Collective efficacy and HIV prevention in South African townships
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2013
TITLE AUTHOR(S): D.Cain, E.V.Pitpitan, L.Eaton, K.B.Carey, M.P.Carey, V.Mehlomakulu, O.Harel, L.C.Simbayi, K.Mwaba, S.C.Kalichman
KEYWORDS: HIV/AIDS, HIV/AIDS PREVENTION, TOWNSHIP
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 7868
HANDLE: 20.500.11910/2841
URI: http://hdl.handle.net/20.500.11910/2841
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
South African townships have high HIV prevalence and a strong need for collective action to change normative sexual risk behaviors. This study investigated the relationship between perceptions of individuals about collective efficacy in the community's ability to prevent HIV and their personal HIV risk behaviors. Men (n = 1,581) and women (n = 718) completed anonymous surveys within four Black African Townships in Cape Town, South Africa from June 2008 to December 2010. Measures included demographics, alcohol use, attitudinal and behavioral norms, sexual health communications, and sexual risk behaviors. In multivariate logistic regressions, men were more likely to endorse collective efficacy if they were married, drank less often in alcohol serving establishments, believed that fewer men approve of HIV risk behaviors, talk more with others about HIV/AIDS, and had more sex partners in the past month. Women were more likely to endorse collective efficacy if they drank alcohol less often, talked more with others about HIV/AIDS, had more sex partners in the past month, but reported fewer unprotected sex acts in the past month. Community level interventions that strengthen collective efficacy beliefs will have to consider both protective and risk behaviors associated with believing that the community is ready and capable of preventing HIV.-
Related Research Outputs:
- Preliminary findings of the HIV and Alcohol Prevention Programme (HAPS) in South African township schools
- Review of the HIV/AIDS policy, legislation, financing & implementation of programmes in Mozambique
- A review of HIV/AIDS policy, financing, legislation and programmes: South African case study: Draft
- The impact of HIV/AIDS on the health sector: national survey of health personnel, ambulatory and hospitalised patients and health facilities, 2002
- Prevention of mother to child transmission: a report of an assessment of a pilot programme in fifteen health facilities in Gauteng province
- A comparative analysis of the financing of HIV/AIDS programmes in Botswana, Lesotho, Mozambique, South Africa, Swaziland and Zimbabwe, October 2003
- Using CHAMP to prevent youth HIV risk in South African townships
- HIV/AIDS/STD knowledge, attitudes, beliefs and behaviours in a rural South African adult population
- Perceived social context of AIDS in a black township in Cape Town
- HIV testing attitudes, AIDS stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa
- Traditional healers on board to fight HIV/AIDS
- HIV/AIDS impact assessment study project: first trimester report March - July 2006
- Bush and the global gag rule: trick or treat?
- Evaluation of HIV/AIDS prevention intervention messages on a rural sample of South African youth's knowledge, attitudes, beliefs and behaviours over a period of 15 months
- HIV/AIDS/STD prevention intervention messages: an evaluation of the knowledge, attitudes and beliefs of a rural South African sample
- HIV prevention intervention among low-income women in South Africa: a randomized control trial 1
- Containment and contagion: how to strengthen families to support youth HIV prevention in South Africa
- Community collaborative youth-focused HIV/AIDS prevention in South Africa and Trinidad: preliminary findings
- Social and behavioral aspects of child and adolescent participation in HIV vaccine trials
- Mediating social representations using a cartoon narrative in the context of HIV/AIDS: the AmaQhawe family project in South Africa