Page 31 - ESHRE2019

Socio-ecological framework*
Influences on male adolescents’ SRH care use
Cultural
Social
Personal
Scripts
Gender role
Access to care; organization of care package
Structural/ Policies
Institutions/Guideline
Healthcare, school, etc.
Interpersonal
Social supports, parents, providers
Individual male
Intrapersonal
Perceived need, enabling, & background factors
Social networks, parent connection, healthcare provider relationship
Interventions: Addressing multiple levels
Proyecto Hombre assessed whether a multi-level intervention to promote gender-equitable with young men reduced HIV/STI risk
Design: Quasi-experimental study followed 3 communities in Brazil of males aged 14-25 over 1 year
Findings over 1-year follow-up
• Communities 1 & 2 showed improved attitudes towards inequitable gender norms • Community 1 – that received all intervention components – also showed
reductions in key HIV/STI-related outcomes
Pulerwitz et al. 2006. Promoting more gender-equitable norms and behaviors among young men as an HIV/AIDS prevention strategy. Horizons Final Report. Washington, DC: Population Council.
Knowledge, beliefs, self-efficacy, insurance, behavior
*Adapted from Bronfenbrenner Marcell AV, et al. J Adolesc Health. 2017.
Socio-ecology context
Community
1
2
3 (Control)
Cultural
Social marketing “Lifestyle” campaign
-
-
Personal/ Social
Group education
Group education
-
n/a
-
-
Delayed intervention
26
PRECONGRESS COURSE 08 I VIENNA, AUSTRIA – 23 JUNE 2019 29