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Brunelli L, Valent F, Comar M, Suligoi B, Salfa MC, Gianfrilli D, Sesti F, Restivo V, Casuccio A. Study protocol for a pre/post study on knowledge, attitudes and behaviors regarding STIs and in particular HPV among Italian adolescents, teachers, and parents in secondary schools. Front Public Health 2024; 12:1414631. [PMID: 39224555 PMCID: PMC11366568 DOI: 10.3389/fpubh.2024.1414631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2024] [Accepted: 07/03/2024] [Indexed: 09/04/2024] Open
Abstract
Sexually transmitted infections (STIs) are one of the most important issues related to sexual and reproductive health, as it is estimated that more than 1 million new infections are acquired every day worldwide and data on the prevalence and incidence of these infections, especially among young people, are increasing. Nevertheless, there are some knowledge and behavioral gaps, and young people need more support from their school and family network to protect themselves and their peers. Therefore, we have designed a multicenter prospective intervention study involving public lower and upper secondary school students, their parents and teachers (ESPRIT). The intervention will take place in the school year 2023-2024, where students will meet with experts and be involved in peer education, while adults (parents and teachers) will participate in distance and face-to-face trainings. All target groups will complete KAP (knowledge, attitudes, practice) questionnaires before and after participating in the intervention to measure its effectiveness. The results of this study will help to assess and improve the level of knowledge of lower and upper secondary school students, parents and teachers about STIs and HPV in particular, raise awareness of sexual and reproductive health issues, including vaccination, among lower and upper secondary school students and their families, and evaluate the effectiveness of these interventions in terms of improving knowledge and changing attitudes and behaviors. The study protocol has been approved by the Regional Unique Ethics Committee of Friuli Venezia Giulia (CEUR-2023-Sper-34). The project is being carried out with the technical and financial support of the Italian Ministry of Health-CCM.
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Affiliation(s)
- Laura Brunelli
- Dipartimento di Medicina, Università degli Studi di Udine, Udine, Italy
- SOC Accreditamento, Qualità e Rischio Clinico, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - Francesca Valent
- SOC Igiene e Sanità Pubblica, Dipartimento di Prevenzione, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - Manola Comar
- Diagnostica Avanzata Microbiologica Traslazionale, IRCSS Burlo Garofolo, Trieste, Italy
- Dipartimento Universitario Clinico di Scienze Mediche Chirurgiche e della Salute, Università degli Studi di Trieste, Trieste, Italy
| | - Barbara Suligoi
- Dipartimento Malattie Infettive, Centro Operativo AIDS, Istituto Superiore di Sanità, Rome, Italy
| | - Maria Cristina Salfa
- Dipartimento Malattie Infettive, Centro Operativo AIDS, Istituto Superiore di Sanità, Rome, Italy
| | - Daniele Gianfrilli
- Dipartimento di Medicina Sperimentale, Università Sapienza di Roma, Rome, Italy
| | - Franz Sesti
- Dipartimento di Medicina Sperimentale, Università Sapienza di Roma, Rome, Italy
| | | | - Alessandra Casuccio
- Sezione di Igiene, Dipartimento PROMISE, Università di Palermo, Palermo, Italy
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Wade L, Leahy AA, Babic MJ, Beauchamp MR, Smith JJ, Kennedy SG, Boyer J, Nathan N, Robinson K, Lubans DR. A systematic review and meta-analysis of the benefits of school-based, peer-led interventions for leaders. Sci Rep 2022; 12:21222. [PMID: 36481781 PMCID: PMC9732042 DOI: 10.1038/s41598-022-25662-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 12/02/2022] [Indexed: 12/13/2022] Open
Abstract
The aim of our systematic review and meta-analysis was to quantitatively synthesise the effects of school-based peer-led interventions on leaders' academic, psychosocial, behavioural, and physical outcomes. Eligible studies were those that: (i) evaluated a school-based peer-led intervention using an experimental or quasi-experimental study design, (ii) included an age-matched control or comparison group, and (iii) evaluated the impact of the intervention on one or more leader outcomes. Medline, Sportdiscus, Psychinfo, Embase, and Scopus online databases were searched on the 24th of October, 2022 which yielded 13,572 results, with 31 included in the narrative synthesis and 12 in the meta-analysis. We found large positive effects for leaders' attitudes toward bullying (d = 1.02), small-to-medium positive effects for leaders' literacy (d = 0.39), and small positive effects for leaders' self-esteem (d = 0.18). There were mixed findings for behavioural outcomes and null effects for physical outcomes. Notable limitations of this research are the inclusion of a relatively small number of studies, and high heterogeneity in those included. Our findings have the potential to inform educational practice, but also highlight the need for further research examining the mechanisms that might account for the observed effects. Our systematic review was prospectively registered with PROSPERO (CRD42021273129).
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Affiliation(s)
- Levi Wade
- grid.266842.c0000 0000 8831 109XCentre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, University Drive, Callaghan, NSW 2308 Australia ,grid.413648.c Active Living Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW 2305 Australia
| | - Angus A. Leahy
- grid.266842.c0000 0000 8831 109XCentre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, University Drive, Callaghan, NSW 2308 Australia ,grid.413648.c Active Living Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW 2305 Australia
| | - Mark J. Babic
- grid.266842.c0000 0000 8831 109XCentre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, University Drive, Callaghan, NSW 2308 Australia ,grid.413648.c Active Living Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW 2305 Australia
| | - Mark R. Beauchamp
- grid.17091.3e0000 0001 2288 9830School of Kinesiology, University of British Columbia, Vancouver, BC Canada
| | - Jordan J. Smith
- grid.266842.c0000 0000 8831 109XCentre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, University Drive, Callaghan, NSW 2308 Australia ,grid.413648.c Active Living Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW 2305 Australia
| | - Sarah G. Kennedy
- grid.1029.a0000 0000 9939 5719School of Health Sciences, Western Sydney University, Penrith, NSW Australia
| | - James Boyer
- grid.461941.f0000 0001 0703 8464New South Wales Department of Education, Sydney, NSW Australia
| | - Nicole Nathan
- Hunter New England Population Health, Wallsend, NSW Australia ,grid.266842.c0000 0000 8831 109XSchool of Medicine and Public Health, The University of Newcastle, Callaghan, NSW Australia ,grid.413648.c Hunter Medical Research Institute, New Lambton Heights, NSW 2305 Australia
| | - Katie Robinson
- grid.266842.c0000 0000 8831 109XCentre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, University Drive, Callaghan, NSW 2308 Australia ,grid.413648.c Active Living Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW 2305 Australia
| | - David R. Lubans
- grid.266842.c0000 0000 8831 109XCentre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, University Drive, Callaghan, NSW 2308 Australia ,grid.413648.c Active Living Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW 2305 Australia ,grid.9681.60000 0001 1013 7965 Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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Storck KE, Gawron LM, Sanders JN, Wiaderny N, Turok DK. "I just had to pay the money and be supportive": A qualitative exploration of the male-partner role in contraceptive decision-making in Salt Lake City, Utah family planning clinics. Contraception 2022; 113:78-83. [PMID: 35469828 PMCID: PMC9378475 DOI: 10.1016/j.contraception.2022.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 04/06/2022] [Accepted: 04/11/2022] [Indexed: 11/03/2022]
Abstract
OBJECTIVES Peers and intimate partners can influence contraceptive decision-making and use. We aimed to explore the male-partner role in contraceptive decision-making, and describe ideal male-partner roles and how they relate to contraceptive use, specifically uptake of long-acting reversible contraception (LARC). STUDY DESIGN We used a phenomenological approach to explore cis-hetero partner involvement in contraceptive decision-making and conducted semi-structured in-depth interviews with 30 cisgender women and 30 cisgender men in heterosexual relationships who presented to Salt Lake City family planning clinics. Participants, stratified by sex assigned at birth and current contraceptive method (LARC vs non-LARC), described the male-partner's role in the most recent contraceptive decision and discussed how ideal-partner involvement could look in contraceptive decision-making. We iteratively developed a codebook and identified dominant themes using a constant content and comparative analysis. RESULTS We did not identify thematic differences by LARC vs non-LARC users. Participants universally considered that contraceptive responsibility falls on women. At the time of the interviews, both men and women indicated a strong desire to prevent pregnancy, and felt that men's actual contributions to decision-making were limited. Themes around gendered-differences of contraceptive knowledge, responsibility and risk, and sexual priorities emerged, as well as inadequate knowledge and contraception options for men. In analyzing discussion around ideal partner support, participants suggested emotional, financial, and logistical support options and placed high importance on interpersonal communication. CONCLUSIONS The decision to use a method of LARC did not influence sentiments around male-partner involvement or stated desire for partner involvement. Limited contraceptive knowledge and male options restrict the contraceptive decision-making role and contraceptive engagement for men, although participants suggested other supportive options. IMPLICATIONS This work suggests the desire of both men and women for men to participate in contraceptive decision-making, but their role remains limited. Future interventions focused on comprehensive contraceptive education and modeling of communication strategies for men are tangible steps to support men in this role.
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Affiliation(s)
- Kathryn E Storck
- University of Utah, Department of Obstetrics and Gynecology, Salt Lake City, UT, United States
| | - Lori M Gawron
- University of Utah, Department of Obstetrics and Gynecology, Salt Lake City, UT, United States.
| | - Jessica N Sanders
- University of Utah, Department of Obstetrics and Gynecology, Salt Lake City, UT, United States
| | - Nicolle Wiaderny
- Planned Parenthood Association of Utah, Salt Lake City, UT, United States
| | - David K Turok
- University of Utah, Department of Obstetrics and Gynecology, Salt Lake City, UT, United States
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