Abstract
AIDS-related knowledge, attitudes, self-efficacy, and behavior were examined among 3,360 adolescents aged 10–19 years old in Zambia, including in-school and out-of-school, rural and urban, and married and unmarried adolescents. The adolescents reported a moderate to high AIDS knowledge; positive attitudes towards prevention; and low to moderate self-efficacy about AIDS prevention. Although these factors were significantly related to adolescents’ engagement in high-risk behavior, the results indicated that these variables add only 3% of explained variance beyond the socio-demographic variables, which explains 14% of the variance. Three groups were identified as at most risk for HIV: out-of-school adolescents, adolescents from rural areas, and married adolescents. Prevention programs that emphasize the use of condoms should be implemented for these groups and future studies should evaluate their effectiveness in reducing risk.
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References
Agha, S. (1998). Sexual activity and condom use in Lusaka, Zambia. International Family Planning Perspectives, 24(1), 32–37.
Banda, C., Bloom, S. S., Songolo, G., Mulendema, S., Cunningham, A. E., and Boerma, J. T. (1999). National trends in AIDS knowledge and sexual behavior in Zambia 1996–98. Measure Evaluation, Working Paper WP-99–16, US: Carolina Population Center, University of North Carolina at Chapel Hill.
Catania, J. A., Gibson, D. R., Chitwood, D. D., and Coates, T. J. (1990). Methodological problems in AIDS behavioral research: Influences on measurement error and participation bias in studies of sexual behavior. Psychological Bulletin, 108(3), 339–362.
Dare, O. O., and Cleland, J. (1994). Reliability and validity of survey data on sexual behavior. Health Transition Review, 4(Suppl.), 93–110.
DiClemente, R. J., Boyer, C. B., Edwards, S., and Morales, S. (1988). Minorities and AIDS: Knowledge, attitudes and misconceptions among black and Latino adolescents. American Journal of Public Health, 78(1), 55–57.
Feldman, D. A., O’Hara, P., Baboo, K. S., Ndashi-Chitalu, W., and Ying, L. (1993). Sexual behavior among male adolescents in Zambian secondary schools. Paper presented at the IXth International Conference on AIDS, Berlin, Germany.
Feldman, D. A. (1995). High-risk sexual behavior among some female Zambian out-of-school adolescents: A possible future application of the value utilization/norm change model. Paper presented at the Society for Applied Anthropology Meeting, Albuquerque, USA.
Feldman, D. A., O’Hara, P., Baboo, K. S., Ndashi-Chitalu, W., and Ying, L. (1997). HIV prevention among Zambian adolescents: Developing a value utilization/norm change model. Social Science Medicine, 44(4), 455–468.
Gaisie, K., Cross, A. R., and Nsemukila, G. (1993). Demographic and health survey, 1992. UNZA, CSO: Macro International.
Haworth, A. (1988). Knowledge, attitudes, beliefs and practice (KABP) survey on AIDS. UNZA Medical Library, Family Health Trust. Unpublished.
Hewett, P. C., Erulkar, A. S., and Mensch, B. S. (2003). The feasibility of computer-assisted survey interviewing in Africa: Experiences from two rural districts in Kenya (Policy Research Division Working Paper No. 168). New York: Population Council.
Koopman, C., and Rotheram-Borus, M. J. H. (1990). Assessment of knowledge of AIDS and beliefs about AIDS prevention among adolescents. AIDS Education and Prevention, 2(1), 58–70.
Macwang, I. M. (1993). A situational analysis of young people towards HIV/AIDS in Lusaka, Zambia. Available from Institute of African Studies. Unpublished.
Mench, B. S., Hewett, P. C., and Erulker, A. S. (2003). The reporting of sensitive behavior among adolescents: A methodological experience in Kenya. Demography, 40(2), 247–268.
Mudenda, S. J. (1992). The needs and aspirations of secondary school pupils and their attitudes and advisors on selected issues of sexuality. Institute of African Studies, Family Health Trust. Unpublished.
Nicoll, A. B., Catchpole, D., Evans, M. B., et al. (1996). Sexual health and health care: HIV, AIDS and sexually transmitted infections. Global epidemiology, impact and prevention. London: Public Health Laboratory Service.
Padian, N. S., Aral, S., Vranizan, K., and Bolan, G. (1995). Reliability of sexual histories in heterosexual couples. Sexually Transmitted Diseases, 22, 169–172.
Slonim-Nevo, V., Auslander, W., and Ozawa, M. (1995). Educational options and AIDS-related behaviors among troubled adolescents. Journal of Pediatric Psychology, 20(1), 41–60.
Slonim-Nevo, V., Auslander, W., and Ozawa, M. (1996). The long term impact of AIDS-preventive interventions for delinquents and abused adolescents. Adolescence, 31(122), 409–421.
Slonim-Nevo, V. (2001). The long-term impact of AIDS preventive intervention for adolescents in residential centers: An Israeli study. Social Work Research, 25(2), 71–88.
Slonim-Nevo, V., Mukuka, L., and Tembo, R. (2001). AIDS-related knowledge, attitudes and behavior among urban youths in Zambia: Results from a pilot study. International Social Work, 44(4), 487–503.
Trykker, H., Kalumba, K., Hamming A., and Eberhard, M. (1992). Changes in public awareness of AIDS in Zambia. AIDS, 6(11), 1408–1409.
World Health Organization and UNAIDS (2000). Epidemiological fact sheet on HIV/AIDS and sexually transmitted infections: Zambia. Internet site: www.unaids.org.
World Health Organization and UNAIDS (2002). Fact sheet 2002: Sub-Sahara Africa. Internet site: www.unaids.org.
Zambia Central Statistical Office, Ministry of Health, Measure Evaluation. (2002). Zambia sexual behavior survey. Report by USAID and Measure Evaluation, April, 2002.
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Slonim-Nevo, V., Mukuka, L. AIDS-Related Knowledge, Attitudes and Behavior Among Adolescents in Zambia. AIDS Behav 9, 223–231 (2005). https://doi.org/10.1007/s10461-005-3903-1
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DOI: https://doi.org/10.1007/s10461-005-3903-1