European Journal of Medical Research - Deutsche AIDS ...

June 27, 2007 EUROPEAN JOURNAL OF MEDICAL RESEARCH
37
A.29 (Poster)
BORDERNET- cross border cooperation in
HIV/AIDS and STI prevention, diagnostic and
therapy
Steffan E. 1 , Arsova-Netzelmann T. 1
1 SPI Forschung gGmbH, Berlin, Germany
Objectives: BORDERNET aims to enhance HIV/AIDS and
STI-Prevention, diagnostic and therapy in regions across the
old and the current EC-outer borders, funded by the EU,
MOH Germany etc. BORDERNET takes into consideration
the specific differences in cultural, legal and social aspects
and the regional distinctions of border regions. The project
operates in four cross-border model regions, connecting Germany
and Poland, Austria and the Slovak Republic, Italy and
Slovenia.
Methods: The project addresses relevant agents in the field of
HIV and STI prevention, diagnostic and therapy. The cooperation
is based on regional interdisciplinary networks to
strengthen capacity building, prevention measures, collection
of epidemiological data, improvement of STI diagnostic and
counselling offers and carry out of KAB surveys outlining
sexual risk indicators and prevention potentials among special
target groups.
Results: Cross-border networks create synergy effects beyond
the concerned regions. In the KAB-Surveys around 1700
persons from 6 countries were questioned. The results delivered
insights into the specific risk related contexts regarding
mobility, sexual risk behavior, access and utilisation of
HIV/STI services. The Sentinel Surveillance on STI provides
important knowledge about the state of diagnostic offers and
the epidemiological development in the model regions. In order
to improve services’ accessibility and quality, additional
pilot diagnostic offers especially for hard to reach groups and
uninsured persons were established.
Discussion: In all the model regions a necessary integration
or at least a harmonisation of the existing HIV/AIDS prevention
and diagnostic offers on the one side and the STI offers
on the other should be attempted out of efficiency reasons.
The integration of STI into a holistic concept of “Sexual
Health” is of particular importance in the whole of Europe,
especially for (young) women. The considerable deficiencies
in STI diagnostic in all the participating model regions lead to
an under-registration of STI. The assessed approaches in HIV
Voluntary Counselling and Testing (VCT) highlighted some
quality discrepancies and should be improved through the introduction
of uniform VCT quality standards.
A.30 (Poster)
"Love knows no boundaries": a project by
migrants for migrants in the prevention of sexually
transmitted diseases (STD)
Traub U. 1 , Körber J. 2 , Schmolz G. 3
1 County Health Department, Ludwigsburg, Germany, 2 State
Health Department, Stuttgart, Germany, 3 currently State
Health Department, Stuttgart, Germany
The incidence of STD is increasing amongst young migrants.
Informative media in their own language that appeal to migrants
is scarce in Germany.
Objective: To increase awareness about STD in school children
and young adults from Turkey and Russia.
Methods: A physician from the Health Department trained
pupils from two schools using several self-developed, interactive
games. Turkish and Russian pupils developed media for
use in migrant populations.
Results: Six posters and flyers dealing with different STDs
were designed and printed in Russian. Language and pictures
were selected by pupils for their own age group. A Turkish
DVD featuring pupils and a representative from the Turkish
consulate was produced. There are short sequences on
Chlamydia, Herpes, Hepatitis etc based on day-to-day situations
at school.The media were distributed to over 100
schools and youth centres all over Germany. The participating
pupils and initial schools were questioned on the impact of
the project.
Conclusions: Media developed by pupils from migrant families
for other migrants are very effective in improving knowledge
about STD. The actively involved pupils gained tremendous
self confidence. There is further demand for similar
sources of information in other languages.
A.31 (Poster)
Condom use self-efficacy: Global or specific
measuring?
Brunner E. 1 , Jenull-Schiefer B. 1
1 Alpen-Adria-Universität Klagenfurt, Institut für Psychologie,
Abteilung für Angewandte Psychologie und
Methodenforschung, Klagenfurt, Austria
Objective: Self-efficacy means subjective perception of one´s
competence to show certain behaviour (Bandura, 1977, 1990)
and is a core determinant of health behaviour. Research has
shown that the use of health-specific self-efficacy scales leads
to a better prediction of health behaviour than the use of
scales which measure only global self-efficacy (Brunner,
2006; Schwarzer, 2004). Therefore, it is essential to develop
specific measuring methods subject to the investigated health
behaviour (Farmer & Meston, 2006).
Methods: One of the studies of the project "Lust or trust?
Adolescent sexual risk taking" investigates condom use selfefficacy
as a determinant of sexual risk behaviour. 1089
pupils and students of Carinthia, Austria were surveyed using
a questionnaire about; condom use, intention to use a condom,
emotional experiences regarding intercourse, self-efficacy etc.
On the one hand, the questionnaire asked about the global
condom use self-efficacy (one item asking for the ability to
use a condom in general). On the other hand, it asked about
the ability to use a condom in different specific situations
(specific condom use self-efficacy; seven items; e.g. the ability
to use a condom if the person is intoxicated, sexually
aroused, or in love).
Results: A factor analysis was conducted to identify the
structure of the seven items, asking for specific condom use
self-efficacy. One factor forms the basis of the seven items;
with a Cronbach’s Alpha of a = .78 the scale shows a satisfying
reliability. As expected, the correlation between the specific
condom use self-efficacy and the global condom use
self-efficacy is positive (r = .57, p = .000). Regression analysis
pointed out that the specific condom use self-efficacy is a
better predictor of condom use than the global condom use
self efficacy.
Conclusions: The investigation of health behaviour requires
specific self-efficacy scales. Asking about subjective perception
of one´s competence, in using a condom in different situ-