Health Education Research Advance Access originally published online on April 9, 2009
Health Education Research 2009 24(5):846-854; doi:10.1093/her/cyp021
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Mobilizing men as partners: the results of an intervention to increase dual protection among Nigerian men
1 HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, NYSPI Unit 15, New York, NY 10032, USA
2 Association of Reproductive and Family Health, Ibadan, Nigeria
* Correspondence to: T. M. Exner. E-mail: tme1{at}columbia.edu
This quasi-experimental, proof-of-concept study evaluated the effects of an intervention designed to help Nigerian men decrease risk for HIV/sexually transmitted infections and unintended pregnancy. The intervention was delivered in groups during two 5-hour workshops, with a monthly 2-hour check-in session. A comparison condition consisted of a group-based half-day didactic workshop. Based on recruitment area, 149 men were assigned to the intervention and 132 to the comparison. Men were evaluated at baseline and 3-month post-intervention. At follow-up, men assigned to the intervention were almost four times more likely than comparison men to report condom use at last intercourse (P < 0.001) and to report fewer unprotected vaginal sex occasions, greater self-efficacy for negotiation, a more egalitarian power dynamic in their primary relationship, more positive expectations for condom use and greater intention for future consistent condom use (all P values < 0.05). Findings suggest that this intervention is both feasible and effective.
Received on June 20, 2008; accepted on March 4, 2009