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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Collective efficacy and HIV prevention in south african townships
Journal of Community Health, Volume 38, No. 5, Year 2013
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Description
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. © 2013 Springer Science+Business Media New York.
Authors & Co-Authors
Cain, Demetria N.
United States, Storrs
University of Connecticut
Pitpitan, Eileen V.
United States, Storrs
University of Connecticut
Eaton, Lisa A.
United States, Storrs
University of Connecticut
Carey, Kate Bergmann
United States, Providence
Brown University
Carey, Michael P.
United States, Providence
Brown University
United States, Providence
Miriam Hospital
Mehlomakulu, Vuyelwa
South Africa, Pretoria
Human Sciences Research Council of South Africa
Harel, Ofer
United States, Storrs
University of Connecticut
Simbayi, Leickness Chisamu
South Africa, Pretoria
Human Sciences Research Council of South Africa
South Africa, Cape Town
University of Cape Town
Mwaba, Kelvin
South Africa, Bellville
University of the Western Cape
Kalichman, Seth Charles
United States, Storrs
University of Connecticut
Statistics
Citations: 21
Authors: 10
Affiliations: 6
Identifiers
Doi:
10.1007/s10900-013-9694-9
ISSN:
00945145
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Substance Abuse
Study Design
Cross Sectional Study
Study Locations
South Africa
Participants Gender
Male
Female