Does School Health Education on Voluntary Counseling and Testing Make a Significant change for HIV/AIDS Prevention? A Case of High School Students in Hossana Town, Ethiopia: A Cross Sectional StudyFeleke Doyore*
Department of Public Health, Faculty of Medicine and Health Sciences, Wachemo University, Ethiopia
- *Corresponding Author:
- Feleke Doyore
Department of Public Health, Faculty of Medicine and Health Sciences
Wachemo University, Hosanna, P.O: 667, Ethiopia
Tel: +251916291489, 0932685424
E-mail: [email protected], [email protected]
Received date: January 17, 2014; Accepted date: February 21, 2014; Published date: February 24, 2014
Citation: Doyore F (2014) Does School Health Education on Voluntary Counseling and Testing Make a Significant change for HIV/AIDS Prevention? A Case of High School Students in Hossana Town, Ethiopia: A Cross Sectional Study. J Community Med Health Educ 4:277. doi:10.4172/2161-0711.1000277
Copyright: © 2014 Doyore F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Back ground: Almost three decades after the first clinical cases of acquired immunodeficiency syndrome (AIDS) were reported. Its epidemics killed millions of people and became a major public health problem. To halt the epidemics, HIV counseling and testing is one of the strategies. Though HIV testing is critical for behavior modification in getting support and entry point for engagement on treatment, many people are missing these opportunities. This study was aimed to consider how people are reacting for health communication on voluntary counseling and testing as HIV prevention messages using Extended Parallel Process Model (EPPM). Method: Cross-sectional study design was conducted using quantitative and qualitative methods of data collection. Structured and pre-tested self administered questionnaires were used to collect data. Simple random sampling method was used to select students from each school. Quantitative data were analyzed using SPSS version 16.0. Qualitative data was analyzed using Atlas software. Results: 78.68% (321/408) participants were found in fear control psychological responses where as 21.32% (87/408) participants were found in danger control responses. As independent predictors, self efficacy [AOR (95%CI)=4.13 (3.37 to 5.01)], response efficacy [AOR (95%CI)=3.21(6.89 to 9.09)] of HIV/AIDS, participants ever tested [AOR (95%CI)=4.31 (7.01 to 9.08)] and residence [AOR (95%CI)=4.13 (2.43 to 7.32)] were positively associated with danger response responses where as perceived susceptibility to [AOR (95%CI)=0.42 (0.44 to 0.61)] and perceived severity of [AOR (95%CI)=0.33 (0.21 to 0.74)] HIV/AIDS were negatively associated with danger response. The EPPM Model explained 70.09% of variance in this study. Conclusion: Despite higher number of students in fear control psychological responses, there is considerable gap between discriminative scores and actual behaviors. Therefore, due attention should be given to fill the gap of perception of risk of both threat and efficacy in their residence.