This is the medicine
A Kenyan community responds to a sexual concurrency reduction intervention
Datos Bibliográficos
| ID | 4879877 |
|---|---|
| Autores | Adolph Knopf (0000-0003-2557-4556, Indiana University – Purdue University Indianapolis), Amelia Knopf, Kawango Agot (0000-0002-6153-8950, Impact Research and Development Organization), John E Sidle (Indiana University – Purdue University Indianapolis), John Sidle, Violet Naanyu (0000-0003-0182-1719, Moi University), M Morris (0000-0002-1191-3521, University of Washington, autor de correspondencia) |
| Año | 2014 |
| Volumen | 108 |
| Páginas | 175-184 |
| Fecha de publicación | 2014-05-01 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Social Science & Medicine (JOURNAL) |
| Identificadores de la revista | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Editorial | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2014.01.039 |
| PMID | 24650739 |
| PMCID | PMC3999233 |
| OpenAlex | W1984617776 |
| Idioma | EN |
| Citas recibidas | 10 |
| Referencias citadas | 34 |
We report the results of the first study designed to evaluate the feasibility and acceptability of an HIV prevention intervention focused on concurrent sexual partnerships. Mathematical models and longitudinal studies of stable couples indicate concurrency plays a critical role in sustaining generalized HIV epidemics in heterosexual populations, and East and Southern African nations identified concurrency reduction as a priority for HIV prevention. "Know Your Network" (KYN) is a single-session community-level concurrency awareness intervention designed to address this need. It is rooted in traditional social network research, but takes advantage of new network methodology and years of participatory action research with communities living in a region of Kenya with the highest HIV prevalence nationally. KYN combines didactic presentation, interactive exercises, high-impact graphics, and a network survey with immediate visualization of the results, to prompt a community conversation about sexual norms. We combined focus group discussions and the traditional east African baraza to evaluate the feasibility and acceptability of KYN for use with adults living in rural Nyanza Province, Kenya. We were able to implement KYN with fidelity to its components. Participants understood the intervention's messages about concurrency and its role in HIV transmission through sexual networks. They agreed to provide anonymous egocentric data on their sexual partnerships, and in return we successfully simulated a representation of their local network for them to view and discuss. This launched a dynamic conversation about concurrency and sexual norms that persisted after the intervention. The concurrency message was novel, but resonant to participants, who reported sharing it with their children, friends, and sexual partners. With clear evidence of KYN's feasibility and acceptability, it would be appropriate to evaluate the effectiveness of the intervention using a community-randomized trial. If effective, KYN would offer an inexpensive complement to ongoing comprehensive HIV prevention efforts in generalized epidemic settings
Concurrency · Conversation · Intervention (counseling · Adolescent Sexual and Reproductive Health · Communication · Computer Science · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology
Returning network findings
Baraza as method
Intimate partner violence and forced migration during pregnancy
Gender inequality dynamics in the prevention of a heterosexual HIV epidemic in sub-Saharan Africa
On the road again
Designing HIV prevention interventions that are acceptable to young adults in sub-Saharan Africa
Variations of Sexual Scripts Relating to Concurrency by Race, Class, and Gender in South Africa
Youth Perspectives on Sexual Health Workshops
Geographic mobility and potential bridging for sexually transmitted infections in Agbogbloshie, Ghana
From social networks to health
Concurrent Partnerships as a Driver of the HIV Epidemic in Sub-Saharan Africa? The Evidence is Limited
Concurrent partnerships and the spread of HIV
Male circumcision for HIV prevention in young men in Kisumu, Kenya
Viral Load and Heterosexual Transmission of Human Immunodeficiency Virus Type 1
Randomized, Controlled Intervention Trial of Male Circumcision for Reduction of HIV Infection Risk
Male circumcision for HIV prevention in men in Rakai, Uganda
Determinants of Consistent Condom Use Vary by Partner Type among Young Men in Kisumu, Kenya
Concurrent Partnerships, Acute Infection and HIV Epidemic Dynamics Among Young Adults in Zimbabwe
Common Factors in Effective HIV Prevention Programs
Measuring Prevalence and Correlates of Concurrent Sexual Partnerships Among Young Sexually Active Men in Kisumu, Kenya
Comparing Estimates of Multiple and Concurrent Partnerships Across Population Based Surveys
Concurrent Sexual Partnerships and Primary HIV Infection
The Evidence for the Role of Concurrent Partnerships in Africa’s HIV Epidemics
HIV/Aids and cultural practices in western Kenya
Best-Evidence Interventions
Concurrent Partnerships and HIV Prevalence Disparities by Race
Concurrent Sexual Partnerships and the HIV Epidemics in Africa
Rooting Inquiry in Tradition
Three Approaches to Qualitative Content Analysis
Concurrent sexual partnerships among youth in urban Kenya
| Obras citantes distintas | 10 |
|---|---|
| Citas por año | 0,83 |
| Intervalo de citas | 2014 - 2027 (14) |
| Velocidad de citación | recent |
| Altamente citado | No |
| Tipos de cita | Neutras: 9 |