HIV prevention among Zambian adolescents

Developing a value utilization/norm change model

Datos Bibliográficos

ID4589418
AutoresDouglas A Feldman, Peggy O''Hara, Peggy O’hara (University of Miami), Peggy O'Hara, K S Baboo (University of Zambia), N-I W Chitalu (University of Zambia), Ying Lu (0000-0002-5057-1763, University of California, San Francisco)
Año1997
Volumen44
Número4
Páginas455-468
Fecha de publicación1997-02-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSocial Science & Medicine (JOURNAL)
Identificadores de la revistaISSN: 0277-9536 • E-ISSN: 1873-5347
EditorialElsevier BV (PUBLISHER)
DOI10.1016/s0277-9536(96)00164-5
PMID9015882
OpenAlexW2025457835
IdiomaEN
Citas recibidas31
Referencias citadas30

Peer-led interventions are effective in reducing risk for HIV among adolescents. A pre-intervention study was conducted to determine how to successfully carry out a possible future intervention to reduce HIV risk among adolescents in urban Zambia. Ethnographic and sexual data were collected on 276 males and females both attending and not attending secondary school during a 14-month period in 1992-1993. Additionally, several focus groups were conducted. This paper reviews the cultural background of Zambian adolescents and presents an overview of the study results. Among the findings, it was learned that most of the male and female adolescents (average age of 17) are sexually active, very few routinely use condoms, less than half of sexually active adolescents have ever used a condom, AIDS is omnipresent in Zambia, the threat of HIV infection is a very real concern for most of the adolescents, there is a strong desire to protect themselves from HIV infection during sex (but condoms are often seen as ineffective and other forms of safer sex are not discussed), nearly all of the sexually active females and some of the males have received money or gifts for sex, and some of the out-of-school females are engaging in very risky sex (e.g., unprotected anal intercourse, and anilingus) with adult men. The ethnographic data, including a brief trial risk reduction workshop, suggests that the core values and social norms of the adolescents may shape behavioral change. A value utilization/norm change (VUNC) model is developed, which is intended to provide a conceptual framework for understanding how to utilize selected core values of the adolescents to strengthen or alter norms within the social networks in order to elicit desired HIV risk reduction

Behavior change · Condom · Developing country · Environmental health · Family medicine · Focus group · Human immunodeficiency virus (HIV · Intervention (counseling · Norm (philosophy · Peer group · Population · Psychiatry · Psychological intervention · Sexual intercourse · Sociology · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Poverty, Education, and Child Welfare · Psychology · Social Psychology