Sociocognitive Predictors of Condom Use and Intentions Among Adolescents in Three Sub-Saharan Sites.

Many HIV intervention programs in sub-Saharan Africa have applied social cognitive theories such as the theory of planned behavior. However, a recent sub-Saharan African review was unable to show increased effectiveness for theory-based interventions. This study assessed whether the predictive value...

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Publicado en:Archives of Sexual Behavior Vol. 45; no. 2; pp. 353 - 366
Autores principales: Eggers, Sander, Aarø, Leif, Bos, Arjan, Mathews, Catherine, Kaaya, Sylvia, Onya, Hans, Vries, Hein, Eggers, Sander M, Aarø, Leif E, Bos, Arjan E R, Kaaya, Sylvia F, de Vries, Hein
Formato: journal article
Publicado: Springer Nature Feb2016
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Sociocognitive Predictors of Condom Use and Intentions Among Adolescents in Three Sub-Saharan Sites.
      aug:
        au:
          Eggers, Sander
          Aarø, Leif
          Bos, Arjan
          Mathews, Catherine
          Kaaya, Sylvia
          Onya, Hans
          Vries, Hein
          Eggers, Sander M
          Aarø, Leif E
          Bos, Arjan E R
          Kaaya, Sylvia F
          de Vries, Hein
        affil:
          Department of Health Promotion, School for Public Health and Primary Care (CAPHRI), Maastricht University, 6200 MD Maastricht The Netherlands
          School of Psychology, Open University, Heerlen The Netherlands
          Department of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam Tanzania
          Department of Public Health Practice and Health Promotion, School of Health Sciences, University of Limpopo-Turfloop Campus, Sovenga South Africa
          Department of Health Promotion, School for Public Health and Primary Care (CAPHRI), Maastricht University, POB 616, 6200 MD, Maastricht, The Netherlands
          Division of Mental Health, Norwegian Institute of Public Health, Oslo, Norway
          Department of Health Promotion and Development, University of Bergen, Bergen, Norway
          School of Psychology, Open University, Heerlen, The Netherlands
          Department of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
      su:
        Europe
        South Africa
        Tanzania
        United States
        Social perception
        Condom use
        Africans
        Social norms
        Teenagers' sexual behavior
        Human sexuality
        Condoms
        Self-efficacy
        Self-perception
        Teenagers' conduct of life
        Social support
        Subjectivity -- Social aspects
        Self-efficacy -- Social aspects
        Intention
        HIV infections & psychology
        Comparative studies
        Research methodology
        Medical cooperation
        Research
        Evaluation research
      sug:
        subj:
          Social perception
          Condom use
          Africans
          Social norms
          Teenagers' sexual behavior
          Human sexuality
          Condoms
          Self-efficacy
          Self-perception
          Teenagers' conduct of life
          Social support
          Europe
          South Africa
          Tanzania
          United States
          Other rubber product manufacturing
          All Other Rubber Product Manufacturing
          Other Individual and Family Services
          Subjectivity -- Social aspects
          Self-efficacy -- Social aspects
          Intention
          HIV infections & psychology
          Comparative studies
          Research methodology
          Medical cooperation
          Research
          Evaluation research
      keyword:
        AIDS
        HIV
        Sexual risk behavior
        Sub-Saharan Africa
        Theory of planned behavior
        AIDS
        HIV
        Sexual risk behavior
        Sub-Saharan Africa
        Theory of planned behavior
      ab: Many HIV intervention programs in sub-Saharan Africa have applied social cognitive theories such as the theory of planned behavior. However, a recent sub-Saharan African review was unable to show increased effectiveness for theory-based interventions. This study assessed whether the predictive value of attitudes, subjective norms, self-efficacy, and intention was similar to studies in Europe and the U.S., and whether there were differences between three sub-Saharan sites. Longitudinal multigroup structural equation modeling was used to assess whether attitudes, subjective norms, and self-efficacy predicted condom use intentions and condom use (after 6 months) among adolescents in three sites, namely Cape Town (South Africa; N = 625), Dar es Salaam (Tanzania; N = 271), and Mankweng (South Africa; N = 404). Condom use intentions were predicted by subjective norms and self-efficacy in all three sites. Attitudes were not related to intentions in Dar es Salaam and were moderately related to intentions in Cape Town and Mankweng. The proportions of explained variance in intentions and behavior were decent (37-52 and 9-19%, respectively). Although significant differences in predictive value were found between sites and in comparison to European and U.S. studies, intentions could adequately be explained by attitudes, subjective norms, and self-efficacy. However, the limited proportions of variance in behavior explained by intentions could signify the importance of contextual and environmental factors. Future studies are recommended to use an integrative approach that takes into account both individual and contextual factors, as well as social and environmental differences.
      pubtype: Academic Journal
      doctype: journal article
      src: R
    language: English
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