• Adebimpe Wasiu Oladekan


Introduction: Adolescents constitute a sizeable proportion of new HIV infections. Their reported poor risk perception to HIV/AIDs calls for a more formidable way of reaching them with HIV prevention messages. This study evaluated the effects of peer-led health education on secondary school adolescents' perception and knowledge of risk to HIV/AIDs in urban slum communities of Osun state. Methods: Descriptive cross-sectional study of the pre and post-test type was carried out among intervention and control groups of 700 secondary students each, selected using multi-staged sampling method. The intervention group had a six months’ peer-led health education sessions. Research instruments were semi- structured self-administered pre-tested questionnaires. Data was analysed using the SPSS software version 17.0 Results: Two hundred and ninety-six (84.6%) and 283(80.9%) of respondents were aware of HIV/AIDs in the pretest of intervention and control groups respectively. An increase of 12.0% and 1.7% in awareness was recorded among intervention and control group respectively during post-test. With a high-risk knowledge but poor risk perception scores reported among both groups during pretest, there was an increase of 7.4% in risk perception scores among intervention and 3.2% among control group during post-test. Higher education classes and male gender were predictors of good risk knowledge and good risk perception respectively. Conclusion: Adolescents under study had high awareness, high-risk knowledge but poor self-risk perception towards HIV/AIDs. Peer-led health education significantly increased risk knowledge and perception among study group than the control group.


Adedimeji, A.A., Omololu, F.O and Odutolu O. (2007). HIV Risk Perception and Constraints to Protective Behaviour among Young Slum Dwellers in Ibadan, Nigeria. J Health Popul Nutr, 25(2): 146–

Adeomi, A.A., Adeoye, A.O., Asekun-Olarinmoye, E.O., Abodunrin, O.L., Olugbenga-Bello, A.I., and Sabageh, A.O. (2014a). Evaluation of the Effectiveness of Peer Education in Improving HIV Knowledge, Attitude, and Sexual Behaviours among In-School Adolescents in Osun State, Nigeria.

AIDS Research and Treatment. Article ID

, 10 pages. Accessed 19th November 2015. Available at: http://dx.doi.org/10.1155/2014/131756

Adeomi, A.A., Adeoye, O.A., Asekun-Olarinmoye, E.O., Abodunrin, O.L., Oladele, E.K. (2014b). Knowledge about HIV/AIDs among Nigerian adolescents in the 21st century- a cross-sectional study. IJMPS, 4(10): 01-10

Bamidele, J.O., Abodunrin, O.L., Adebimpe, W.O. (2009). Sexual behaviour and risk of HIV/AIDs among adolescents in public secondary schools in Osogbo, Osun state Nigeria. Int J Adolesc Med Health, 21(2):387-394

Bandura, A. (2007). Social Learning Theory, Englewood Cliffs, NJ, USA: Prentice-Hall, 2007. Eaton, L.A., Flisher, A.J., Aaro, L.E.(2003).“Unsafe sexual behaviour in South African Youth.†Social Science and Medicine,56(1):149-165.

Esere, M.O.(2008).Effect of Sex Education Programme on at-risk sexual behaviour of school- going adolescents in Ilorin, Nigeria. Afr. Health Sci,


Gao, X., Wu, Y., Zhang, Y., Zhang, N., Tang, J., Qiu J et al.(2012). The effectiveness of School-based Education on HIV/AIDS Knowledge, Attitude, and Behavior among Secondary School Students in Wuhan, China. PLoS One. 2012; 7(9): e44881.

Krejcie, R.V., and Morgan, D.W. (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement. Small-Sample Techniques (1960). The NEA Research Bulletin, Vol. 38.;6: 102-146

McCauley, A.P., and Salter, C.(2006). Meeting the needs of young adults, Population Reports, Series J, 5: 41.

National Population Commission (Nigeria) and ICF Macro, Nigeria Demographic and Health Survey

, National Population Commission, ICF Macro, Abuja, Nigeria, 2009.

Oljira, L., Berhane, Y., and Worku, A.(2012). Pre- marital sexual debut and its associated factors among in-school adolescents in eastern Ethiopia, BMC Public Health, 12:375

Sychareun, V., Thomsen, S., Chaleunvong, K., Faxelid, E.(2013). Risk perceptions of STIs/HIV and sexual risk behaviours among sexually experienced adolescents in the northern part of Lao PDR. BMC Public Health, 13:1126.

Visser, M.J.(2014). “HIV/AIDS prevention through peer education and support in secondary schools in South Africa,†SAHARA-J, 4 (3): 678–694





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