Understanding Perceptions of HIV Risk Among Adolescents in KwaZulu-Natal
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Risk perception has been theorized to be an important antecedent for adopting protective behavior. It is a key construct of research applying the Health Belief Model and other behavior change models. In relation to HIV, risk perception is an indicator of perceived susceptibility to infection, a measure for one's understanding of AIDS transmission as well as willingness to consider behavioral changes. However, there remains much we do not know about what drives risk perception, especially among youth. This study identifies factors that influence the calculation of HIV-risk perception among a group of adolescents in South Africa. Data, collected in 1999 from 2,716 adolescents aged 14–22, are used to explore factors predicting risk perception. Logistic regression models suggest connectedness to parents and community for males and females, self-efficacy to use a condom among males, and living in a household with a chronically ill member for females are associated with HIV risk perception. We conclude that a greater understanding of the connection of adolescents to their communities and adults in their lives is needed, and ways in which programs can alter the environments in which adolescents form opinions, make choices, and act should be incorporated into program design.
- Ajzen, I., and Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice Hall.
- Bosga, M. B., de Wit, J. B., de Vroome, E. M., Houweling, H., Schop, W., and Sandfort, T. G. (1995). Differences in perception of risk for HIV infection with steady and non-steady partners among homosexual men. AIDS Education and Prevention, 7, 103–115.
- Brown, L., Macintyre, K., Stavrou, S., Kehus, C., Karim, A., and Robinson, A. (2001). Measuring community effects on adolescent reproductive health in Kwa-Zulu Natal, South Africa. Paper presented at the Population Association of America annual meeting, Washington, DC.
- Catania, J., Kegeles, S., and Coates, T. (1990). Towards an understanding of risk behavior: An AIDS risk reduction model (ARRM). Health Education Quarterly, 17, 53–72.
- Coates, T. J. (1997). Reducing high risk HIV behaviors: An overview of effective approaches. NIH Consensus Development Conference, February 1997.
- Cohen, D., Spear, S., Scribner, R., Kissinger, P., Mason, K., and Wilden, J. (2000). “Broken Windows” and the risk of Gonorrhea. American Journal of Public Health, 90, 230–236.
- DiClemente, R. (2000). Expanding the scope of HIV prevention of adolescents: Beyond individual level interventions. Journal of Adolescent Health, 26, 377–378.
- Dodoo, F., and Adomako, A. (2002). AIDS-related knowledge and behavior among married Kenya men: A behavioral paradox? Journal of Health and Human Services Administration, 24, 197–231.
- Edem, C. U., and Harvey, S. M. (1995). Use of health belief model to predict condom use among university students in Nigeria. International Journal of Community Health Education, 15, 3–14.
- Eiser, R. (1986). Social psychology: Attitudes, cognition and social behavior. Cambridge, UK: Cambridge University Press.
- Ellen, J. M., Boyer, C. B., Tschann, J. M., and Shaffer, M. (1996). Adolescents' perceived risk for STDS and HIV infection. Journal of Adolescent Health, 18, 177–181.
- Farmer, P., and Kim, J. (1991). Anthropology, accountability and the prevention of AIDS. Journal of Sex Research, 28, 203–221.
- Havanon, N., Knodel, J., and Bennett, T. (1992). Sexual networking in a Provincial Thai setting (Monograph series paper no. 1). Bangkok: AIDSCAP.
- Janz, N., and Becker, M. (1984). The health belief model: A decade later. Health Education Quarterly, 11, 1–47.
- Jessor, R. (1998). New perspectives on adolescent risk behavior. Cambridge, UK: Cambridge University Press.
- Jessor, R., Turbin, M. S., and Costa, F. M. (1998). Risk and protection in successful outcomes among disadvantaged adolescents. Applied Development Science, 2, 194–208.
- King, R. (1999). Sexual behavioural change for HIV: Where have theories taken us? Geneva: UNAIDS.
- LeClerc-Madlala, S. (1997). Infect one, infect all: Psychosocial response and impact of the AIDS epidemic on Zulu youth in South Africa. Medical Anthropology, 17, 363–380.
- Macintyre, K., Brown, L., and Sosler, S. (2001a). It is not what you know, but who you knew: AIDS mortality and behavior change in Africa. Aids Prevention and Education, 13, 160–174.
- Macintyre, K., Rutenberg, N., Brown, B., Magnani, R., Manzini, N., and Stavros, S. (2001b). Social disorganization and condom use among adolescents in South Africa. Poster presented at the annual meeting of the Population Association of America, Washington, DC.
- MacPhail, C., and Campbell, C. (2001). “I Think Condoms Are Good but, aai, I Hate Those Things”: Condom use among adolescents and young people in a Southern African township, June. Social Science and Medicine 52, 1613–1627.
- Magnani, R. J., Karim, A., Weiss, L., Bond, K., Lemba, M., and Morgan, G. (2001). Reproductive health risk and protective factors among youth in Lusaka, Zambia. Journal of Adolescent Research, 30, 76–86.
- Malcolm, A., Appleton, P., Bronfman, M., Galvao, J., Mane, P., and Verrall, J., (1998). HIV-related stigmatization and discrimination: Its forms and contexts. Critical Public Health, 8, 347–370.
- Mandela Foundation/HSRC. (2002). South African National HIV prevalence, behavioural risks and mass media: Household Survey 2002. Cape Town: Human Sciences Research Council, 2002.
- Maswanya, E. S., Moji, K., Horiguchi, I., Nagata, K., Aoyagi, K., Honda, S., and Takemoto, T. (1999). Knowledge, risk perception of AIDS and reported sexual behavior among students in secondary schools and colleges in Tanzania. Health Education Research, 14, 185–196.
- Miles, K., Shaw, M., Paine, K., Hart, G. J., and Ceesay, S. (2001). Sexual health seeking behaviours of young people in the Gambia. Journal of Adolescence, 24, 753–764.
- Montgomery, S. B., Joseph, J. G., Becker, M. H., Ostrow, D. G., Kessler, R. C., and Kirscht, J. P. (1989). The health belief model in understanding compliance with preventive recommendations for AIDS: How useful? Aids Education and Prevention, 1, 303–323.
- Parker, R., Easton, D., and Klein, C. H. (2000). Structural barriers and facilitators in HIV prevention: A review of international research. AIDS, 14(Suppl. 1), S22-S32.
- Poppen, P., and Reisen, C. A. (1997). Perception of risk and sexual self-protective behavior: Amethodological critique. AIDS Education and Prevention, 9, 373–390.
- Prohaska, T. R., Albrecht, G., Levy, A., Sugrue, N., and Kim, J. H. (1990). Determinants of self-perceived risk for AIDS. Journal of Health and Social Behavior, 31, 384–394.
- Resnick, M. D., Bearman, P., and Blum, R. W. (1997). Protecting adolescents from harm. JAMA, 278, 823–832.
- Rutenberg, N., Dallimore, A., and Kaufman, C. (2001). Transitions to adulthood in the context of AIDS in South Africa: Report of Wave I. Washington, DC: Horizons/Population Council.
- Rutenberg, N., Kaufman, C., Macintyre, K., Brown, L., and Karim, A. (2003). Pregnant or positive: Adolescent child bearing and HIV risk in KZN. Reproductive Health Matters, 11, 122–133.
- Sahlu, T., Kassa, E., Agonafer, T., Tsegaye, A., Rinke de Wit, T., Gebremariam, H., Doorly, R., Spijkerman, I., and Fontanet, A. L. (1993). Sexual behaviors, perception of risk of HIV infection and factors associated with attending HIV post-test counseling in Ethiopia. AIDS, 13, 1263–1272.
- Sampson, R., Raudenbush, S., and Earls, F. (1997). Neighborhoods and violent crime: A multilevel study of collective efficacy. Science, 277, 918–924.
- Sobo, E. J. (1995). Choosing unsafe sex, AIDS-risk denial among disadvantaged women. Pennsylvania: University of Philadelphia.
- South African Department of Health. (2002). National HIV and syphilis sero-prevalence survey of women attending public antenatal clinics in South Africa: Summary report. Retrieved June 24, 2002, from http://22.214.171.124/doh/docs/index.html
- Sweat, M. D., and Denison, J. A. (1995). Reducing high-risk HIV incidence in developing countries with structural and environmental interventions. AIDS, 9(Suppl. A), S251-S257.
- Sweat, M. D., Nopkesorn, T., Mastro, T. D., Sangkharomya, S., MacQueen, K., Pokapanichwong, W., Sawaengdee, Y., and Weniger, B. G. (1995). AIDS awareness among a cohort of young Thai men: Exposure to information, level of knowledge and perception of risk. Aids Care, 7, 573–591.
- Turner, A. G., Magnani, R. J., and Shuaib, M. (1996). A not quite as quick alternative to the expanded programme on immunization (EPI) cluster survey design. International Journal of Epidemiology, 25, 198–203.
- UNAIDS. (2000a). AIDS epidemic update. Geneva: UNAIDS/00. 44E.
- UNAIDS. (2000b). HIV and AIDS-related stigmatization, discrimination and denial: Forms, contexts and determinants (UN-AIDS Best Practice Collection). Geneva: UNAIDS/00.16E.
- Valle, M., Levey, J., and Fax, S. (1999). Self-perception of risk for HIV among action IDU and their at-risk sex and needle partners. Proceedings of the National HIV Prevention Conference, Atlanta, GA.
- Van Landingham, M. J., Suprasert, S., Grandjean, N., and Sittitrai, W. (1995, June). Two views of risky sexual practices among northern Thai males: The health belief model and the theory of reasoned action. Journal of Health and Social Behavior, 36(2),195–212.
- Varga, C. (1997). Sexual decision making and negotiation in the midst of AIDS: Youth in KwaZulu-Natal, South Africa. Health Transition Review, 7, 45–67.
- Varga, C. (1999). South African young people's sexual dynamics: Implications for behavioural responses to HIV/AIDS. In Resistances to behavioural change to reduce HIV/AIDS infection (pp. 13–34). Australian National University, Canberra.
- Williams, B., and Campbell, C. (1999). Beyond the biomedical and behavioural: Towards an integrated approach to HIV prevention in the Southern African Mining Industry. Social Science and Medicine, 48, 1625–1639.
- Understanding Perceptions of HIV Risk Among Adolescents in KwaZulu-Natal
AIDS and Behavior
Volume 8, Issue 3 , pp 237-250
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- Kluwer Academic Publishers-Plenum Publishers
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- adolescent health
- risk reduction
- perception of risk
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- Author Affiliations
- 1. Department of International Health and Development, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana
- 2. The Population Council, NW Washington, District of Columbia