HIV prevention through sport: the case of the Mathare Youth Sport Association in Kenya
Authors & affiliation
Wim Delva, Kristien Michielsen, Bert Meulders, Sandy Groeninck, Edwin Wasonga, Pauline Ajwang, Marleen Temmerman, Bart Vanreusel
Abstract
Sport has become a popular tool for HIV prevention, based on claims that it can foster life skills that are necessary to translate knowledge, attitudes and behavioural intentions into actual behaviour. Empirical evidence of the effectiveness of sport-based HIV prevention programmes is, however, sorely lacking. We therefore conducted a cross-sectional survey assessing sexual behaviour and the determinants thereof among 454 youth of the Mathare Youth Sport Association (MYSA) in Kenya and a control group of 318 non-MYSA members. Multiple (ordinal) logistic regression models were applied to measure the association between MYSA membership and attitudes, subjective norms and self-efficacy related to condom use as well as sexual experience, age at sexual debut, condom use, history of concurrent relationships and number of partners in the last year. MYSA members were more likely to use condoms during the first sex act (odds ratio (OR)=2.10; 95% CI: 1.10-3.99). Consistent condom use with the current/last partner was 23.2% (36/155) among MYSA members vs. 17.2% (17/99) among the control group. Even after adjusting for media exposure - a factor associated with both MYSA membership and higher frequency of condom use - MYSA members were still found to use condoms more frequently with their current/last partner (adjusted OR=1.64; 95% CI: 1.01-2.68). Nevertheless, levels of condom use remain disturbingly low. More rigorous evaluations of sport programmes for HIV prevention are needed. When possible, programmes should be preceded by baseline assessments, trends in risk behaviour of the intervention group should be compared with those of a control group, and protocols for data collection and analysis should include measuring of and adjusting for potentially confounding factors.
Publication date:
2010
Staff members:
Link to publication
Attachments
10-AIDS_Care_-_HIV_prevention_through_sport__Delva_.pdf (restricted)Related publications
Olivier Degomme, Emilie Peeters, Hedwig Deconinck, Alban Ylli, Albana Fico, Gentiana Qirjako, Dorina Ttocaj, Sara De Meyer, Kristien Michielsen, Anna Page, Wina Baeha, Kristi Praptiwi, Miranda van Reeuwijk, Beatriz Manuel, Elin C. Larsson, Carmen Ortiz, Bernardo Vega, Monserrath Jerves, Simukai Shamu, Annemiek Seeuws, Anna Galle, Anne Nobels, Ines Keygnaert, Hazel Barrett, Nina Van Eekert, Tammary Esho, Els Leye, Carles Pericas Escale, Samuel Thuo Kimani, Sofie Thielemans, Dara De Schutter, Remi Moerkerke, Louis De Backer, Viola N. Nyakato, Elizabeth Kemigisha, Wei Hong Zhang, Marleen Temmerman, Lina Hu, Shangchun Wu, Kaiyan Pei, Charlotte Neves de Oliveira, Argyro Chatzinikolaou, Eva Lievens
2018 Opportunities for linking research to policy : lessons learned from implementation research in sexual and reproductive health within the ANSER networkEmilomo Ogbe, Dirk Van Braeckel, Marleen Temmerman, Elin C Larsson, Ines Keygnaert, Wilson De los Reyes Aragón, Feng Cheng, Gunta Lazdane, Diane Cooper, Simukai Shamu, Peter Gichangi, Sónia Dias, Hazel Barrett, Anne Nobels, Kaiyan Pei, Anna Galle, Tammary Esho, Lucia Knight, Hanani Tabana, Olivier Degomme
2023 Label-free electrochemical immunosensor for cervical cancer screeningSallam Al-Madhagi, Patricia Khashayar, Bo Verberckmoes, Evelien Peeters, Elien De Paepe, Heleen Vermandere, Mieke Adriaens, Jan Vanfleteren, Olivier Degomme, Elizaveta Padalko