Using entertainment-education to promote safer sexual behavior in young adults in Nigeria

Orozco-Olvera, V

Abstract:: Background: Systematic reviews show that HIV prevention campaigns are often ineffective in reducing risky sexual behaviors. Promoting safer sexual practices among high-risk individuals is key in curbing the HIV epidemic. Entertainment-education is the use of mass media programming with educational and development objectives. MTV Shuga is an educational television series aimed at promoting safer sexual practices among Africa youth. Using data from a randomized control trial in Nigeri...
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APA Style

Orozco-Olvera, V. (2019). Using entertainment-education to promote safer sexual behavior in young adults in Nigeria [PhD thesis]. University of Oxford.

MLA Style

Orozco-Olvera, V. Using Entertainment-Education to Promote Safer Sexual Behavior in Young Adults in Nigeria. 2019. University of Oxford, PhD thesis.

Chicago Style

Orozco-Olvera, V. 2019. “Using Entertainment-Education to Promote Safer Sexual Behavior in Young Adults in Nigeria.” PhD thesis, University of Oxford.
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Authors

+ Orozco-Olvera, V More by this author

Division:: SSD
Department:: Social Policy & Intervention
Role:: Author

Contributors

+ Cluver, L

Role:: Supervisor

+ The Bill and Melinda Gates Foundation More from this funder

+ Department for International Development (DFID) More from this funder

DOI:: 10.5287/ora-7e5bkpbj2
Type of award:: DPhil
Level of award:: Doctoral
Awarding institution:: University of Oxford

Language:: English
Keywords:: sexual behaviors

impact evaluation

mass media

HIV prevention intervention

randomized control trial

adolescents and youth

meta-analysis
UUID:: uuid:d370d613-2d90-4ea1-8856-eb3c7f8aee72
Deposit date:: 2019-09-04
ARK identifier:: ark:/29072/ora_d370d6132d904ea18856eb3c7f8aee72

Related item:: The effectiveness of using entertainment-education narratives to promote safer sexual behaviors of youth: A meta-analysis, 1985-2017
Description:: Abstract Background: Risky sexual behaviors are associated with the transmission of sexually transmitted infections (STIs) and unwanted pregnancies, both major health concerns for youth worldwide. This review studies the effectiveness of narrated mass media programs in promoting safer sexual practices among youth in developed and developing countries. Methods: Electronic and manual searches were conducted to identify experimental and quasi-experimental studies with robust counterfactual designs published between 1985 and the first quarter of 2017. Effect sizes were meta-analyzed using random-effects models. Results: Eight experimental and two quasi-experimental studies met our inclusion criteria. The aggregated sample size was 23,476 participants, with a median of 902 participants per study. Entertainment-education narratives had small but significant effects for three sexual behaviors. It reduced the number of sexual partners [standardized mean difference, (SMD)=0.17, 95% confidence interval (CI)=0.02-0.33, three effect sizes], reduced unprotected sex (SMD=0.08, 95% CI=0.03-0.12, nine effect sizes), and increased testing and management for STIs (SMD=0.29, 95% CI=0.11-0.46, two effect sizes). The interventions were not effective in reducing inter-generational sex, measured through the age-gap with sexual partners (SMD=0.06, 95% CI=-0.06-0.19, four effect sizes). Entertainment-education had medium-size effects on knowledge outcomes (SMD=0.67, 95% CI=0.32-1.02, seven effect sizes), where a time-decay relationship is observed. No effects were found on attitudes. Conclusion: Although mass media entertainment had small effects in promoting safer sexual practices, its economies of scales over face-to-face interventions suggest its potential to be a cost-effective tool above an audience threshold. The use of study participants from the general youth population and the use of mostly effectiveness trials mitigate concerns regarding its scalability. The overall paucity of high-quality studies affirms the need for strengthening the evidence base of entertainment-education. Future research should be undertaken to understand the moderator effects for different subgroups and intervention characteristics.

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Copyright holder:: Orozco-Olvera, V

Licence:: Terms and Conditions of Use for Oxford University Research Archive

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Using entertainment-education to promote safer sexual behavior in young adults in Nigeria

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