1.49, 2.82)] and illiterate women [e.g. condom use: PR (95% CI) 3.46 (1.05, 11.38)]. These findings add to the growing body of evidence demonstrating the potential to use microfinance programs as platforms for health education delivery, and provide the first evidence for the association in Haiti.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Educação Sexual / Parceiros Sexuais / Infecções por HIV / Educação em Saúde / Autonomia Pessoal / Financiamento Pessoal / Promoção da Saúde Tipo de estudo: Etiology_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Aged / Female / Humans País/Região como assunto: Caribe / Haiti Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Educação Sexual / Parceiros Sexuais / Infecções por HIV / Educação em Saúde / Autonomia Pessoal / Financiamento Pessoal / Promoção da Saúde Tipo de estudo: Etiology_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Aged / Female / Humans País/Região como assunto: Caribe / Haiti Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos