ERIC Number: EJ932825
Record Type: Journal
Publication Date: 2011-Aug
Abstractor: As Provided
Reference Count: N/A
Impact of HealthWise South Africa on Polydrug Use and High-Risk Sexual Behavior
Tibbits, Melissa K.; Smith, Edward A.; Caldwell, Linda L.; Flisher, Alan J.
Health Education Research, v26 n4 p653-663 Aug 2011
This study was designed to evaluate the efficacy of the HealthWise South Africa HIV and substance abuse prevention program at impacting adolescents' polydrug use and sexual risk behaviors. HealthWise is a school-based intervention designed to promote social-emotional skills, increase knowledge and refusal skills relevant to substance use and sexual behaviors, and encourage healthy free time activities. Four intervention schools in one township near Cape Town, South Africa were matched to five comparison schools (N = 4040). The sample included equal numbers of male and female participants (Mean age = 14.0). Multiple regression was used to assess the impact of HealthWise on the outcomes of interest. Findings suggest that among virgins at baseline (beginning of eighth grade) who had sex by Wave 5 (beginning of 10th grade), HealthWise youth were less likely than comparison youth to engage in two or more risk behaviors at last sex. Additionally, HealthWise was effective at slowing the onset of frequent polydrug use among non-users at baseline and slowing the increase in this outcome among all participants. Program effects were not found for lifetime sexual activity, condomless sex refusal and past-month polydrug use. These findings suggest that HealthWise is a promising approach to HIV and substance abuse prevention.
Descriptors: Acquired Immunodeficiency Syndrome (AIDS), Substance Abuse, Intervention, Leisure Time, Prevention, Program Effectiveness, Foreign Countries, Sexuality, Grade 8, Grade 10, Risk, Social Development, Emotional Development, Health Education, Multiple Regression Analysis, Drug Use
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A
Identifiers - Location: South Africa